I know PrEP is a contentious issue with a lot of the key decision makers in Fla. According to PrEP Watch (http://www.prepwatch.org/prep-access/local-programs/) there are no programs for PrEP, but that doesn’t mean it is not being prescribed. It might take educating your primary care provider -check out resources here (http://www.projectinform.org/prepresources/), or feel free to reach out to Cassie or I directly for support.

Thank you for that perspective. Implementation would be an entirely different conversation and it is hard to conceive of a well-run program without the decriminalization of sex work in all forms. Even so, given the stigma against sex worker we truly believe that these clinics would need to be peer-run. St. James Infirmary has a great model, as does PERSIST in NYC.

Thanks!

Hi Thierry

I hope we made the risks clear: if we aren’t at the table, we’re on the menu. The NSWP publications (linked in text) outline some risks for sex workers. If you have anything else to add, please do share, or reach out directly.

I did want to note one small error in the “How does PrEP work?” section. The efficacy by dosage reported in iPrEX OLE was an 84% reduction in risk for 2-3 doses a week, 100% for 4-7. The error I mean to point to is the dosing frequencies, not the % of risk reduction.

It’s worth noting that the risk reduction numbers typically cited (the 85% and 99%) are based on what is still a relatively small amount of real-world data and some (smart and well-grounded) calculations. We’ll get much a much more precise picture of the efficacy at different dosing frequencies (and with alternative dosing regimens) as more people actual take PrEP for longer periods of time. None of this should detract from the enormous benefits offered by Truvada as PrEP, nor from the fantastic work you’ve done here.