FOLLOWING THE RECENT RULING THAT PRE-EXPOSURE PROPHYLAXIS (PREP) CAN BE PRESCRIBED FOR THE PREVENTION OF HIV WITHIN THE NATIONAL HEALTH SERVICE, WHAT POTENTIAL IMPACT MIGHT THIS HAVE FOR INDIVIDUALS, HEALTH CARE AND SOCIETY?
FOLLOWING THE RECENT RULING THAT PRE-EXPOSURE PROPHYLAXIS (PREP) CAN BE PRESCRIBED FOR THE PREVENTION OF HIV WITHIN THE NATIONAL HEALTH SERVICE, WHAT POTENTIAL IMPACT MIGHT THIS HAVE FOR INDIVIDUALS, HEALTH CARE AND SOCIETY?
Introduction
Human immunodeficiency virus (HIV) still constitutes a major worldwide public health concern, with approximately 36.7 million people living with HIV in 2015, which included 1.8 million children (UNAIDS, 2016a). In 2015, approximately 1.1 million people died from illnesses that were related to acquired immunodeficiency syndrome (AIDS), which occurs over time due to HIV (UNAIDS, 2016). Many individuals with HIV/AIDS populate low and middle income countries (such as sub-Saharan Africa), often because living in poverty promotes risky behaviours such as sex work and limits access to health care and contraception to reduce the risk of AIDS (UNAIDS, 2016b). AIDS and HIV are also prevalent – although less frequent – in Western, high income countries such as Europe, the United States, Canada and the United Kingdom (UNIAIDS, 2016b). In Western Europe and West and Northern America, recent data reveals that 2.4 million people are living with HIV (UNAIDS, 2016b). A key problem for public health, however, is to prevent the 40% of people that are living with HIV that fail to recognise they have the virus from further spreading the virus (UNAIDS, 2016b). UNAIDS (2016b) reveal that, globally, there are huge discrepancies in addressing the spread of HIV/AIDS, with a decline of 57% in new HIV infections in eastern Europe and central Asia over the last ten years, in contrast to just 1% in Western Europe and Western and Northern America. To address this low reduction in the transmission of HIV in the United Kingdom and the United States (US), Pre-Exposure Prophylaxis (PrEP) has been developed as a preventative pharmacological treatment to protect those at a greater risk of gaining HIV (Karim & Karim, 2011). However, there are concerns regarding the implications that this may have on UK healthcare in funding the prescription of PrEP. This essay aims to examine the recent UK ruling in prescribing by NHS England and to examine the impact that this ruling will exert upon the individual, society and UK health care.

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