What does ‘undetectable’ really mean?

Things you need to know about the HIV breakthrough

In recent years, the word undetectable has become omnipresent in most conversations about HIV.

From laboratories and medical conferences to bathhouses and social media hashtags, the idea of undetectable viral load has changed the world of sexual safety.

We now know that people who take regular antiretroviral medications long enough can reduce the amount of HIV in their blood to the point that they can’t transmit the virus to anyone else.

In a 2016 study, researchers followed almost 1,000 heterosexual couples and male same-sex couples who regularly had condomless sex and were in a serodiscordant relationship (that is, a relationship where one person has HIV and the other does not). The results were clear: not a single person contracted HIV from their positive partner over the course of the study.

A follow-up study that focused on male same-sex couples was published in July and came to the same conclusions: researchers couldn’t find a single case of transmission when the HIV-positive partner was taking medication to reduce his viral load.

These results were endorsed by the world’s leading HIV scientists, and trumpeted from the rooftops by activists using the #UequalsU hashtag.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below