Gilead's HIV Prevention Shot Shows Near 100% Effectiveness, But Accessibility Concerns Persist

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Gilead's HIV Prevention Shot Shows Near 100% Effectiveness, But Accessibility Concerns Persist
HIV PREVENTIONGILEAD SCIENCESGENERIC DRUGS
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Gilead Sciences plans to seek approval for its HIV prevention drug, with a study indicating near 100% effectiveness in preventing HIV infections. The drugmaker will allow generic versions to be sold in 120 low-income countries, but has excluded most of Latin America, sparking concerns over missed prevention opportunities.

The drug is already sold to treat HIV infections and Gilead plans to seek approval soon to use it to guard against infections.The twice-yearly shot was 100% effective in preventing HIV infections in a study of women, and results published Wednesday show it worked nearly as well in men.Drugmaker Gilead said it will allow cheap, generic versions to be sold in 120 poor countries with high HIV rates — mostly in Africa, Southeast Asia and the Caribbean.

While there are other ways to guard against infection, like condoms, daily pills, vaginal rings and bi-monthly shots, experts say the Gilead twice-yearly shots would be particularly useful for marginalized people often fearful of seeking care, including gay men, sex workers and young women.“It would be a miracle for these groups because it means they just have to show up twice a year at a clinic and then they’re protected,” said UNAIDS’ Byanyima.

How widely available the shots will be in Mexico through the country's health care system isn't yet known. Health officials declined to comment on any plans to buy Sunlenca for its citizens; daily pills to prevent HIV were made freely available via the country’s public health system in 2021.Byanyima said other countries besides Mexico that took part in the research were also excluded from the generics deal, including Brazil, Peru and Argentina.

On Thursday, 15 advocacy groups in Peru, Argentina, Ecuador, Chile, Guatemala and Colombia wrote to Gilead, asking for generic Sunlenca to be made available in Latin America, citing the “alarming” inequity in access to new HIV prevention tools while infection rates were rising. Hannya Danielle Torres, a 30-year-old trans woman and artist who was in the Sunlenca study in Mexico, said she hoped the government would find a way to provide the shots. “Mexico may have some of the richest people in the world but it also has some of the most vulnerable people living in extreme poverty and violence,” Torres said.

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