Showing posts with label Medical Doctor. Show all posts
Showing posts with label Medical Doctor. Show all posts

May 15, 2020

Doctor Who Traveled Fighting World Virus' Falls With Covid-19 Even After 3 Tests Were Neg.



[adamfoxie]:  As you read this keep in mind what the Doctor says of why being tested three times after getting sick the testing came back negative. He explains there are many things about this virus we dont understand. He explains he waited a week before getting help, meanwhile his level of covid must've have dropped. He continued, After the virus invade and does its damage the amount of the virus droppes meanwhile the body has been invaded and is dealing with all the damaged it already the virus did. It's very similar to HIV/AIDS. What HIV did was advanced to AIDS and it was the damaged by AIDS that killed those without meds and it did so in some very quickly. You are not dying of covid but of the damaged is done and then having the body realized many of their white blood fighter cells are now the virus even though they look like good cells. The body's inmune system goes into an all out attack that kills good and bad cells. That is usually what happens with Covid-19 in the lungs. It is the body that thows the attack that fills the lungs with infected liguid from the cells.
At the end what got the the Dr. when he was so healthy and follow all the protocls since he was teaching them to others? Read on..



By Maura Hohman
Today NBC

One of NBC News' and TODAY's most knowledgeable experts on the coronavirus outbreak has now been diagnosed with COVID-19.
On Wednesday morning, NBC News contributor and virologist Dr. Joseph Fair tweeted that he's been hospitalized after contracting the coronavirus. He last appeared on TODAY in late April.
Download the TODAY app for the latest coverage on the coronavirus outbreak.
"My friends wondering where I’ve been: I came down with #COVID19& am hospitalized," he wrote. "I’m on the other end of it, but not out of the woods yet. Please continue to social distance. I used max precautions, but still managed to contract it. Back as soon as I’m able, friends. #StaySafe."



My friends wondering where I’ve been: I came down with & am hospitalized. I’m on the other end of it, but not out of the woods yet. Please continue to social distance. I used max precautions, but still managed to contract it. Back as soon as I’m able, friends.


View image on Twitter


It's possible that Fair contracted the virus during a recent flight from New York City to New Orleans, he told TODAY. He was flying home, and his airline did not enforce social distancing measures.
"I had a mask, I had gloves on, I did ... my normal wipe-down, but you can still get it through your eyes," he said. "I was seated right next to someone. The flight was full."
Once Fair arrived, he left his home once to go to the grocery store, where he practiced "max precautions," he said. Three to four days after his flight, he started to develop "a complete lack of appetite," muscle aches and a slight fever.
"At that point, it wasn't 'classic COVID symptoms,' but nothing is. That's what we're learning," he explained. "It's just so variable."
For the first three to four days of symptoms, Fair said it wasn't serious enough for him to seek medical attention. He had spikes in his fever that got as high as 104 degrees, but he opted to self-treat with Tylenol, lots of fluids and fruit — "basically what you do when you have any cold or flu," he added.
But heading into last weekend, his symptoms started to worsen, and on Saturday, he noticed he was getting very short of breath.
"By Monday, I couldn't take a full breath and had to call an ambulance," he recalled. After visiting the emergency room, he was admitted to Tulane Medical Center because of a bacterial lung infection, which caused his shortness of breath. He received four tests for COVID-19, all of which were negative, but doctors told him that they had no doubt that's what he had. Fair said that a plausible explanation for his negative tests was that "the virus itself has passed out of my system, but my system is still responding to the damage that the virus did."
Even for Fair, who's been on the front lines of outbreaks, including Ebola, the first day in the hospital was "very frightening," he said. "There's something particularly scary about not being able to get air. That part was anxiety (inducing)."
He added that he asked his doctors only to intubate him if "there was no other choice," so they treated him with an oxygen mask, visible in the image in his tweet. After three days in the hospital, he's still a little short of breath, but he's responded well to oxygen.
At 42 years old, Fair runs 5-10 miles a day, has a "good" lung capacity and no underlying conditions. So he said one of the learnings of his experience is "if it can take me down, it can take anyone down."
As he told one fan who responded to his announcement on Twitter, "Nobody is immune! Not even a virus hunter."
Fair hopes to be discharged from the hospital this weekend and has recently left the critical care floor.




