james-krellenstein

Don't Give Up on PrEP

Rich Juzwiak · 02/26/16 03:42PM

A few people that I talked to yesterday, in the wake of the news of the first documented case of a supposed daily PrEP user who nonetheless contracted a strain of HIV with drug resistance, worried about an almost gleeful, “See, told ya so!” sentiment they were seeing in some gay men’s responses. At this point in my life, I am actively trying to avoid the unreasoned opinions of strangers, particularly when these opinions come with the smell of disregard for the community to which those who voice them belong (if not outright self-hatred). That’s to say that I didn’t really interact with any of that. But it is plausible that because PrEP is a discursive lightning rod, its detractors feel justified and some sense of happiness or pride over what many have taken to be solid evidence that PrEP is not 100 percent effective in eliminating HIV—something, by the way, that no expert I’ve ever read has ever attempted to argue. In fact, every doctor or researcher or activist or counselor that I’ve ever talked to has been extremely careful not to claim 100 percent PrEP efficacy.