RT Journal
A1 Charlebois ED, Havlir DV
T1 “a bird in the hand . . . ”: A commentary on the test and treat approach for hiv: comment on “comparative effectiveness of hiv testing and treatment in highly endemic regions”
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD August 9
VO 170
IS 15
SP 1354
OP 1356
DO 10.1001/archinternmed.2010.248
UL http://dx.doi.org/10.1001/archinternmed.2010.248
AB 
The “test and treat” strategy captured the attention of the HIV world this past year. The premise of this approach is quite simple. Identify and treat most persons living with HIV in a community with antiretroviral therapy, and HIV rates will eventually decrease because lower HIV RNA levels are associated with reduced rates of HIV transmission. Modeling of this approach was put forward by Blower et al1 and Montaner et al2 years ago with little fanfare. However, when Granich et al3 modeled this approach for the South African epidemic and predicted millions of lives saved and transition from an endemic to an elimination phase, a global debate was launched.