A couple of weeks ago I wrote an article in Prospect about HIV prevention among gay men now that near-universal access to treatment is making AIDS virtually invisible in rich countries. This excited a fair bit of comment over at Metafilter, not all of it pretty. But in any case, I was premature in declaring the end of AIDS.
Neither my article nor the comments focused on the really important issue raised by New York Magazine. In an excellent article, the magazine asks Who still dies of AIDS, and Why?. In countries where treatment is easily available, the answer is: people who don’t get tested and diagnosed until it’s way too late. And that is still far too many people. In the UK, one in five gay men diagnosed in 2006 didn’t find out he was infected until after the point when he should have started treatment (and they were 14 times more likely to die within a year than men diagnosed earlier). In New York City, it was one in four. As the (always sensible) Joe urges on Joe.My.God.: “Test, test, test. There is no excuse not to do so.”