What! Omg... you are one of my favorites! Wtf?!
Nobody is immune! Not even a virus hunter. For doubters of the seriousness of the virus, let me assure it can take you down.


Finally, he stressed: Don't be in such a hurry to get back to life as normal.
"Your life is more valuable than any kind of short-term discomfort you may have, (even) economic," he said. "Do not put yourself in a situation that instinctively feels dangerous, and you'll know when it does.

May 8, 2020

Doctors Falling from Windows in Russia



Third Russian doctor falls from window after criticizing working ...


MOSCOW (AP) — Two Russian doctors have died and another was seriously injured in falls from hospital windows after they reportedly came under pressure over working conditions in the coronavirus pandemic.
The exact circumstances of the separate incidents in the last two weeks remain unclear and they are being investigated by police, but they underscore the enormous strains that Russian doctors and nurses have faced during the outbreak.
Reports said two of the doctors had protested their working conditions and the third was being blamed after her colleagues contracted the virus. 
Across Russia, doctors have decried shortages of protective equipment and questionable infection control procedures at dozens of hospitals, with many saying they have been threatened with dismissal or even prosecution for going public with their grievances. Hundreds of medical workers also have gotten infected. 
Dr. Alexander Shulepov, who works on an ambulance crew in the Voronezh region, 500 kilometers (310 miles) south of Moscow, fell from a second-floor window May 2 at a hospital where he was being treated for COVID-19, breaking several ribs and fracturing his skull.
In a video posted earlier on social media by his colleague, Alexander Kosyakin, both complained about shortages of protective gear. In the video, the 37-year-old Shulepov said he was being forced to finish his shift despite being diagnosed with COVID-19. 
But later, local health officials shared another video of Shulepov on social media in which he retracted his earlier complaints, saying he was being emotional.
Kosyakin was accused of spreading false news about the shortages after posting the video and is under investigation. He refused to comment to The Associated Press. 
It is unclear what caused Shulepov’s fall. Some local media reports said he slipped while trying to climb from his window for a smoke outside, while others suggested it was due to the pressure for airing his complaints in public. 
A doctor died from injuries she sustained in an April 25 fall in the city of Krasnoyarsk in western Siberia. Dr. Yelena Nepomnyashchaya, acting head of a hospital, fell from her fifth-floor office window right after she had a conference call with regional health officials, local media reported, citing anonymous sources.
The reports said Nepomnyashchaya had argued against converting a ward in her hospital for coronavirus patients because of severe shortages of protective equipment and trained personnel, but she failed to sway the officials. Krasnoyarsk health officials denied such a call took place. 
Nepomnyashchaya died May 1 in intensive care. 
On April 24, Dr. Natalya Levedeva sustained fatal injuries after falling out of a window in a hospital in Moscow, where she was admitted with suspected COVID-19. She ran an ambulance station in Star City, Russia’s spaceflight training facility just outside Moscow, which reported several dozen coronavirus cases in April. 
Levedeva died immediately after the fall, which health officials said was an accident. Some media, reports however, suggested she was distraught after being accused of failing to protect her staff from getting infected and had killed herself because of it. 
Russia has reported 166,000 infections and 1,537 virus deaths, but health officials in the West have said the country was underreporting its infections and fatalities.
There is no official data on how many Russian health workers have died working on the front lines of the pandemic and Russia’s Health Ministry did not respond to AP’s numerous requests for comment.
Last week, a group of Russian doctors compiled an online Memory List of doctors, nurses and other medical personnel who died during the outbreak. The list currently has 111 names.
Authorities have decided to reopen all industrial plants and construction sites in Moscow starting next week, citing a stable rate of new cases. President Vladimir Putin said Wednesday it will be up to officials in other regions to determine whether to ease lockdown measures that have been in place since the end of March.

