The CDC Comes Out Swinging for Truvada, an HIV-Preventing Miracle Drug

Expanding the LGBTQ Conversation
May 15 2014 11:33 AM

The CDC Comes Out Swinging for Truvada, an HIV-Preventing Miracle Drug

Truvada pills
Truvada, the other little blue pill.

Photo illustration by Justin Sullivan/Getty Images

Truvada, which prevents HIV infection with a single daily pill, is the miracle drug that almost nobody takes. It prevents HIV more reliably than condoms, which can break. It has exceedingly minimal side effects. It’s covered by most private insurers and state Medicaid programs. But because of its novelty, doctors have been wary of prescribing it—and because of the absurd stigma it still carries, its target audience has been hesitant to take it.

That’s all about to change. This week, as part of its cheerfully named Morbidity and Mortality Weekly Report, the CDC came out swinging for Truvada, unequivocally encouraging health care professionals to prescribe the drug to numerous at-risk groups. So far, those groups include anybody in a serodiscordant relationship, non-monogamous gay and bi men who sometimes have unprotected sex, straight men and women who sometimes have unprotected sex with drug users or bi men, and anybody who injects illicit drugs.

Advertisement

To my mind, these categories are still a bit under-inclusive. It’s alarmingly easy to get HIV through anal sex: Condoms are more likely to break during anal intercourse than vaginal intercourse, and the HIV transmission risk from anal sex is 18 times higher than from vaginal penetration. As I’ve written before, there’s nothing inherently unhealthy about anal sex. But unless you’re in a monogamous relationship with someone who’s HIV-negative, the risk of HIV transmission during gay anal intercourse is always going to be a little higher than you’re probably comfortable with.

Of course, I understand why the CDC didn’t simply recommend Truvada for all sexually active gay men: That’d be going too far, too soon, and might carry an insulting, even condescending undertone. But the spirit of the new guidelines clearly leans in that direction. Truvada isn’t necessary for every man who has sex with another man. But if you’re a man who has sex with men, plural, you should consider getting a prescription. By this point, the science on Truvada is largely settled. It’s only the stigma that continues to prevent gay Americans from fully embracing a drug that could save their lives.

Mark Joseph Stern is a writer for Slate. He covers science, the law, and LGBTQ issues.

TODAY IN SLATE

Medical Examiner

Here’s Where We Stand With Ebola

Even experienced international disaster responders are shocked at how bad it’s gotten.

Why Are Lighter-Skinned Latinos and Asians More Likely to Vote Republican?

A Woman Who Escaped the Extreme Babymaking Christian Fundamentalism of Quiverfull

The XX Factor
Sept. 22 2014 12:29 PM A Woman Who Escaped the Extreme Babymaking Christian Fundamentalism of Quiverfull

Subprime Loans Are Back

And believe it or not, that’s a good thing.

It Is Very Stupid to Compare Hope Solo to Ray Rice

Building a Better Workplace

In Defense of HR

Startups and small businesses shouldn’t skip over a human resources department.

How Ted Cruz and Scott Brown Misunderstand What It Means to Be an American Citizen

Divestment Is Fine but Mostly Symbolic. There’s a Better Way for Universities to Fight Climate Change.

  News & Politics
Over There
Sept. 22 2014 1:29 PM “That’s Called Jim Crow” Philip Gourevitch on America’s hypocritical interventions in Africa.
  Business
Moneybox
Sept. 22 2014 5:38 PM Apple Won't Shut Down Beats Music After All (But Will Probably Rename It)
  Life
Dear Prudence
Sept. 22 2014 3:33 PM Killing With Kindness My in-laws want to throw me a get-well-from-cancer bash. There’s no way I can go.
  Double X
The XX Factor
Sept. 22 2014 7:43 PM Emma Watson Threatened With Nude Photo Leak for Speaking Out About Women's Equality
  Slate Plus
Slate Plus
Sept. 22 2014 1:52 PM Tell Us What You Think About Slate Plus Help us improve our new membership program.
  Arts
Brow Beat
Sept. 22 2014 9:17 PM Trent Reznor’s Gone Girl Soundtrack Sounds Like an Eerie, Innovative Success
  Technology
Future Tense
Sept. 22 2014 6:27 PM Should We All Be Learning How to Type in Virtual Reality?
  Health & Science
Science
Sept. 22 2014 12:15 PM The Changing Face of Climate Change Will the leaders of the People’s Climate March now lead the movement?
  Sports
Sports Nut
Sept. 18 2014 11:42 AM Grandmaster Clash One of the most amazing feats in chess history just happened, and no one noticed.