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Recently, Jerome Singh, a member of our Ethical, Social and Cultural (ESC) Program for Global Health, published an article in AIDS, on antiretroviral resource allocation for HIV prevention. The full article is now available online, and the the hardcopy version is featured in issue 27.6 (March 27, 2013).

Summary: Some have argued that it is unethical to ‘deliberately watch patients with treatable HIV/AIDS worsen and die, even with supportive care, if medications for treatment are diverted to [pre-exposure prophylactic treatment with antiretrovirals (PrEP)]’. There are others who argue that ‘the strongest moral imperative directs us to give priority to saving the most lives...even if this means lowering the priority given to the goal of universal access to treatment, to provide maximum protection from HIV infection’.

In this commentary, Dr. Singh argues on ethics and human rights grounds that antiretroviral resource allocation need not be reduced to a simplistic treatment versus prevention dichotomy. Rather, realizing the goal of an AIDS-free generation requires antiretroviral deployment for treatment and prevention.

For full access to this article, please click HERE.

For further information, please contact Jerome Singh at:

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The Sandra Rotman Centre is based at the University Health Network and University of Toronto. We develop innovative global health solutions and help bring them to scale where they are most urgently needed. The Sandra Rotman Centre hosts Grand Challenges Canada, the Ethical, Social and Cultural (ESC) Program for Global Health and the Sandra Rotman Laboratories.

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