October #106 : No PEP Rally - by Joshua Tager

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Crime no. 69

Who’s Afraid of HU?

Six Nights in Bangkok

Their Patients, Their People

Thar She Blows!

HU Handbook

Top Black MDs

Heartbreak Hotel

Quilt Trip


No PEP Rally


Show & Tell



Pos & Neg

Meth-od Actor

West Denial Virus

Bangkok Big Top


Private Parts

Forbidden Grapefruit

Quick Study: Prostate

Alzheimer’s Drug Does HIV

Body Eclectic: Lungs

Get Flu-ent

If You Knew Sushi


Trip or Treat

Scared Straight

Hitched & Bewitched


Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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October 2004

No PEP Rally

by Joshua Tager

Easy-access morning-after HIV meds? It can’t happen here!

Weapons of mass protection have surfaced overseas! In June, the European Union issued guidelines for a 28-day HIV regimen that could be started within 72 hours of exposure. Stateside, however, the CDC continues to stall on promoting the meds, called non-occupational post-exposure prophylaxis (NOPEP). Though NOPEP has been approved and available for six years, the CDC has been struggling to issue physicians’ guidelines since 2001—and no release date is in sight. “This is the first time the CDC is issuing guidelines on PEP,” says the CDC’s Jessica Frickey. “Inherently, it’s going to take a long time.”

Though CDC guidelines require crippling bureaucratic review, NOPEP must also fight widespread fear that it encourages risky bedroom behavior. Recent studies in Brazil and San Francisco suggest otherwise. “There are enough data to support the development of ethical guidelines for NOPEP,” says Brenda Lein of Project Inform, a national HIV-advocacy organization. Meanwhile, states are making their own rules. But with Massachusetts calling it NPEP and the EU dubbing it NONOPEP, this much seems certain: In America, there’s still no PEP.

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