The widespread use of antiretroviral therapy could decrease the
HIV infection rate to the extent that the advance of the pandemic would be
reversed.
This is according to a new study by the Africa Centre for
Health and Population Studies, published by the University of KwaZulu-Natal on
Friday.
The therapy is said to be highly beneficial .
A recent clinical trial involved couples, one of whom was
HIV-positive, the other uninfected.
The trial showed that the treatment greatly reduced the
likelihood that an HIV-infected individual would pass the virus onto a
partner.
The study, led by Professor Frank Tanser, of the Africa Centre,
was conducted in Hlabisa, northern KwaZulu-Natal. More than 24000 people
participated.
The research showed that one in four adults is living with
HIV.
During the study - between 2004 and 2011 - about 17000
HIV-negative people were repeatedly tested every two year on average.
Of these participants, 1413 became HIV-positive - a rate of
2.6% a year.
These people were given antiretroviral therapy when they
qualified for treatment under South African guidelines.
When other well-established risk factors for infection were
taken into account, an HIV-negative individual was nearly 40% less likely to
acquire the virus in areas where therapy coverage was 30% to 40% of all people
living with HIV.
"This study is extremely significant. It is another piece in
the puzzle that shows how treatment keeps people healthy and productive, and at
the same time significantly reduces the likelihood of transmission of the
virus," said Tanser.
Tanser said that the results provide convincing evidence that
the risk of catching HIV is reduced with the prolific use of antiretroviral
therapy.
"It is the first time that we have been able to show such
results in a population setting -- an important finding which will help guide
the HIV response."
The full results of the study, which spanned seven years, were
published in the journal Science last week.
UNAIDS has welcomed the South African findings, and has called
on all countries and communities to achieve high coverage of antiretroviral
therapy, for the benefit of both people living with HIV and for the communities
in which they live.
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