Finalist at the Diversity Index Awards Gala!

Last week, we had the honor of being finalists at the Diversity Index Award in the category Role Model of the Year. The fact that HIV awareness and our work with Chemwise were highlighted in this context is proof that our efforts are making a difference.
This finalist spot is not just ours but belongs to all of you in our network. You who challenge and confront stereotypes every day contribute to changing perceptions of HIV and/or sexualized drug use including chemsex and creating a more inclusive society. You are role models – and together, we share this recognition.

A heartfelt thank you to all the winners and finalists who, through their work, inspire and drive progress. To be one of 96 nominees among so many fantastic initiatives is an honor. Together, we demonstrate that change is possible! 👏

Do you want to help lead Positiva Gruppen Syd forward? Nominate for the board!

Have you considered getting involved in board work, or do you know someone who would like to help shape the future of Positiva Gruppen Syd? We are now accepting nominations for the board for the 2025/26 operational year! The next annual meeting will take place on Thursday, February 20, when the new board will be elected.

 

Our organization has grown significantly in recent years and is currently in an exciting phase of development, with many projects and a strong local commitment. A board consists of an odd number of members with various roles, such as chairperson, vice-chairperson, treasurer, as well as regular members and alternates. An alternate acts as a substitute for regular members when needed, which does not require attendance at all board meetings.

Positiva Gruppen Syd has an active board, and the nomination committee is now looking for individuals with ideas, time, and dedication to contribute to our work! 

 

About the boards function 

Positiva Gruppen Syd is a membership association, and between annual general meetings, the board leads the organization through regular monthly meetings. As a board member, you will be responsible for managing the organization in line with its statutes and goals, including employer responsibilities.

The board makes key decisions regarding budgets, operational plans, and strategic priorities. Board work also involves ensuring compliance with applicable laws and regulations and overseeing accurate financial reporting. The role requires commitment, collaboration, and a willingness to contribute to the organization’s development. The board represents the members’ interests and carries both legal and ethical responsibilities.

 

We are looking for someone who:

• Shares our values about transparency, integrity, democracy and zero tolerans for racism and discrimination

• Wants to help drive the organization forward and take on responsibility.

• Wants to organize and participate in member activities.

• Can dedicate at least five hours per month to board work and member activities.

 

For 2025, we are particularly looking for individuals with:

• Experience in employer responsibilities.

• Experience in finance and accounting.

It is also a bonus if you:

• Have experience serving on a board.

• Have experience or interest in political advocacy.

• Have personal experience with HIV-related stigma.

• Are fluent in Swedish and/or English.

• Were born in a country other than Sweden.

• Have expertise in drug-related issues.

We welcome all applications regardless of experience or background. Serving on the board is a great opportunity for personal growth and professional development.

 

About the nomination committees function

You can also nominate yourself or someone else to the nomination committee. Being part of the nomination committee in a nonprofit organization involves identifying, evaluating, and proposing candidates for the board and other key positions. The nomination committee plays a critical role in ensuring the board has a diverse mix of skills, experiences, and perspectives important for the organization’s work.

 

Practical Information

If you believe you are the right person for this role, or if you would like to nominate someone else, please contact the nomination committee of Positiva Gruppen Syd via:

• sergioscro.se@gmail.com

• hansalbin.saltenberg@gmail.com

We encourage you to submit your nominations latest by January 31, 2025, to allow the nomination committee to prepare a strong proposal for the board.

We look forward to hearing from you!

Best wishes,

The nomination committee, Hasse & Sergio

The Peo Scholarship 2024 is awarded to two recipients: Benny Roth and Ann

Ann (left) and Benny (right) during the award ceremony.

Positiva Gruppen Syd awards the 2024 Peo Scholarship – an award in memory of Per-Olof “Peo” Persson and his work with HIV – to Benny Roth and Ann.

Benny works continuously to increase awareness about HIV both in his private sphere and in the public domain. Through his engagement and participation in public events, exhibitions, interviews, and books, he creates new platforms for dialogue, ensuring that these narratives will resonate with future generations. “Benny breaks the silence and allows HIV to take its rightful place in the public sphere, where his many years of work provide an invaluable perspective,” says acting chair Kim Plunteman. Benny’s efforts fully reflect Peo’s spirit, making him a natural recipient of this year’s award.

