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Since October 2015 up to September 2016, HIV diagnoses fell by 32% compared with October 2014–September 2015 among men who have sex with men (MSM) attending selected London sexual health clinics. This coincided with high HIV testing volumes and rapid initiation of treatment on diagnosis. The fall was most apparent in new HIV testers. Intensified testing of high-risk populations, combined with immediately received anti-retroviral therapy and a pre-exposure prophylaxis (PrEP) programme, may make elimination of HIV achievable.


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  1. Public Health England (PHE). HIV in the UK - 2016 report. London: PHE; Dec 2016. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/602942/HIV_in_the_UK_report.pdf
  2. Birrell PJ, Gill ON, Delpech VC, Brown AE, Desai S, Chadborn TR, et al. HIV incidence in men who have sex with men in England and Wales 2001-10: a nationwide population study. Lancet Infect Dis. 2013;13(4):313-8.  https://doi.org/10.1016/S1473-3099(12)70341-9  PMID: 23375420 
  3. Goubar A, Ades AE, De Angelis D, McGarrigle CA, Mercer CH, Tookey PA, et al. Estimates of human immunodeficiency virus prevalence and proportion diagnosed based on Bayesian multiparameter synthesis of surveillance data. J R Stat Soc Ser A Stat Soc. 2008;171(3):541-80.  https://doi.org/10.1111/j.1467-985X.2007.00537.x 
  4. Clutterbuck D, Flowers P, Barber T, Wilson H, Nelson M, Hedge B, et al. UK National Guidelines on safer sex advice. London: The Clinical Effectiveness Group of the British Association for Sexual Health and HIV (BASHH) and the British HIV Association (BHIVA); 2012. [Accessed 16 Apr 2017]. Available from: http://www.bhiva.org/documents/Guidelines/SaferSex/BASHH_BHIVA_Safer_Sex_Advice_WebFinal120712.pdf
  5. Health Protection Agency (HPA). HIV in the United Kingdom: 2012. London: HPA; Nov 2012 Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/335452/HIV_annual_report_2012.pdf
  6. Williams I, Churchill D, Anderson J, Boffito M, Bower M, Cairns G, et al. Writing Group. British HIV Association guidelines for the treatment of HIV-1-positive adults with antiretroviral therapy 2012 (Updated November 2013. All changed text is cast in yellow highlight.). HIV Med. 2014;15(Suppl 1):1-85.  https://doi.org/10.1111/hiv.12119  PMID: 24330011 
  7. British H. IV Association (BHIVA). British HIV Association guidelines for the treatment of HIV-1‐positive adults with antiretroviral therapy. London: BHIVA; 2015. Available from: http://www.bhiva.org/documents/Guidelines/Treatment/2015/2015-treatment-guidelines.pdf
  8. McCormack S, Dunn DT, Desai M, Dolling DI, Gafos M, Gilson R, et al. Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial. Lancet. 2016;387(10013):53-60.  https://doi.org/10.1016/S0140-6736(15)00056-2  PMID: 26364263 
  9. Prepster. [Accessed 16 April 2017]. Available from: http://prepster.info/
  10. I want PrEP now. [Accessed 16 April 2017]. Available from: https://www.iwantprepnow.co.uk/#
  11. Cairns G. National AIDS Manual (NAM)-aidsmap. London: NAM; 22 Dec 2016. Available from: http://www.aidsmap.com/The-UKs-largest-sexual-health-clinic-saw-a-40-drop-in-new-HIV-infections-this-year/page/3106754/
  12. Savage EJ, Mohammed H, Leong G, Duffell S, Hughes G. Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013. Euro Surveill. 2014;19(48):20981.  https://doi.org/10.2807/1560-7917.ES2014.19.48.20981  PMID: 25496573 
  13. Rice, BD, Yin Z, Brown AE, Croxford S, Conti S, De Angelia D, et al. Monitoring of the HIV Epidemic Using Routinely Collected Data: The Case of the United Kingdom. AIDS Behav. 2016; [Epub ahead of print]. PMID: 27832390.
  14. Dolling DI, Desai M, McOwan A, Gilson R, Clarke A, Fisher M, et al. PROUD Study Group. An analysis of baseline data from the PROUD study: an open-label randomised trial of pre-exposure prophylaxis. Trials. 2016;17(1):163.  https://doi.org/10.1186/s13063-016-1286-4  PMID: 27013513 
  15. Aloysius I, Zdravkov J, Whitlock G, Alldis J, Nwokolo N, Aylward A, et al. InterPrEP (II): internet-based pre-exposure prophylaxis (PrEP) with generic tenofovir DF/emtricitabine (TDF/FTC) in London: analysis of safety and outcomes. Abstract P32 presented at the 23rd Annual Conference of the British HIV Association (BHIVA) Liverpool, UK4-7 April 2017.
  16. Public Health England (PHE) / National Health Service (NHS) England. NHS England and PHE extend HIV prevention programme. PHE/NHS: London; 4 Dec 2016. Available from: https://www.gov.uk/government/news/nhs-england-and-phe-extend-hiv-prevention-programme <
  17. European Centre for Disease Prevention and Control (ECDC) / World Health Organization Regional Office for Europe (WHO/Europe). HIV/AIDS surveillance in Europe 2015. Stockholm: ECDC; 2016. Available from http://ecdc.europa.eu/en/publications/Publications/HIV-AIDS-surveillance-Europe-2015.pdf

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