For decades, "prevention" meant condoms or abstinence. The IAS formed a scientific consensus group that analyzed observational data (the HPTN 052 study) and declared: If you take your meds and achieve an undetectable viral load, you cannot sexually transmit HIV .
The fight isn't over. We still lack a vaccine. Stigma is rebranding itself. Funding is flatlining. international aids society
In the chaotic early 1980s, as a mysterious “gay plague” decimated communities and governments responded with deafening silence, science moved too slowly, and stigma moved too fast. There was no central stage for debate. A virologist in Paris couldn’t easily speak with a clinician in San Francisco. Activists chained themselves to pharmaceutical gates while researchers stayed locked in ivory towers. For decades, "prevention" meant condoms or abstinence