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PrEP HIV-prevention med makes progress in Thailand


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PrEP HIV-prevention med makes progress in Thailand

 

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BANGKOK (NNT) - The Thai Red Cross Society has held a seminar following up on PrEP pre-exposure HIV prevention medicine services in Thailand, where the drugs are offered to persons in risk groups, helping them prevent becoming infected. The medication, which will accumulate within the body, after a period of daily administration, can help destroy HIV virus entering the body, with almost 100% percent prevention capability. The Department of Disease Control recommends people who indulge in risky behavior use PrEP to help prevent new infections.

 

The seminar was held in honor of HRH Princess Soamsawali, the Princess Suddhanarinatha, who has been named the Goodwill Ambassador for HIV Prevention in Asia and the Pacific by the Joint United Nations Program on HIV/AIDS (UNAIDS), due to her remarkable contributions to public health campaigns.

 

The National Health Security Office (NHSO) Secretary General Sakcha Kanjanawatana said at this seminar that the government has given high priority to the prevention of infectious diseases, especially HIV/AIDS, which has shown a remarkable decline in new cases over the past 4 years.

 

He said the use of PrEP, or pre-exposure prophylaxis medication, is an option to prevent HIV infection in addition to the use of condoms, with close to 100 percent effectiveness. People in risk groups, such as those with multiple sexual partners and those who cannot use condoms every time, are encouraged to take this medication to prevent HIV infection.

 

The Department of Disease Control (DDC) Deputy Director General Preecha Prempree said PrEP will be covered under national health security benefits from 2020 fiscal year, thus, people in risk groups can help protect themselves from HIV infection by requesting the medication at any of the 51 service centers in 21 provinces across the country, all free of charge.

 

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I wonder why this has taken so long ? 

PrEP has been available in UK, USA, most European countries, NZ, and Australia for many years. All the studies show it is efficacious in prevention.

It does not preclude the use of condoms for other sexually transmissible infections,(herpes, chlamydia, syphilis)  and this needs to be part of the education of prescribers and patients.

3/12 sexual health checks are also part pf the protocols.

 

A move in the right direction for health care.

 

 

 

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38 minutes ago, Krataiboy said:

Good news for gays and other high-risk groups prone to HIV/AIDS but hardly likely to make a dent in the sharp rise of STD cases, particularly the young.

 

PrEP, as the article makes clear, is recomended to be used in addition to a condom. However, latest studies show that many teenagers are worried about appearing not to trust their partner and spurn the humble "meechai"  - with predictably worrying results. 

 

In just six years, according to a recent Nation report, the number of teens with an STD has doubled from 80.8 to 161.2 per 1,000 people. The most common infections include gonorrhoea, chlamydia, chancroid and genital herpes.

 

Most alarmingly, cases of potentially-fatal syphillis, have "skyrocketed", according to  Dr Thanyanan Kangvalpornroj of the Bangrak STI centre, Bangkjok. Both genders and in people of all ages are affected, including newborns with mothers unaware they have the disease.

 

With the biggest group of patients teenage students coming from high schools and universities, Thailand must abandon its traditional prissiness about sex education and give future generations the knowledge they need to lead a happy and safe sex life.

 

 

 

 

 

 

 

The article did not state Prep had to be used in addition to a condom.

The article stated Prep is an option in addition to a condom to prevent HIV.

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1 hour ago, cleopatra2 said:

The article did not state Prep had to be used in addition to a condom.

The article stated Prep is an option in addition to a condom to prevent HIV.

 

You misquote me. I didn't say Prep "had to be used in addition to a condom".

 

I wrote: "PrEP, as the article makes clear, is recommended to be used in addition to a condom".

 

Clearly, from the evidence, not doing as was recomended would increase the likelihood of an infection - and possibly a fatal one in the case of syphillis.

 

So why are you carrying on, Cleo?

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6 minutes ago, Krataiboy said:

 

You misquote me. I didn't say Prep "had to be used in addition to a condom".

 

I wrote: "PrEP, as the article makes clear, is recommended to be used in addition to a condom".

 

   

"He said the use of PrEP, or pre-exposure prophylaxis medication, is an option to prevent HIV infection in addition to the use of condoms, with close to 100 percent effectiveness."

 

So you can use either the medication or a condom to achieve close to 100 percent protection or how? 

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Just now, Beggar said:

   

"He said the use of PrEP, or pre-exposure prophylaxis medication, is an option to prevent HIV infection in addition to the use of condoms, with close to 100 percent effectiveness."