Our second recipient and role model is Ann, who actively participates in public events and appearances, including festivals, Pride, lectures, and schools. On these platforms, she shares her life story and experiences living with HIV. “In doing so, she breaks the silence, and as a 50+ heterosexual, white woman, she contributes to openness about HIV and challenges stereotypical assumptions about who lives with HIV,” staying true to the core values of the scholarship.

Through their work, both recipients go beyond the personal and foster a deeper understanding of HIV, which in turn challenges prejudices and opens doors for a more inclusive dialogue. The presentation of this year’s scholarship took place in conjunction with World AIDS Day at Positiva Gruppen Syd’s headquarters and was accompanied by an intimate evening of mingling, a quiz, and a meal.

What is the Peo Scholarship?
Per-Olof “Peo” Persson served as chair of Positiva Gruppen Syd from 1989 to 1993 and was a pioneer in raising awareness about HIV and AIDS both in southern Sweden and nationally, including as vice-chair of RFHP (the National Association for HIV-positive People, now Hiv-Sverige) from 1991 to 1993. Peo passed away in 1995, and since 1996, a commemorative scholarship has been awarded in his name.
Learn more about Peo and the scholarship here: https://www.pgsyd.se/peos-stipendium/

 

Meet Our New Board: Catalysts of Change!✨

Our board from left to right: Suzana, Kim, Baha, Marcus (screen), Micke och Carlos 

On February 22nd, our community embraced a transformative shift by welcoming a dynamic new board during our recent annual meeting. This marks a pivotal chapter in our story, signifying growth, fresh perspectives, and renewed enthusiasm.

Join us in this article as we introduce the individuals steering our organization’s future. Discover their backgrounds, passions, and visions that will shape our community’s trajectory. 

Micke (Chairman):

Hello, I’m Micke, with roots up north but back in Skåne for the second time. Professionally, I work with textiles, colors, and forms. I enjoy filling my free time with culture in all its forms – a great source of inspiration. I find it exciting that PG Syd has such a diverse membership: men and women, heterosexual and LGBTQ+ individuals, and a mix of nationalities and languages. Diversity!

Kim (Vice Chairman):

Hi!

I’m Kim, turning 40 this summer, back in Postivia Gruppen Syd’s board. I was last here from 2014-2016. Since leaving in 2016, I’ve undergone many parallel processes, including a name change from Mia-Jonas to Kim. I am now a proud trans woman living in lovely Helsingborg and working as a social entrepreneur. For more information, find me on social media or visit www.plunteman.se!

Marcus (Treasurer):

Hello! I’m Marcus Blomquist, originally from Stockholm but now living in Malmö with my partner Irma. I’m studying economics at Lund University, currently on an exchange semester at Bocconi University in Milan, specializing in Corporate Finance. Besides my studies, I also work part-time in the finance department at Euro Finans in Lund. I’ve been a PG Syd member since 2022 and had the honor of being on the board last year. In my free time, I enjoy working out, following the excitement of Formula 1, and riding motorcycles – some of my major interests alongside studies and work. Looking forward to getting to know new people and growing both personally and professionally during my time here.

Alaa (Member):

Hi,

I moved to Sweden, specifically Malmö, in 2019. In 2020, I discovered Positiva Gruppen, an organization that has become like a second family to me. Becoming a member in 2020, I found myself surrounded by people who truly care about me and understand me. In 2021, I had the honor of serving as a board member until this year, 2024. I am grateful for the growth and fulfillment I’ve experienced with PG Syd through various activities and projects. Here’s to hoping for another fantastic year ahead!

Suzana (Member):

Hello, my name is Suzana, and I live in Malmö with my partner and our two golden retrievers. I work as a nursing assistant at a facility in Malmö. In my free time, I spend time with family and friends, enjoy our summer cottage, and love to travel. I’ve been living with HIV for 22 years, and recently, I’ve been actively involved with PG Syd, serving my second year on the board.

Our deputy members Baha (left) and Carlos (right)

Baha (deputy member):

When I came to Sweden in 2021, I was burdened with pain due to many reasons, including that the asylum process exhausted my soul and body during those two and a half years that I spent in Egypt. In my first appointment with the doctor, he directed me to Posteva, and when I came to the organization and got to know those in charge of it, I had the feeling of someone who has found a home after a loss. 

