Chad S. Johnson and Chris Romano
The emergence of another fiscal cliff bogyman has been deterred for a few weeks, as the House, allowing a welcome reprieve from countdown clocks and diatribes about the end of western civilization as we know it, prepares for summer recess. We were all thoroughly distracted by the ache and convolutions of our elected officials bemoaning one another’s consistent failure to produce solutions that don’t devalue the gratuity of their corporate benefactors. People living with HIV/AIDS around the country, and around the world – and their family and friends – sat before the late night glare of 24/7 media outlets, wondering if the rational, genuine commitment to saving the essential benefits of millions of people is even a slight priority for the Trump Administration and its congressional allies.
Continue reading Dollars and Sense in the Era of Tooth and Claw
The impact of the economic policies of a crazed administration on “Getting to Zero” and other necromancy at IAS 2017
Chad S. Johnson and Chris Romano
At IAS2016 in Durban, South Africa, we never truly anticipated being witnesses to the specter of an unprecedented economic and political unraveling of progress towards defeating this generation’s signature epidemic. The well-intentioned speeches, proclamations, and community building in Durban, realized on that idyllic Indian Ocean coast, now seem distant and naïve, as U.S. communities like Baltimore, Rochester, and the South Bronx fight against the threatened regressive policies of Washington. As poverty and AIDS have come to be constant companions, without effective advocacy and scientific breakthroughs, scarcity and disease are settling in for an unwelcome, extended stay.
Continue reading Other Dragons at our Feet
Could something as simple as oral care affect viral reservoirs?
Research performed at Case Western found increased levels of HIV in the saliva and blood of people who had severe periodontitis (inflammation of the gums around the teeth). They discovered byproducts of bacteria, called metabolic small chain fatty acid (SCFA), that are associated with periodontitis, which can work together to awaken dormant HIV and cause it to reactivate, leading to an increase in residual HIV.
Continue reading Oral Care & Viral Reservoirs
The HIV vaccine field is just now beginning to recover from the disappointments of prior large-scale vaccine studies and is beginning to show momentum, but where is that momentum headed? While much has been learned from those prior studies and vaccinology in general, one could well argue that HIV vaccine efforts are not as robust as they could be, likewise they do not take into consideration the overall picture of the requirements for an HIV vaccine. In particular, AIDS is a pandemic requiring cost-effective treatment. Even a partially active vaccine would have great benefit if they were cost-effective, easy to use and safe.
Continue reading Taking stock of current HIV vaccine efforts
Brush more, floss more, use automated toothbrushes, a water pik, or place sulcular antibiotics?
What regimens are you currently recommending in your office for your patients’ oral hygiene maintenance and prevention? What if I told you that mechanical removal of bad bacteria might not be enough to ensure optimal oral health in all of your patients? After all, if simple removal of bacteria was beneficial then mouth washes would rein supreme chemical adjunct to mechanical removal. The problem is that this chemical warfare kills all types of oral bacteria, including the good!
Continue reading Oral Probiotics- it’s Time to Add Friendly Probiotics to the Mix