Comments on: There is no cure for HIV http://www.kevinmd.com/blog/2007/09/there-is-no-cure-for-hiv.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/09/there-is-no-cure-for-hiv.html/comment-page-1#comment-80344 Anonymous Sun, 23 Sep 2007 22:27:00 +0000 http://clients.emmense.com/kevinmd/2007/09/there-is-no-cure-for-hiv.html#comment-80344 The change in attitude by the gay community toward HIV has undoubtedly contributed to the spread of disease. <br/>The other big contributor that is the elephant in the room that no epidemiologist would ever get caught acknowledging publically is how treatment has increased the total burden of disease. That is, if one uses the standard epidemiologic models of transmission for HIV, and substitutes zero efficacy (i.e. no drug therapy) during the 90's the case fatality rate goes up (people with the disease die sooner), but the total mortality goes down (less people die). This seeming paradox comes about when those who can transmit the disease, and do so at a substantial rate, are removed from the population faster rather than slower. The change in attitude by the gay community toward HIV has undoubtedly contributed to the spread of disease.
The other big contributor that is the elephant in the room that no epidemiologist would ever get caught acknowledging publically is how treatment has increased the total burden of disease. That is, if one uses the standard epidemiologic models of transmission for HIV, and substitutes zero efficacy (i.e. no drug therapy) during the 90’s the case fatality rate goes up (people with the disease die sooner), but the total mortality goes down (less people die). This seeming paradox comes about when those who can transmit the disease, and do so at a substantial rate, are removed from the population faster rather than slower.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/09/there-is-no-cure-for-hiv.html/comment-page-1#comment-80301 Anonymous Sat, 22 Sep 2007 19:13:00 +0000 http://clients.emmense.com/kevinmd/2007/09/there-is-no-cure-for-hiv.html#comment-80301 That is one pretty big assumption to make... That is one pretty big assumption to make…

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