Carlos (deputy member): 

I moved from Spain to Sweden in 2018. I have experience in having participated and worked for LGBTQ+ groups, in the USA and Spain. In Malmö I was very happy to find an association like PG Syd where I found a place where I can share and learn from the experiences of other zero-positive people like me, Now in 2024 with a new board and excellent and dedicated workers, I  believe that the future of PG Syd will be very good and positive with new projects to come to keep helping all our dear members.

 

Hasse (Nomination Committee):

Hello, I’m Hasse, 36 years old, residing in Möllevången, Malmö. I work as a researcher in gender studies, study psychodynamic psychotherapy, and have been living with HIV for over ten years.

Sergio (Nomination Committee):

Hi, I’m Sergio. I’ve spent the last 7 years working as a project manager and financial controller within the non-profit sector, both in and outside Sweden. I’ve been living in Malmö for just under 3 years, and the city already feels like home. In my free time, I love cold-water bathing, traveling, hanging out with friends, and learning new things.

You can make a difference, become a board member!

For the 2024 annual meeting (held on February 22, 6pm at our office), we also have a special request from the Election Committee, Sergio.  

The Nomination Committee: 

‘Our organization has grown in recent years and is in an exciting development phase with many projects and a great local commitment. Positiva Gruppen Syd has an active board and the nomination committee is now looking for you to join with ideas, time and commitment to the practical work! 

We are looking for you who:

  • Shares our values.
  • Want to drive the association forward and take responsibility.
  • Want to organize and participate in member activities.
  • Are willing and able to spend at least five hours a month on board work and member activities.

It is an advantage if you:

  • Have experience of sitting on a board.
  • Have experience or interest in political influence. 
  • Have experience in finance and accounting.
  • Have experience of employer responsibilities.
  • Have experience with HIV-related stigma.

We are looking for people who are interested in the following positions:

  • Vice-Chair (or a shared chair).
  • Alternate board members 
  • Member of the Nomination Committee

If you are the one we are looking for, please send your interest by Wednesday, February 14th, 2024, to the PG Syd Nomination Committee: sergioscro.se@gmail.com’.

PEOs Scholarship 2023 awarded to Vìctor Manuel Infante

Positiva Gruppen Syd awards the 2023 Peo Scholarship, an honour in memory of Olof Persson and his work with HIV, to Vìctor Manuel Infante.

“With his commitment and openness in relation to his status, Vìctor has contributed to reducing the stigma surrounding HIV. His courage has empowered others living with HIV and Victor contributes by being a positive role model. All in all, Victor has acted in the true spirit of Peo and thus receives this year’s award,” says Set Rooke, Chair of the Positiva Gruppen Syd.

Victor has been open about his diagnosis from the beginning. Soon after he was diagnosed, he started taking action to improve the lives of people living with HIV. He initiated support for people living with HIV and went to the media in Cuba. Recently he has been interviewed about his HIV journey. The article can be read on the Positiva Gruppen Syds website: https://www.pgsyd.se/en/victor-never-give-up-your-dreams/

The award ceremony took place on World Aids Day at Positiva Gruppen Syd’s premises and coincided with an evening of mingling, quiz and food.

What is the Peo Scholarship? – Per-Olof “Peo” Persson was chairman of Positiva Gruppen Syd in 1989-1993 and a pioneer in raising awareness of HIV and AIDS both in southern Sweden and nationally, including as vice-chairman of RFHP (Riksförbundet för hiv-positiva, now Hiv-Sverige) in 1991-1993. Peo died in 1995 and since 1996 a memorial scholarship has been awarded in his name. Read more about Peo and the scholarship here: https://www.pgsyd.se/en/peos-stipend/ 

Portrait photo for the article from: private photo

Victor: ”Never give up your dreams!”

In this article, we meet Victor who was diagnosed with HIV in the early 90s in Cuba. In the interview, Victor shares about living with HIV, the challenges he faced and the way forward to living a full life with HIV.

1. Hi, there! Can you tell me, who are you?

Hi, my name is Victor, I am from Cuba, I am 61 years old and have been living with HIV since I was 29 years old. I currently live in Malmö, Sweden since 23 years ago.