 

So you can use either the medication or a condom to achieve close to 100 percent protection or how? 

 

There's no such thing as 100 percent protection. Otherwise we wouldn't have so many unwanted babies and diseases.

 

The sentence you quote was a little ambiguous. I took it to be to be a sensible belt-and-braces recommendation with a wider application than possibly intended  which is why I wrote what I did.

 

No harm done, hopefully. Maybe even a few less unwanted pregnancies and STI's if anyone has the good grace to take what I posted seriously. 

 

 

 

 

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30 minutes ago, Krataiboy said:

 

There's no such thing as 100 percent protection. Otherwise we wouldn't have so many unwanted babies and diseases.

 

The sentence you quote was a little ambiguous. I took it to be to be a sensible belt-and-braces recommendation with a wider application than possibly intended  which is why I wrote what I did.

 

No harm done, hopefully. Maybe even a few less unwanted pregnancies and STI's if anyone has the good grace to take what I posted seriously. 

 

 

 

 

The sentence becomes clear when read in conjunction with the rest of the paragraoh. PreP is suitable for high risk groups . One of the examples given is persons who can not use a condom.

 

 

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1 hour ago, cleopatra2 said:

The sentence becomes clear when read in conjunction with the rest of the paragraoh. PreP is suitable for high risk groups . One of the examples given is persons who can not use a condom.

 

 

Indulge me. I must have led a sheltered life. Who are "persons who cannot use a condom" but are a "high risk group" when it comes to the transmission of the HIV virus?

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3 minutes ago, Krataiboy said:

Indulge me. I must have led a sheltered life. Who are "persons who cannot use a condom" but are a "high risk group" when it comes to the transmission of the HIV virus?

I cant use the condoms in Thailand,

Very difficult to find XL irregular condoms . 

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In that case, they won't be running out of P

29 minutes ago, sirineou said:

I cant use the condoms in Thailand,

Very difficult to find XL irregular condoms . 

You're not supposed to pull them over your head.

Edited by Krataiboy
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13 minutes ago, cleopatra2 said:

Persons who suffer from latex allergy

That's a tiny fraction of hetero men and women and an even more miniscule fraction of MSM's. So we won't be running out of PrEP pills any time soon.

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7 minutes ago, Krataiboy said:

That's a tiny fraction of hetero men and women and an even more miniscule fraction of MSM's. So we won't be running out of PrEP pills any time soon.

You asked for a group of people who can not use condom.

Not a scenerio where PreP would become scarce

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50 minutes ago, cleopatra2 said:

You asked for a group of people who can not use condom.

Not a scenerio where PreP would become scarce

Thank you for putting me right.

 

And since we're being picky, it's scenario with an a.

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10 hours ago, Beggar said:

   

"He said the use of PrEP, or pre-exposure prophylaxis medication, is an option to prevent HIV infection in addition to the use of condoms, with close to 100 percent effectiveness."

 

So you can use either the medication or a condom to achieve close to 100 percent protection or how? 

The use of condoms along with taking PrEP is the recommended protocol.

The condom is for prevention of transmission of other STIs such as chlamydia syphilis Herpes. PrEP does not prevent the transmission of anything other than HIV

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16 hours ago, sirineou said:

I cant use the condoms in Thailand,

Very difficult to find XL irregular condoms . 

Another one with a 2 inch monster! Is’nt imagination a wonderful thing

next thing you will tell us is that you have big feet totally missing the fact that this just means big socks

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18 hours ago, sirineou said:

I cant use the condoms in Thailand,

Very difficult to find XL irregular condoms . 

Then buy the silicone ones and import them, ansell will ship em for you if you contact them

(maybe)

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On 10/30/2019 at 6:55 AM, Destiny1990 said:

How much for a monthly dose for foreigners?

The Red Cross in Bangkok sell 30 day supply of Thai generic Truvada for ~650 baht... You would need a written prescription... My guess a hospitals would charge twice that...

 

Btw Thailand makes their own generic Truvada it is marketed under the name TENO-EM

 

https://www.medconsultasia.com/product-page/hiv-prep-medicine

Edited by sfokevin
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16 minutes ago, sfokevin said:

The Red Cross in Bangkok sell 30 day supply of Thai generic Truvada for ~650 baht... You would need a written prescription... My guess a hospitals would charge twice that...

 

Btw Thailand makes their own generic Truvada it is marketed under the name TENO-EM

 

https://www.medconsultasia.com/product-page/hiv-prep-medicine

Any know side effects of this medicine that you know of?

Anyone here talking this med already?

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