TY - JOUR 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” AU - Charlebois ED, Havlir DV Y1 - 2010/08/09 N1 - 10.1001/archinternmed.2010.248 JO - Archives of Internal Medicine SP - 1354 EP - 1356 VL - 170 IS - 15 N2 - 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. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2010.248 UR - http://dx.doi.org/10.1001/archinternmed.2010.248 ER -