BHIVA encourages universal promotion of Undetectable=Untransmittable (U=U)
“A BHIVA members’ survey on U=U was undertaken in October 2018 which highlighted a need to ensure the U=U message is consistently integrated into clinical care, as recommended in the 2018 BHIVA standards of care for people living with HIV.
Consistent use of ART by people living with HIV to maintain an undetectable viral load is a highly effective strategy to prevent the sexual transmission of HIV. We urge health care professionals to discuss U=U proactively with all people living with HIV at appropriate points during care including, but not limited to:- at diagnosis, when initiating treatment, to encourage adherence, when undetectable, and if planning to conceive. We recommend consistent and unambiguous terminology when discussing U=U such as “no risk” or “zero risk” of sexual transmission of HIV, avoiding terms like “negligible risk” and “minimal risk.””