Ethical Use of Antiretroviral Resources for HIV Prevention in Resource Poor Settings

摘要: The effectiveness of antiretroviral regimes (ARVs) to reduce risk HIV transmission from mother child and as post-exposure prophylaxis has been known for almost two decades. Recent research indicates ARVs can also the via sexual intercourse in other ways. With pre-exposure (PrEP), are used acquisition among persons who negative significantly exposed virus. treatment prevention (TasP), already positive. development these new strategies raises a rationing problem: given chronic shortage HIV-infected need treatment, is it ethically justified allocate PrEP and/or TasP? This article examines intuitively appealing view that allocation should be highest priority, use TasP secondary utilizing would unethical. I will argue selective, evidence-based certain cases could even when there insufficient anti-retroviral access all those needing treatment.