Table 2. Comparison of potential guidelines for ART initiation: population size requiring treatment, transmissions averted, and the ratio of % averted to % treated.
Population eligible for treatment | Expected transmissions averted, n(%)* | Ratio % averted to % initiating | |||||
Condom use** | Condom use** | ||||||
Potential guideline | n (%) | Reported | Half | None | Reported | Half | None |
By CD4 count | |||||||
<500 cells/µL | 41,828 (41.8) | 1,569 (47.6) | 2,469 (47.5) | 3,297 (47.4) | 1.14 | 1.14 | 1.13 |
By viral load | |||||||
≥50,000 copies/mL | 19,767 (19.8) | 1,336 (40.5) | 2,093 (40.3) | 2,773 (39.9) | 2.05 | 2.04 | 2.02 |
≥10,000 copies/mL | 47,343 (47.3) | 2,401 (72.8) | 3,751 (72.2) | 4,987 (71.7) | 1.54 | 1.53 | 1.52 |
Universal treatment | 100,000 (100.0) | 3165 (96.0) | 4985 (96.0) | 6679 (96.0) | 0.96 | 0.96 | 0.96 |
Expected transmissions averted shown here is based on a 96% reduction in risk with ART.
Reported = as reported in the Partners in Prevention HSV/HIV Transmission Study (77% of acts were reported protected), half = half the reported frequency of condom use in Partners in Prevention HSV/HIV Transmission Study, none = no condom use.