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Left: The Centers for Disease Control and Prevention spells it out.

that it had finally reached a deal with pharmaceutical company Teva to bring a generic Truvada to the market by September 2020, and Dr Palli can’t wait. MiDoctor is the first facility in New York City to offer PrEP in an urgent care setting, and desperately wants to see more people getting access to it. “With us, you don't have to make an appointment and wait for 15 days or three months to come into a doctor's office,” he explains. “You can just walk in. We examine the patient, take their history, allergies, and do something called PrEP labs – blood counts, liver function, kidney function, etc. “The prescription is for 90 days. And every three months we do the PrEP labs again, to compare liver function, kidney function, blood count.” Once generic PrEP is available, the next step will be PrEP on demand – fewer pills, taken on an as-needed basis, “something like a morning after pill. You just take two pills the day before, and then one pill 24 and another 48 hours later." Then, ultimately, he hopes there will be a vaccine. Meanwhile, the news about a generic Truvada was – cautiously – hailed as a victory for the LGBTQ+ community, activists warned that allowing just one manufacturer to make generic PrEP would make insufficient impact on the high price. “Even if it won’t be $6, I think if it's $25 a month or $50 a month, people will still be able to afford it," says Dr Palli. "But if you price point it at $1,600, which is 26,000% more than the international market, it's insane. “In the meantime, people are getting sick, because they have no access to this lifesaving drug.” midoctoruc.com Twitter: @prep4allnow

HIV STATS Around 1.1 million people in the US are living with HIV today. About 15% of them (one in seven) are unaware they are infected. Young people are the most likely group to be unaware of their infection. In 2015, among those aged 13-24 who were living with HIV, more than half didn’t know. In 2017, 38,739 people received an HIV diagnosis in the US. After about five years of substantial declines, the number of annual HIV infections began to level off in 2013, to about 39,000 per year In 2017, 17,803 people in the US received a stage 3 (AIDS) diagnosis. Gay, bisexual, and other men who have sex with men are at the greatest risk of infection.

June 21, July 19, August 16 DIGITAL EDITION

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W42ST Issue 54 - The Pride Issue  

Inside: How to be a true ally, understanding intersectionality; the facts about PrEP, the podcasting exes, The Cher Show, God's Love We Deli...

W42ST Issue 54 - The Pride Issue  

Inside: How to be a true ally, understanding intersectionality; the facts about PrEP, the podcasting exes, The Cher Show, God's Love We Deli...

Profile for w42st