2 You contracted HIV in Cuba, can you tell us what it was like to live with HIV there and then?

Getting a positive HIV diagnosis in 1992 in Cuba was a big challenge because it was difficult to find supplies such as food and medicine. At that time, you learnt about your diagnosis through the Public Health Agency. Being diagnosed meant compulsory admission to a sanatorium controlled by them controlled by them. Around this, there was no choice. The only alternative was to be placed in a prison called Nazaren, specifically for people living with HIV. When I was taken to the sanatorium, I was very scared. Because I had anxiety, I was also admitted to the sanatorium’s psychiatric ward, and was given injections of tranquillisers every eight hours for two weeks. The inmates of the Sanatorium were allowed to go out for a few hours once a week, but were always supervised by sanatorium staff who constantly followed us everywhere we went during our leave. They were also with us when we met the family and possible partners. When we came back, we had to give an account of our social and individual behaviour during our leave. In exchange for our freedom, they gave us enough food and free medicine at the sanatorium. No matter how complicated life in the sanatorium was, we tried to make our stay as pleasant as possible and we could feel free in our sexuality expression. There was solidarity between us the inmates. Those who had experience in cultural life, for example, created theatre performances, drag shows and had a writing workshop. The institution had a very high standard of living compared to the rest of the population. during those years in Cuba.  We were given good food and all the necessary hygiene items, which were scarce outside the sanatorium. We had air-conditioning, and colour TV at a time when Cuba had problems with with electricity. There was a huge housing shortage, but we had nice rooms with access to toilets and water.  This led to a marvellous phenomenon: some people made sure they were infected with HIV by injecting themselves with HIV by injecting themselves with infected blood to get a place with us. Especially young people who liked rock music (rockeros).  Shortly after my admission, I became a member of an HIV prevention group, which worked to inform the population about the disease and raise awareness of how it was transmitted. We visited, for example, workplaces, schools, and the university to increase the visibility of infected people, and prove that we were normal people despite the disease.  Two years later, the policy on the infected in Cuba had changed and we were gradually given more freedom. We were able to return to our normal lives through a process that took several steps as we were eventually declared “reliable” to stay, work and even live in the community. I took the took the chance and started working at the Institute of Infectious Diseases in Havana. Thanks to this, I had contact with Doctors Without Borders from the Netherlands. They offered courses and workshops, which increased my ability to work on prevention. I had the opportunity to cooperate with the Pedro Kouri Institute, internationally recognised for its longstanding work on tropical and infectious diseases. 

Victor in Cuba

3. When you moved to Sweden, what differences were there for you living in Sweden with HIV compared to Cuba?

Leaving Cuba is the most pleasant memory I have from that time of my life. I would get access to medicine and continue building a better life in Sweden. I did not initially intend to leave Cuba but was advised by my compatriots who had visited Sweden that it was a good country. I immigrated with a visa in 2000 and was granted a residence permit on the basis of connection as I had a relationship in Sweden. 

Victor and his former boyfriend Marcelo

4. You are featured in this article and are open about living with HIV. Have you any obstacles around your HIV?

Yes, I have always had support from my family and friends, including neighbours. I had decided to tell you, but in Cuba it was still practically impossible to hide it, because of the existing policy of the health authorities on AIDS in Cuba. 

5. Are there challenges for you in living with HIV today? 

Yes, it is a continuing challenge not only because of HIV but also because of how to dealing with other old and new health problems.  In terms of my health care contacts, it works well with the infectious disease clinic and the health centre, but I have faced great challenges in my contact with psychiatry as they have not taken my vital medication needs seriously. It has created chaos in my life that there is no continuity in terms of doctor contact in psychiatry. There is a lack of even the most basic understanding of our specific problems. 

6. What would you say to people who have been newly diagnosed with HIV? with HIV?

I would say to them, the same thing they said to me many years ago, that when you are diagnosed, it is important for us to be involved and empowered, which means that we have to learn and take an active role in the and take an active role in the decisions that are made, in all respects, whether they are medical or legal.

7: You are an active member of the Positive Group South. How did you become part of the organisation and what does the organisation mean to you? 

