How do you want to have me? Phone me now and tell me just how you're going to fuck me. She notes that the Rakai prevention program is beginning to expand its services to include pre-exposure prophylaxis: antiretroviral therapy for people who are HIVnegative to protect them from infection if they have sex with people who are HIV positive. The data showed that as coverage of the PEPFAR services increased following their introduction in 2004, the incidence of new HIV infections in the cohort—the number of conversions from HIV-negative to HIV-positive status, on a per-person, per-year basis—began to fall. A fall in HIV incidence was seen among both women and men, although the drop was greater among men—more than 50 percent, compared to about 30 percent for women. At this time, there were 52 infections in the tenofovir tablet group and 35 in the oral placebo group, for HIV incidence rates of 6.3 and 4.2 percent, respectively.



Of the 1,003 women assigned to use tenofovir gel, 61 women acquired HIV (5.9 percent HIV incidence), and 70 infections occurred among the 1,000 women in the placebo gel group (6.8 percent HIV incidence). HIV incidence was 8.8 percent for unmarried women younger than 25 compared to 0.8 percent for older women who were married, differences that were statistically significant. Women account for 60 percent of adults with HIV in sub-Saharan Africa, where unprotected heterosexual intercourse is primarily to blame for the region's heavy HIV burden. It was nearly 10 percent at some South African trial sites. Jeanne Marrazzo, M.D., M.P.H., who reported the results on behalf of a team of investigators from 15 trial sites in Uganda, South Africa and Zimbabwe. National Institutes of Health-funded Microbicide Trials Network (MTN) and led by Zvavahera Mike Chirenje, M.D., of the University of Zimbabwe in Harare, and Dr. Marrazzo, from the University of Washington in Seattle.



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