April 3, 2020

Who Would Want To Harm Dr.Fauci? Let's Just Say He Needed To Get a Security Detail








Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, will get a security detail amid increased threats to his security, according to multiple reports.

The 79-year-old doctor has been one of the most high-profile members of President Donald Trump's response to the coronavirus, earning praise and prompting the creation of fan-made paraphernalia from donuts to bobbleheads.

With that higher profile also came threats online, the Washington Post first reported. In response to threats to Fauci, the Department of Health and Human Services and the U.S. Marshals Service have stationed agents at HHS to protect him, according to the Post.  

The New York Times and the Wall Street Journal also reported the security detail, citing unnamed officials familiar with the matter. 

The extent of the threats was not immediately clear, Fauci has drawn criticism from some of Trump's staunchest allies online after some say he has contradicted the president. 


In a candid interview with Science Magazine in mid-March, Fauci said he and Trump "disagree on some things," but "he listens. He goes his own way. He has his own style." 

Among other issues, Fauci has tamped down expectations about potential treatments for the coronavirus and voiced discomfort with the use of "Chinse virus" to describe it. 

Trump thanked Fauci in a March 24 tweet, sharing a clip of an interview with him on Fox News and commenting, "thank you Tony!"  

"He asks a lot of questions. That's his nature. He's constantly asking questions. And I never, in the multiple times I've done that, where I said, 'For scientific reasons we really should do this,' that he hasn't said, 'Let's do it.'" 

Fauci declined to comment about the security detail during a coronavirus task force briefing on Wednesday, telling reporters, "anything that has to do with security detail, I'd have to have you refer that question to the Inspector General of HHS rather than my answer that. 


President Donald Trump then interjected, noting Fauci had been a basketball player, and saying, "He doesn’t need security. Everybody loves him. Besides, they’d be in big trouble if they ever attacked." 


February 15, 2020

Doctors in China Can't Say No or even Maybe, Not What this System of Gov is All About



Image result for doctors in china

 
By Tim Hume/VICE 
Medical workers in Wuhan are facing hellish conditions on the front lines of the fight against coronavirus, hobbled by shortages of vital protective equipment as the virus ravages their ranks.
One infected nurse at Wuhan Central Hospital wrote on the Chinese social messaging app Weibo this week that around 150 of her colleagues had confirmed or suspected cases of the virus, with the afflicted staff housed on an entire floor of the hospital. She said the constant fear of contaminating her colleagues meant she would hold her breath when they came to check on her.
“I'm afraid the virus inside my body will come out and infect these colleagues who are still standing fast on the front line,” she wrote.
The heavy toll on medical staff battling the outbreak was acknowledged by the Chinese government Friday when it revealed that more than 1,700 Chinese medical workers have been infected and six have died. 
Speaking at a news conference, Zeng Yixin, deputy director of the National Health Commission, pledged to provide more support to medical staff, amid reports of shortages of vital protective gear for medics battling to contain the outbreak.
“The duties of medical workers at the front are indeed extremely heavy; their working and resting circumstances are limited, the psychological pressures are great, and the risk of infection is high,” said Zeng. He said that nearly 90 percent of the infected medics were in Hubei province, whose capital, Wuhan, is the epicenter of the outbreak.
Zeng promised Friday the government would “tangibly improve the work conditions of front-line medical workers,” amid reports of shortages of critical protective equipment such as face masks, protective suits, and goggles in hospitals in Wuhan.
Hospitals in the city have repeatedly appealed for donations of equipment, with some reportedly reduced to making improvised protective suits out of garbage bags.
 The picture emerging from many hospitals in the city is bleak, with a high proportion of medical staff becoming infected with the virus. One report, citing a Chinese medical director, claimed two-thirds of the ICU staff at one Wuhan hospital had been infected due to a shortage of necessary equipment. 
The outbreak has also demanded grueling hours from medical staff, who have worked round the clock to care for rocketing numbers of patients. Chinese state media has published pictures of nurses after finishing long shifts, their faces deeply creased from masks and goggles.  
The government’s belated acknowledgment of the hazards facing medical workers is in stark contrast to the official insistence early in the outbreak that no health care workers were infected — and the push to silence those who tried to warn the public about the virus.
Li Wenliang, an ophthalmologist at Wuhan Central Hospital, expressed his concerns about the potential for human-to-human transmission of the virus in a chat group with fellow medics in late December, but was then summoned to the Public Security Bureau and accused of having “severely disturbed the social order.” He died from the virus earlier this month, sparking outrage among the Chinese public at his treatment by the authorities.
In Hong Kong, whose semi-autonomous status allows for more dissent than on the mainland, medical staff has been at the forefront of demands for the city’s government to completely seal the border with China. Last week, medical workers held their biggest ever strike in the city, angered by the authorities’ refusal to shut the border with Guangdong, the second hardest-hit province. 
The snapshot of the toll on medics came as Chinese officials reported another sharp rise in infections Friday. The National Health Commission said it had recorded 121 new deaths and 5,090 new coronavirus cases on the mainland on Thursday, bringing the total number of infections to 63,851 and the death toll to 1,380.
Cover: Twitter/DoveyWan