I knew about the existence of Positiva Gruppen before I came to Sweden through some members who visited Cuba in 1999. Then I got a good impression of their organization. As soon as I came to Sweden, I became a member of Positiva Gruppen Väst in Gothenburg and later Syd in Malmö. Marcelo, who was my partner during my first time in Sweden, was very active in PG West. This made me feel safe and inspired me.  PG Syd has been very important for me in terms of language, quality of life, social integration and medical treatments. I was also at the time an active member of Noak’s Ark. During my time in Cuba, I kept my home open as a social organization for other people living with HIV. We supported each other with things like medicine, cooking, celebrating holidays and anything else that was needed. Today, the programme would perhaps be compared to a type of peer-support but more private and close.

8. How do you see your future and growing older with HIV?

It depends on the day, sometimes very positive and sometimes not positive at all. I try not to think so much about getting sick and focus mostly on feeling healthy and maintaining good routines such as routines such as cooking, exercising and fostering good relationships. The power to focus and steer the day towards something good can sometimes feel exhausting and heavy.

9. What tips would you like to give to other people living with HIV to stay well?

I would tell them not to give up on their dreams. When I moved to Sweden, I had a dream of studying to be a childcare worker, but was prevented by a friend who said that the parents would have negative opinions about my sexual orientation. Today my interests are only hobbies around technology and I am an adult role model and mentor to the daughter of one of my best friends.

10. We often see that health professionals do not have enough knowledge about HIV. If health professionals were to read this interview, what would you say to them?

Don’t miss the opportunity to get feedback, both professionally and humanly, on the knowledge and experiences of people living with HIV. 

11. What are your hopes for the future and HIV? 

A vaccine would of course be very welcome, but with the medicines that are available today, the work continues in a positive direction for Positiva Gruppen Syd, Hiv-Sweden and RFSL Rådgivning and all other organizations. The dream is that everyone living with HIV will be declared healthy!

Victor in Malmö!

HIV and openness: a panel discussion with politicians and civil society at Rosengård Library

On Monday October 23rd an impressive group of politicians and civil society gathered for a panel discussion on HIV and openness at the Rosengård Library. The event was an important meeting point to highlight the challenges and progress in the field of HIV. 

The panel consisted of regional politicians (Carina Svensson), municipal politicians (Sedat Arif, Isabel Enström) and representatives from non-profit organizations – Noaks Ark Mosaik (Povi Foly Lawson) and Positiva Gruppen Syd (Anton Yashin), who shared their perspectives and experiences. The moderator of the evening was Joost Nussy from Positiva Gruppen Syd. 

The event started with a contextualization of the topic. Today, HIV is a disease that is more about the social than the medical aspect and in addition, HIV as a disease is more stigmatized than other diseases, which means that many people living with HIV do not dare to talk openly about their HIV status and live in silence with their diagnosis. The Swedish Public Health Agency has concluded that less than half (39%) of young people with HIV are not as open about their HIV status as they would like to be. This should be problematized because the degree of openness about one’s diagnosis is linked to a better quality of life. 

After the contextualization, we listened to a story where the social aspect of living with HIV was highlighted: it talked about fear of health care, of being treated differently and about an inner journey of self-esteem, shame and how it is connected to how open a person is with their diagnosis. The story was not only dark, but also about personal progress. 

The panel discussion revolved around three main themes: 

  • Challenges of HIV and openness: The panel emphasized that stigma and discrimination still affect people living with HIV. Panelists discussed intersectional stigma and how some people find it easier to be open than others. People’s privileges were raised and the fact that we have different conditions that lead to inequalities that affect the individual. Lack of language skills is an example of such a barrier. 
  • HIV and quality of life: The panel discussed the undetectable equals untransmittable (U=U) message. The fact that today HIV is not transmitted is currently not clear to all health care workers. It is important that people understand how HIV is spread and not spread, and that they have access to accurate information on how to prevent and treat HIV. Education can help break down myths and misconceptions about HIV. This is crucial to reduce the spread of HIV and improve the quality of life of those living with the virus.

  • The importance of systematized peer support: We talked about the motion from 2021 for systematized peer support on a regional level which was answered. Currently, there is no systematized peer support, i.e. peer support is not offered at the infection clinics in the Skåne region. All people living with HIV have regular contact with an infection clinic and it is therefore important that they are offered peer support through them. If peer support is offered at the clinics, everyone can be offered equal access to peer support that has a positive effect on the individual. The UK-based methodology, which Positiva Gruppen Syd has adapted to Swedish society, is an effective tool that ensures people’s well-being, prevents the risk of possible sequelae and can thus relieve the burden on the health care system in the long term.  
 
