Bay Area Reporter (San Francisco) (02.25.10) - Wednesday,
City health officials recently presented their "2010 HIV
Prevention Plan," which sets as a goal a 50 percent reduction
in new infections among men who have sex with men. MSM
constitute the vast majority of new diagnoses in San
Francisco. Besides focusing on the major subpopulations
driving the epidemic, the city will also prioritize prevention
among HIV-positive persons.
The 2010 strategy was presented at the Feb. 11th meeting of
the HIV Prevention Planning Council, which developed the plan
with the city health department's HIV prevention section.
The city's previous strategy, developed in 2004, also called
for a 50 percent cut in incident MSM transmission. That goal
was not achieved. In 2004, the health department estimated MSM
comprised 835 of the city's 1,082 new infections each year. In
2006, 772 of the city's 975 diagnoses were MSM.
The city reached its 2004 target of halving infections among
transgender people (excluding injecting drug users). Other
targets met include a 50 percent reduction in new infections
among IDUs and zero mother-to-child transmissions. The 2010
plan calls for no perinatal transmissions, no transmissions
among IDUs, and another 50 percent cut among transgender
"A lot of changes have happened since 2004, and that's what
the new plan represents," said Dr. Grant Colfax, the
department's HIV prevention director. At the meeting, Colfax
discussed current pre-exposure prophylaxis, or PrEP, trials
and managing expectations surrounding the topic. If the trials
are successful, it will be critical to make people aware that
"this is not going to be a magic bullet, no matter how
efficacious it is," Colfax said.
To read the 2010 San Francisco HIV Prevention Plan, visit