{"id":657,"date":"2012-06-11T09:01:19","date_gmt":"2012-06-11T09:01:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=657"},"modified":"2012-06-10T22:02:02","modified_gmt":"2012-06-10T22:02:02","slug":"putting-rectal-microbicides-on-the-map","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2012\/06\/11\/putting-rectal-microbicides-on-the-map\/","title":{"rendered":"Putting Rectal Microbicides \u201cOn the Map\u201d"},"content":{"rendered":"<p>17<sup>th<\/sup> April saw the launch of the report: <em>On the Map: Assuring Africa\u2019s Place in Rectal Microbicide Research and Advocacy<\/em> by the International Rectal Microbicide Advocates (IRMA)<em> <a href=\"http:\/\/rectalmicrobicides.org\/ProjectARMreport2012.pdf\">On the Map:\u00a0 Ensuring Africa\u2019s Place in Rectal Microbicide Research and Advocacy<\/a><\/em> . \u00a0The report has been developed by African advocates and researchers on the basis of an IRMA consultation held in Addis Ababa in December 2011.\u00a0 The report promotes initiatives to prepare for deployment of rectal microbicides (RM) in Africa, following successful completion of a Phase I trial of tenofovir-based RM in 2011 (<strong>MTN-007<\/strong>), and prior to the first Phase II trial (<strong>MTN-017<\/strong>), based in South African among other places.<\/p>\n<p>In recent years a neglected epidemic among men who have sex with men (MSM) has been recognized in many low- and middle-resource settings where the predominant mode of transmission is heterosexual (J. Sanchez, <em>STI<\/em> 2011:87:Suppl.1). <a href=\"http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A7.2.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881\">http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A7.2.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881<\/a> \u00a0The activities envisaged by the IRMA report, including research, advocacy and communication, reflect the growing interest in the possibilities of RM as a means of HIV prevention.\u00a0 M. Meyer, writing for <em>STI<\/em> journal (2011:87:Suppl.1) reviews the literature on the feasibility of RM and effectiveness. \u00a0<a href=\"http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A7.5.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881\">http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A7.5.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881<\/a><\/p>\n<p>The IRMA report also draws attention the need for further research on attitudes to anal sex in specifically African cultural settings, as well as to the acceptability of RM as a prevention tool, and the integration of anal sex and RM into health education programs.\u00a0 STI journal has featured a number of studies seeking to remedy the paucity of data in this area, and determine risk factors for HIV transmission among MSM, and for their interaction with other populations.\u00a0 These include studies conducted in regions that figure prominently in the IRMA report.<\/p>\n<p>On <strong>Nigeria<\/strong>:<\/p>\n<p>O. Busari, <em>STI<\/em> 2011:87:Suppl. 1 (Lagos: women and MSM sex workers (SW));<\/p>\n<p><a href=\"http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A126.3.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881\">http:\/\/sti.bmj.com\/content\/87\/Suppl_1\/A126.3.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881<\/a><\/p>\n<p>M. Merrigan, <em>STI<\/em> 2011:87:1 (Lagos, Kano, Cross River States: HIV and Syphilis among MSM);<\/p>\n<p><a href=\"http:\/\/sti.bmj.com\/content\/87\/1\/65.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881\">http:\/\/sti.bmj.com\/content\/87\/1\/65.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881<\/a><\/p>\n<p>On the region of <strong>southern Africa<\/strong>:<\/p>\n<p>C. Beyrer, <em>STI <\/em>2010:86:4 (Malawi, Namibia, Botswana: MSM and bisexual concurrency);<\/p>\n<p><a href=\"http:\/\/sti.bmj.com\/content\/86\/4\/323.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881\">http:\/\/sti.bmj.com\/content\/86\/4\/323.abstract?sid=0dfd7f4e-457a-4935-ae85-9f1a939b9881<\/a><\/p>\n<p>T.G.M. Sandfort, <em>STI<\/em> 2008:84:6 (South African: racial distribution of HIV amongst MSM).<\/p>\n<p><a href=\"http:\/\/sti.bmj.com\/content\/84\/6\/425.abstract?sid=92184215-ce7c-4f66-a691-163618765a8c\">http:\/\/sti.bmj.com\/content\/84\/6\/425.abstract?sid=92184215-ce7c-4f66-a691-163618765a8c<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>17th April saw the launch of the report: On the Map: Assuring Africa\u2019s Place in Rectal Microbicide Research and Advocacy by the International Rectal Microbicide Advocates (IRMA) On the Map:\u00a0 Ensuring Africa\u2019s Place in Rectal Microbicide Research and Advocacy . \u00a0The report has been developed by African advocates and researchers on the basis of an [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2012\/06\/11\/putting-rectal-microbicides-on-the-map\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2012,2257],"tags":[],"class_list":["post-657","post","type-post","status-publish","format-standard","hentry","category-hiv-infection","category-microbicides"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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