Carina Svensson (Regional Councillor and Second Vice-Chair of the Health and Medical Committee, Region Skåne): “HIV is not a fatal disease today and we all have to deal with that. HIV-positive people should and must be included in our society. This is best done with information and knowledge, something we can all contribute.”

The panel came to several important conclusions, including the need to continue breaking down barriers and the stigma surrounding HIV, but the question remains of how we can work together to move forward in a supportive way. Therefore, we will continue the dialog on how to fight together for a good life for people living with HIV!

The Secrets of FaR (PPA)? For your Health!

FaR stands for Prescribed Physical Activity and is a working method that was developed in the 21st century to promote health and prevent disease through increased physical activity.

So what Does FaR mean?

A person-centered approach forms the basis of the FaR method, which begins with an initial health talk followed by a written prescription where the activity becomes part of your treatment and is adapted to your conditions and wishes. Follow-up is an important part to support continuity but also to evaluate the physical activity. Individuals who need increased physical activity to prevent or treat a disease can receive FaR. You can get FaR from licensed personnel in the health care sector, for example physiotherapists, doctors, nurses, psychologists or occupational therapists. FaR is not currently included in the high-cost protection, which is unfortunate as it was presented in the publication “Folkhälsan i Sverige – Annual Report 2023 ( Folkhälsomyndigheten, 2023)” that all health outcomes affect people with a lower socio-economic position more than others, an issue that was problematized and raised during the training session about the method held by RF-SISU and employees at Region Skåne on 16/3. 

An active and healthy lifestyle is important for everyone, especially in relation to HIV as there are health benefits with adapted exercise to prevent possible health challenges. Regular exercise training can, for example, lower blood pressure, mindfulness can contribute to increased mental well-being and gentle weight training is often used as a treatment for various types of chronic pain. We lift FaR so you can lift the method with your healthcare provider. As a result of the pandemic, the prescriptions of FaR were reduced in most regions and the knowledge of how the method is used may differ between healthcare providers. Do you want to know more about FaR? Contact your healthcare provider. We also want to remind you that PG Syd offers free membership and training at Friskis & Svettis as well as training for all members of PG Syd. Contact us and we will arrange for you to become a member of Friskis & Svettis and can train free of charge!

Om FaR i Sverige – FoHM Om FaR Region Skåne  RF-SISU RF-SISU Skåne is, on behalf of Region Skåne, responsible for training and recruiting sports associations and other actors to the database of activities for individuals who have received a FaR.    

FYSS An evidence-based handbook that describes how physical activity can be used to prevent and treat a variety of disease states. FYSS 2021 is primarily aimed at healthcare as decision support for counseling and treatment with physical activity, for example FaR.

Top three from CROI2023: BMI affects weight loss, TAF and cobicistat linked to physical depression symptoms and stem cell surgery offers hope for life without HIV

Konferens om hiv och behandling

The Conference on Retroviruses and Opportunistic Infections (CROI 2023) took place in Seattle, USA last month. Here are our top three from the five-day conference:

People with a higher BMI lose more weight when changing treatment

We reported from the AIDS2020 conference how antiretroviral treatment when switching from TDF (tenofovir disoproxil fumarate) to TAF (tenofovir alafenamide) led to weight gain. During CROI2023, two new studies were presented that specifically aimed to increase understanding the possible connection between weight and TAF.

In the Netherlands, almost all people receiving HIV treatment are followed in a study called ‘ATHENA’. In an effort to find out how changing HIV treatment affects weight in people living with HIV, researchers looked more closely at TAF in combination with the class of integrase inhibitors.

The study identified 69 people who were on treatment with an integrase inhibitor and TAF, and who changed treatment. The group had increased in weight by 3.2 – 5.6 kilos in the last two years, and after they changed treatment lost 1.3 – 2.6 kilos. The biggest effect on weight was integrase inhibitors, those who were on treatment with an integrase inhibitor and switched to another class of medicine lost more weight than those who only switched from TAF to another preparation. But even just switching from TAF to another medication resulted in an average weight loss of 1.3 kilos. Noteworthy was that those with a BMI over 30 experienced far more weight loss compared to others.