July 16, 2019

Looking for a New Doctor or Might in the Future Look for One? Read On








Finding a good primary care doctor can feel a little bit like dating. It's awkward. Your expectations are high. You know it's rough out there, but you're still secretly hoping to find the one.

So where do you begin? Just like dating, finding a doctor you click with is all about trusting your intuition. 

How To Get The Best From Your Doctor

"What you get in a snapshot isn't that far from the truth," says Dr. Kimberly Manning, a primary care doctor and associate professor at Emory University. "In terms of interactions, in how someone talks to you — I think those things can be really powerful markers to help you decide if this is a good fit."

It's worth it to get this relationship right. Your primary care doctor is your first point of contact in the health care system, someone who knows the full you — not just your kidneys or your heart. The doctor is there to help prevent you from getting sick and guide you through a complicated network of hospitals and specialists if you do become ill.

And research shows that having a primary care doctor you feel comfortable with can be critical to your well-being. A 2005 paper by Johns Hopkins pediatrician Barbara Starfield found that robust relationships with primary care providers help prevent illness and death and can help reduce racial and socioeconomic health disparities.

Shop around

A good place to start your search for a primary care provider is the directory of in-network doctors that your health insurance provides. By the way, your primary care provider doesn't have to be a doctor — you can also work with a nurse practitioner or physician assistant; both of these types of clinicians are fully qualified to handle your care.

You can call around to different offices and make preliminary appointments with different providers, so you can get a sense of which ones you like. This kind of doctor shopping is common when expectant parents interview different pediatricians — totally OK for grown-ups, too!

If you don't have insurance, don't give up. Many community health centers see uninsured patients free or for a sliding-scale fee. To find one, search online for "federally qualified health centers" near you.

Know your needs: convenience vs. complexity

As you start to narrow your search, Manning recommends asking yourself some questions about what kind of patient you are.

If you're young and pretty healthy, it's totally fine to prioritize convenience. Look for a doctor who is close to your home or work. Many offices offer evening or weekend hours, and some will do virtual visits for simple problems like a urinary tract infection or a cold. You can and should call and ask about amenities like these when you make your first appointment.

But for those of you who have some medical problems or have been hospitalized in the past year, it's important that you see a primary care doctor who shares electronic medical records with any specialists you see. This allows your doctor or nurse to communicate with your specialists about your treatment plan — which can be crucial for your health.

