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New cases of HIV in India could fall by 38% with early ART and better retention, finds study

BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h5684 (Published 23 October 2015) Cite this as: BMJ 2015;351:h5684
  1. Cheryl Travasso
  1. 1Mumbai

Starting antiretroviral therapy (ART) early in India could reduce new infections by 18% and AIDS mortality by 9%, a study has found. Better retention in care could reduce new cases by 38% over the next 20 years.

The study used dynamic compartmental modelling to compare early ART initiation (at CD4 counts of ≤500 cells/mm3) with delayed ART initiation (CD4 count ≤350 cells/mm3), under both ideal and realistic conditions of care.1

In 2011 over two million Indian people were estimated to have HIV/AIDS.2 Current practice in India is to initiate ART when CD4 counts drop to …

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