This is an issue that HIV activists and public health authorities have been struggling with since the 80s. We could literally end the HIV epidemic in 10 years or less with ‘Treatment as Prevention' campaigns that included rapid testing and aggressive outreach to at-risk populations. New York City’s new health commissioner has spearheaded a drive to do exactly that, and new transmission rates have fallen dramatically.
HIV eradication today is much more a question of access to health care and of political will than it is one of medical science.
I’d be interested in seeing you write about your thoughts on PrEP. As a newly out, relatively young gay man, you’re someone who could benefit from it. PreP is part of the Treatment as Prevention strategy that’s been implemented so successfully in some regions. It goes something like, “Quickly identity people at risk, quickly test them, then quickly get them either on PrEP or on ARVs, depending on their status.”
I understand, though, that the NHS in parts of the UK are resisting PrEP outside of some limited clinical trials.
If I’m remembering correctly, Scotland is on board with universal access to PrEP, but not England.