As cheaper, generic versions of Truvada made by Mylan NV, Cipla Ltd. and Teva Pharmaceutical Industries Ltd. become more widely available, doctors and public health researchers are testing its ability to slash HIV incidence in the developing world, especially sub-Saharan Africa, where it’s mostly transmitted by heterosexual sex.
The global epidemic is driven in eastern and southern Africa, and it’s driven predominantly among women,” said Mitchell Warren, executive director of New York-based advocacy group AVAC, which tracks more than 40 ongoing and planned PrEP studies across the world.
While “PrEP appeared to be effective in reducing the transmission of HIV,” Truvada wasn’t cost-effective at the price Gilead requested, the Pharmaceutical Benefits Advisory Committee said in a statement Friday.
Based on a health department survey, about 30 percent of men ages 18 to 40 who have sex with men are on PrEP — and the benefits of it outweigh any risks, according to Daskalakis, who calls himself a “queer health warrior” and posed bare-chestedin posters on the New York subway for a campaign in June to encourage citizens to find a new doctor if they can’t talk openly about their sex lives.