`Test and Treat' HIV Prevention Strategy Gets Five-Year South Africa Trial

Researchers plan HIV tests for everyone in at least 30 South African regions in what may be the biggest trial of a strategy for eliminating transmission of the AIDS-causing virus.
In a five-year study starting this year, scientists from France and South Africa will screen thousands of people for HIV, said Bernard Hirschel, head of the HIV-AIDS unit of Geneva University Hospital in Switzerland. In half the regions, they’ll start treatment immediately for those who test positive. In the other half, they’ll wait until the patients’ immune systems deteriorate to a certain level, Hirschel said.
The experiment is designed to see whether starting treatment straight away can reduce or eliminate transmission of HIV, which infects 2.7 million people and kills 2 million every year. The World Health Organization recommends that patients start receiving HIV drugs when their infection-fighting cells fall to a certain level. The researchers have been planning the trial for two years, Hirschel said at the International AIDS Conference in Vienna today.