Similar results emerged in the Belgian study  ‘Rumba’. People with a BMI over 30 who switched from a combination of either dolutegravir/lamivudine and abacavir (Triumeq)  or bictegravir/TAF/emtricitabine (Biktarvy) to the two-drug combination dolutegravir/lamivudine (Dovato) lost an average of 1 kilogram. At the same time, people who remained on a treatment of bictegravir/TAF/emtricitabine gained an average of 1.4 kilograms.

New treatments have gotten better and side effects in the form of, for example, fat accumulation around the neck and loss of fat under the soles of the feet are very rare today, but we already knew that HIV medications can affect weight and metabolism. The differences in weight gain and weight loss among different treatments should still be considered relatively small, even though differences exist. The kilos that can possibly be affected by changing treatment should be compared with other methods of managing weight, e.g. Exercise or diet. But given that today’s treatment is lifelong, even minor adjustments can make a difference in the long term, perhaps when you are already about to change treatment, also think about how the treatment affects weight.

More common with physical depression symptoms in women taking TAF and Cobicistat

The term physical depression symptoms include, among other things, sleep disturbances, changes in appetite, weight gain or loss, pain or sexual dysfunction. In a study from the United States, researchers from the Women’s Interagency HIV Study show that certain combinations of medication can contribute to physical depression symptoms in women living with HIV.

In the study, researchers followed 1,538 women who visited a clinic at least twice a year since 2014 and provided answers about their mental health. The average age was 49 years and just over two-thirds were African-American women. 27% of the women in the study had a viral load above 50 copies/ml.

After studying the women’s responses about their own well-being, the researchers were able to divide the participants into three roughly equal groups; low, high or no depression. The following three treatments were found to be associated with physical depression symptoms among women with high depression:

  • TAF, emtricitabine, darunavir and cobicistat (Symtuza)
  • TAF, emtricitabine, elvitegravir and cobicistat (Genvoya)
  • TAF, emtricitabine, elvitegravir, darunavir and cobicistat.

Two other treatments among the same group of women at the same time showed no connection to physical symptoms of depression:

  • TDF, emtricitabine and efavirenz (Atripla)
  • TDF, emtricitabine and rilpivirine (Eviplera, Complera).

Among participants with low or no depression, type of treatment did not play a role in relation to physical depression symptoms. There was also nothing to show that a certain type of treatment affected mental depression symptoms.

Interesting study looking at physical depression symptoms in women living with HIV. TAF has been on the market for almost 10 years and does not have a reputation for affecting mental or physical well-being more than other medications. The main rationale when TAF was approved was to switch from the older TDF to TAF in order to decrease risk of osteoporosis. Cobicistat is a booster (increases the body’s absorption of medicine) first used in 2012. Previous studies have shown that Cobicistat also increases the absorption of TAF. Admittedly, women with already high depression had other factors that increased the vulnerability to physical depression symptoms, but for those who have a treatment consisting of TAF and Cobicistat and experience physical symptoms of depression, it may be worthwhile to pay some extra attention to the symptoms of physical depression. Finally, it is worth noting that physical depression symptoms and what we would call depression or low mood are not the same thing.

Stem cell surgery offers hope for life without HIV 

A 53-year-old man in Dusseldorf, Germany now known as ‘The Dusseldorf patient’ was diagnosed in 2011 with HIV and the life-threatening cancer acute myeloid leukemia. Two years later, the man began a stem cell transplant with the intention of curing both his leukemia and HIV. The operation meant that the man underwent both chemotherapy and so-called “graft-versus-host disease”, where the body attacks itself after transplanting new organs or cells.

Today the man named Marc, has no detectable HIV and doctors consider him cured of HIV. Marc is thus one of the five unique people in the world who are considered cured of HIV with the help of a stem cell operation.

The other four people are Timothy Ray Brown (Berlin patient) who lived 13 years without HIV, Adam Castillejo (London patient) who has lived 5 years since being cured of HIV, a middle-aged woman in the USA (New York patient) with 3 years without HIV and the 63-year-old City of Hope patient who has been HIV-free for 2 years.

Comment: It is always nice to have positive news that shows that things are moving on the cure front. Knowledge about HIV and how the virus “hides” in the body increases every year. Unfortunately, the interventions where a person has been cured are often harsh and unpredictable, with other lifelong complications as a consequence. Compared to today’s treatment, the risks and cost are far too high to make this type of intervention something universal. However, we say congratulations to Marc and hope for more progress!