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Cited by 268

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings

Open access
Dodd, Peter J, Garnett, Geoff P, Hallett, Timothy B·2010·AIDS

Abstract

BACKGROUND: It has been suggested that a new strategy for HIV prevention, 'Universal Test and Treat', whereby everyone is tested for HIV once a year and treated immediately with antiretroviral therapy (ART) if they are infected, could 'eliminate' the epidemic and reduce ART costs in the long term. METHODS: We investigated the impact of test-and-treat interventions under a variety of assumptions about the epidemic using a deterministic mathematical model. RESULTS: Our model shows that such an intervention can substantially reduce HIV transmission, but that impact depends crucially on the epidemiological context; in some situations, less aggressive interventions achieve the same results, whereas in others, the proposed intervention reduces HIV by much less. It follows that testing every year and treating immediately is not necessarily the most cost-efficient strategy. We also show that a test-and-treat intervention that does not reach full implementation or coverage could, perversely, increase long-term ART costs. CONCLUSION: Interventions that prevent new infections through ART scale-up may hold substantial promise. However, as plans move forward, careful consideration should be given to the nature of the epidemic and the potential for perverse outcomes.

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Metadata

Authors
Dodd, P. J., Garnett, G. P., & Hallett, T. B.
Venue
AIDS
Published
2010-03-13
Volume
24
Issue
5
Pages
729-735
ISSN
0269-9370 (ISSN-L)
OpenAlex
W2001602693
Cited by
268
References
35
FWCI
24.79
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings. https://app.cochat.ai/papers/10.1097/qad.0b013e32833433fe
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Dodd, P. J., Garnett, G. P., & Hallett, T. B. (2010). Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings. AIDS. https://doi.org/10.1097/qad.0b013e32833433fe

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