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"As a practicing physician, I know how much better it is for us to take care of patients when we can all see the electronic medical record of what's been going on," Manning says. "It just allows for continuity."

All of this means you should probably look for a doctor who works for the same hospital system or physician's group as do a variety of specialists and hospitals. You can find this out on your doctor's website or by asking when you call the office. Be aware, this isn't the same thing as checking whether the doctor is in your insurance network.

Look for a personal connection

The most important factor is that you feel comfortable with your provider. Be on the lookout for someone who makes eye contact and who listens without interrupting.

It's about more than just pleasantries. Going to a doctor or nurse who is empathetic can actually help you stay on top of taking your medications and getting the preventive tests you need.

"Find somebody who is curious, who asks questions that let you know that you're being heard," says Sana Goldberg, a nurse and the author of How To Be A Patient.

If you're a person of color, there's research that shows that having a minority physician may be good for your health. One recent study showed that when black patients have black doctors, for example, they're more likely to get recommended preventive services.

And if English isn't your first language, it may be a good idea to call different doctors and see whether you can find one who speaks your native language.

Breaking up

So what if you have a doctor but things haven't been going so well? How do you tell your doctor, "I think we need to talk?"

First of all, you shouldn't hesitate to give your provider feedback. We promise: Your doctor really does want to hear from you about what she could be doing better.

Start with personal language about how your doctor makes you feel, and try to keep your feedback specific. You can try something like: "It makes me feel dismissed when you look at the computer more than me." Or, "I am having a hard time understanding the plan. Can you use less medical terminology?" 

And if you've given all this a shot, and still feel you aren't connecting with your doctor? It may be time to break up, Goldberg says.

"If you feel like you've made an effort and you're not heard, you're not listened to, it's always OK to find somebody else," she says.

When you meet new potential doctors, feel free to tell them what wasn't working with your old one — it will help make sure you start off on the right foot.

It may be frustrating to start your search again, but it's worth it to find a doctor who really gets you. Your health depends on it.

Mara Gordon is a physician and the 2018-2019 health and media fellow at NPR and Georgetown University. In August, she joins the faculty at Cooper Medical School in Camden, NJ.

December 3, 2018

This Angel Doctor is Responsible For Lowering HIV Rates/Deaths in NYC, Young and Gay He Was in The Middle of It



 On a brisk November afternoon at Mount Sinai Comprehensive Care Clinic in Manhattan, Dr. Demetre Daskalakis sat in a brightly lit exam room, clicking away on a keyboard as his next patient walked in. The patient was in his 50s, and his first question was about his mental health. He felt depressed, but he didn’t know why. The patient recently stopped smoking and drinking, and an abdominal pain had him worried. He said his libido was nonexistent, even though he had a regular partner.

“How much of it do you think is because of your brain, and how much of it is because of your penis?” Daskalakis asked. He peppered his patient with questions about the nature of his erectile dysfunction. 

Eventually, Daskalakis discussed the patient’s HIV viral load and CD4 count, markers of the progress of his HIV infection. The patient’s blood tests indicated his viral load remains undetectable — meaning the amount of HIV in his blood is so low, thanks to HIV medications, that he can’t transmit the virus sexually.

                                                                        Demetre Daskalakis speaks at the formal dedication ceremony of New York City AIDS Memorial Park at St. Vincent's Triangle on Dec. 1, 2016.

Daskalakis, 45, updated his patient’s cholesterol medication and wrote him prescriptions for six Viagra tablets and a flu shot. He gave the man a hug goodbye and, before he walked out, said “Text me.”

Daskalakis still sees patients, as he has since the late 1990s, but today he’s just moonlighting as a clinician. The infectious disease specialist squeezes his patients in around the busy schedule of his main job: deputy commissioner for the Division of Disease Control at the New York City Department of Health and Mental Hygiene, one of the world’s largest public health agencies.

