L.A. County planning to distribute controversial HIV-prevention drug


Ken Almanza, a PrEP navigator for APLA Health & Wellness and a Truvada user, hopes to educate others interested in taking the pill to prevent HIV.

(Lawrence K. Ho / Los Angeles Times)

Los Angeles County supervisors voted Tuesday to develop a plan to distribute a controversial HIV-prevention drug to county residents at high risk of contracting the virus.

Truvada combines two drugs that have been part of the anti-retroviral cocktail taken by HIV-positive patients for years.

In addition to suppressing HIV that is already in the body, the pill can reduce the risk of new infections by as much as 92%, according to the U.S. Centers for Disease Control and Prevention. The prevention method is known as pre-exposure prophylaxis, or PrEP.

Supervisor Sheila Kuehl, who proposed the plan, said that “together with other HIV prevention tools, it’ll make it possible for us to dramatically reduce new HIV infections.”


“PrEP is not a silver bullet, it’s not a panacea, but it is another tool that we need to offer our county residents who are at high risk of contracting HIV," Kuehl said.

Officials said nearly 60,000 people are living with HIV in the county, and about 1,850 more become infected each year. Many of them are low-income gay and bisexual men of color.

The supervisors directed the public health department to come back in 30 days with a plan to reach out to high-risk populations and disseminate the drug.

Most HIV prevention advocates who spoke Tuesday praised the move and said they wanted to see the treatment more widely used.


But Truvada also has its opponents. The highest-profile critic has been AIDS Healthcare Foundation President Michael Weinstein, who launched a campaign against the prevention strategy, saying many users would not take the drug consistently enough to stave off infections and might give up other protections like condoms.

Follow Abby Sewell on Twitter at @sewella for more county news.


For the record

11:11 a.m., June 10: A photo caption accompanying an earlier version of this post misidentified Ken Almanza as an AltaMed outreach worker. He is is a PrEP navigator for APLA Health & Wellness.

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