Table 2.
Estimates of the potential impact of HAART on the annual risk of HIV-1 transmission. The table gives estimates of the annual risk of HIV-1 transmission as a function of plasma HIV-1 RNA load [27], the proportion of the present population falling into each plasma HIV-1 RNA load band, the weighted annual risk of HIV-1 transmission, the proportion of the population that will not receive HAART under present guidelines, and the weighted annual risk of HIV-1 transmission with the provision of HAART. The decrease in the annual risk of HIV-1 transmission from 0.171/person/yr without HAART to 0.151/person/year with HAART corresponds to a reduction of 11.9% (7.1% – 17.0%).
| Total (6) | ||||||
|---|---|---|---|---|---|---|
| Plasma HIV-1 RNA load (copies/ml) | < 399 | 400 – 3,499 | 3,500 – 9,999 | 10,000 – 49,999 | >49,999 | NA |
| Annual risk of HIV-1 transmission (/person/year) | 0 | 0.04 | 0.12 | 0.14 | 0.23 | NA |
| Percentage of HIV-1-positive population (%) | 3.1 (1.1 – 6.5) |
8.2 (4.7 – 12.9) |
12.2 (8.0 – 17.7) |
25.5 (19.6 – 32.2) |
51.1 (43.8 – 58.2) |
100 |
| Weighted annual risk of HIV-1 transmission without HAART (/person/year) | 0 | 0.00327 (0.00188 – 0.00516) |
0.0147 (0.00960 – 0.0212) |
0.0357 (0.0274 – 0.0451) |
0.118 (0.101 – 0.134) |
0.171 (0.1591 – 0.183) |
| Percentage of HIV-1-positive population with CD4+ counts > 200 cells/mm3 | 3.1 (1.1 – 6.5) |
8.2 (4.7 – 12.9) |
12.2 (8.0 – 17.7) |
23.5 (17.5 – 30.0) |
43.4 (36.3 – 50.6) |
90.3 (85.3 – 94.1) |
| Weighted annual risk of HIV-1 transmission with HAART (/person/year) | 0 | 0.00327 (0.00188 – 0.00516) |
0.0147 (0.00960 – 0.0212) |
0.0329 (0.0245 – 0.0420) |
0.0997 (0.0835 – 0.116) |
0.151 (0.136 – 0.165) |