Universal voluntary HIV testing and immediate antiretroviral therapy.

摘要

Contrary to Reuben Granich and colleagues' interpretation, the results of their model-based analysis actually suggest that, even under optimum conditions, early and sustained universal treatment cannot eradicate HIV. Their assumptions about the effect of this strategy are highly optimistic: they assume that HIV-infected people would reduce risk behaviour by an average of 40%; that second-line therapy is immediately available on failure of first-line; and that antiretroviral therapy reduces infectiousness by 99%- This level of reduction is unlikely.