                                                                   


Demetre Daskalakis speaks at the formal dedication ceremony of New York City AIDS Memorial Park at St. Vincent's Triangle on Dec. 1, 2016.Erik McGregor / Sipa USA via AP 

Since joining the city’s health department in 2013, Daskalakis has promoted a framework for treatment and prevention strategy that he calls “status-neutral care,” which uses the same approach to initial patient care regardless of one’s HIV status. This type of care is intended to reduce HIV stigma and encourage frank discussions about sexual health, HIV risk and prevention options.

Today, the results of “status-neutral care” are beginning to be seen in public health data. On Thursday, the city released its annual raw data on diagnoses, which showed a record low 2,157 new HIV diagnoses in 2017, a 5.4 percent drop from 2016. The decline is most dramatic among men who have sex with men, whose rate of new infections is estimated to be 35 percent lower than 2013.

‘RADICAL GAY DOCTOR’

Before entering the municipal public health world, Daskalakis earned a reputation as “a progressive, radical gay doctor,” according to Mark Harrington, the executive director of Treatment Action Group, an HIV/AIDS organization.

During a 2012-2013 meningitis outbreak in New York City, Daskalakis went straight to those most at risk — including men who have sex with men, patrons of commercial sex venues and weekenders in Fire Island — and set up a popup vaccine clinic, occasionally dressed in drag as a nurse to take the edge off the injection. The effort was so successful that by August 2013, the outbreak was contained, and officials credited this aggressive vaccination campaign with halting it, according to The New York Times. Shortly after the meningitis campaign, a position opened at the NYC Department of Health for assistant commissioner of the Bureau of HIV/AIDS Prevention and Control. Daskalakis said his “email sort of exploded with people saying, ‘Hey, you should apply for this.’” He threw his hat in the ring and was offered the job, and as he was deciding whether to accept the offer, he said his mind was made up after he received an email from Mark Harrington, saying, “History’s calling. Are you going to answer?”

Harrington recalled telling Daskalakis, “This kind of opportunity won’t come around again, and you’ve got a new [mayoral] administration, you’ve got a governor committed to ending the AIDS epidemic.”

Daskalakis said this made him realized the job offer came at an “opportune moment in the history of HIV in New York City.”

“There was an effort that was motivated by the community to look at New York City and New York State as a place where we could prove that we could end an epidemic of HIV,” he explained.

NEW WAVE OF ACTIVISM

Around 2012, Harrington said it became clear that “we had the tools to bring down the rate of new HIV infections so drastically that it was possible — even without a cure or vaccine — that we could essentially end the epidemic in places where there was access to high-quality treatment and prevention.”

Part of the reason it was possible, he added, was the passage of the Affordable Care Act in 2010, which meant more young people and poor people were eligible for health insurance than ever before.

                                                                               Bottles of antiretroviral drug Truvada.

The way to end the HIV epidemic without a cure or a vaccine, according to Harrington, is by scaling up the use of two novel prevention tools: PrEP and TasP.

PrEP means “pre-exposure prophylaxis,” and it involves taking a daily Truvada pill to prevent HIV infection. Studies proving PrEP works were published in 2011. Since then, the government has recommended that more and more people consider the drug. This November, the U.S. Preventive Services Task Force recommended that doctors assess all Americans’ HIV risk, and counsel patients to take PrEP if they are at risk, including women who recently had any sexually transmitted infection, vastly increasing the number of people recommended to take the drug.

TasP means “treatment as prevention” and is a moniker given to the realization that HIV positive people can’t transmit the virus through sex if they are undetectable. Until 2015, treatment guidelines had HIV patients wait until their immune systems began to weaken before starting medication. Studies proving that starting treatment early helps HIV patients and also blocks transmission were published between 2008 and 2015.

