The following four priorities that will help Santa Clara County get to zero are; PrEP and PeP Implementation, Universal, Comprehensive STD Screening and Targeted Testing, Initiation of Care and Retention in Care and Reduction of Stigma.
In 2014, The U.S. Public Health Services released a clinical practice guideline for the use of PrEP for the prevention of HIV in the United States. One main key component, is to share this important information with the Providers, to prescribe PrEP, a relatively new intervention that involves taking one pill a day of antiviral medication (currently a fixed-dose combination of tenofovir disoproxil fumarate/emtricitabine [TDF/FTC]). This has been shown to reduce the risk of sexual HIV acquisition in adults, safely and effectively. Hence, this is recommended as an HIV prevention option for sexually active adult MSM, people who inject drugs, transgender women, and heterosexually active men and women who are at substantial risk of HIV infection, including those whose partners are known to have HIV infection (considered “key populations” for PrEP). PrEP strategies build on the long-term strategy of Post-Exposure Prophylaxis (PEP); is intended for emergency situations and must be started within 72 hours of a possible HIV exposure, and continued for 28 days to prevent HIV infection.
What is PREP?
TRUVADA for PrEP™ (pre-exposure prophylaxis) is a prescription medicine that can help reduce the risk of getting HIV-1 when taken every day and used together with safer sex practices.
For more information: https://www.truvada.com/what-is-truvada/understanding-truvada
How do I identify patients?
- Assess cues to take a sexual history
- Take a sexual history
- Develop an HIV Prevention Plan
How do I prescribe?
- Confirm individual is HIV negative, and screen for HBV.
- TRUVADA FOR PrEP must only be prescribed to HIV-1—negative people
- Test individuals routinely for HIV and other STI’s
- Advise pregnant women on the risks and benefits.
For more information: https://www.truvada.com/hcp/advancing-access?utm_source=truvada_prep&utm_medium=referral
Safety and Tolerability
- Contraindications and Drug Interactions
- Adverse Events
- Discontinuations & Lab Abnormalities
- Warnings & Precautions
How do patients access?
Become part of PREP provider directory
Would you like to be a provider?
PrEP Navigation Specialist
STD/HIV Prevention & Control | Santa Clara County Public Health Department
The Crane Center
976 Lenzen Avenue, Suite 1800
San Jose, CA 95126
(408)792-5036 | Rodrigo.Garcia-Reyes@phd.sccgov.org