A redução da infectividade na transmissão sexual do HIV para os parceiros foi demostrada pela evidência científica recente de que o tratamento com ARV reduz a concentração do HIV nas secreções genitais. Sabe-se consideravelmente mais sobre o tema em homens que em mulheres. Esses estudos são limitados pela necessidade de incluir casais discordantes que devem ser aconselhados para a prevenção da infecção (14). Os novos programas de prevenção lançados pelo CDC nos Estados Unidos, como o SAFE (Serostatus Approach to Fighting HIV Epidemic) são dirigidos a esta promissora estratégia de identificar precocemente os casos que desconhecem seu estado sorológico, promover a assistência à saúde adequada e precoce, incluindo quando necessário o acesso aos ARV, e o aconselhamento sobre sexo seguro (64) Nesta direção, pelo menos no que diz respeito ao acesso à medicação, o Brasil tem estado em uma situação privilegiada para a implementação dessa estratégia.

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