“We were treating people late, and in many cases too late, to block transmission,” Harrington explained. When studies were published proving PrEP and TasP were both safe and beneficial, health bodies around the world overhauled their HIV guidelines and recommended that many millions more people begin taking antiretroviral drugs in order to control the HIV epidemic.

Harrington said this realization drove a “new wave of activism” at the 2012 International AIDS Conference in Washington, D.C. Activists began to talk about an idea that had been abandoned after the failure of HIV vaccine and cure trials: ending the epidemic.

In 2014, soon after Daskalakis joined the NYC Department of Health, New York Governor Andrew Cuomo announced the formation of “Ending the Epidemic,” a task force that would be responsible for devising a plan to use these new tools to draw down the state’s historically high HIV incidence. Daskalakis sat on the panel and was instrumental in developing the state’s robust PrEP program.

‘ENDING THE EPIDEMIC’

“The definition of ending HIV is a mathematical one,” Daskalakis explained. If New York City could get new infections down below 750 a year by 2020, he said new "transmission would no longer be fueling the epidemic."

When Daskalakis started work at the NYC Department of Health, he did so at a moment when it was suddenly possible, with proper inputs of political will and cold hard cash, to use antiretroviral drugs to engineer an end to HIV transmission in the city. The political will of Mayor Bill de Blasio and Governor Andrew Cuomo, he explained, helped secure the funding needed to scale up the distribution of expensive medications like Truvada.

                                                                                          

Some of the language in this new HIV/AIDS prevention paradigm was coined by Daskalakis himself: “status-neutral care.” In an article in Open Forum Infectious Diseases, a medical publication, Daskalakis described status-neutral care as a “multidirectional continuum [that] begins with an HIV test and offers 2 divergent paths depending on the results; these paths end at a common final state,” which is the prevention of HIV transmission.

Daskalakis overhauled the city’s sexual health programs to make them status-neutral. STD clinics were renovated, streamlined and rebranded as “sexual health clinics.”

“All the services had to look alike, whether you're HIV-positive or negative, and the idea was that if you come in and you are newly diagnosed with HIV you get started on meds on the same day of your diagnosis,” he explained. “If you are at risk for HIV, and you test HIV-negative, we don't dilly dally and wait. We start you PrEP that same day.”

Ad campaigns that had attempted to shame people out of contracting HIV instead distilled prevention down to a simple formula: “New boo? Get tested!” That’s because in the status-neutral-care continuum, getting tested is the first step to getting a patient enrolled in PrEP or TasP.

An advertisement from the New York City Department of Health and Mental Hygiene.NYC Dept. of Health and Mental Hygiene / NYC DOHMH

Gone were the scare-tactic campaigns of the Bloomberg administration (one infamous YouTube ad showed a close up view of anal cancer). They were replaced by joyful, brightly colored ads that encouraged people to come in for STD testing. Joining those ads were public awareness campaigns aimed at underserved communities with higher-than-average HIV incidence, like Spanish speakers, transgender women and heterosexual women of color. For the past several years, New York City subways and buses have been plastered with health department PrEP ads.

'REAPING THE BENEFITS'

The success of New York City’s revolutionary HIV prevention program is seen in the city’s declining rate of new HIV infections, but its success stark when compared to jurisdictions that haven’t implemented status-neutral care, or scaled up access to health care. The hotspots of HIV transmission today are in some of the poorest states that have refused to expand Medicaid, like Mississippi.

Daskalakis said his efforts prove the concept works, but he points to the challenges inherent in a model based on the distribution of expensive medications. “A lot of people doing this work are going from, ‘So now we can do it, we know we can,’ to 'How do you create sustainability?'”

Daskalakis describes the city’s new status-neutral-care regime as “the steam engine that's rolling through HIV in New York City and mowing it down in a pretty aggressive way.”

“We're reaping the benefits by consistently seeing HIV incidence decrease,” he said. Last week, in an announcement of the record low HIV incidence, the City of New York said the new data shows it is on target to meet its Ending the Epidemic goals by 2020.

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