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Swiss Panel: Poz barebacking sometimes OK!


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The Swiss National AIDS Commission's proposal astonishes U.S. AIDS researchers, who have long argued that safe sex with a condom is the only answer.

The Swiss National AIDS Commission said patients who can satisfy strict conditions, including successful antiretroviral treatment to suppress the virus and who do not have any other sexually transmitted diseases, do not pose a danger to others. The proposal was published this week in the Bulletin of Swiss Medicine.

The Swiss scientists took as their starting point a 1999 study by the U.S. Centers for Disease Control and Prevention, which showed that transmission depends strongly on the viral load in the blood.

The other studies had also found that patients on regular AIDS treatment did not pass on the virus, and that HIV could not be detected in their genital fluids.

"Let's be clear, the decision has to remain with the HIV-negative partner," said Pietro Vernazza, head of infectious diseases at the cantonal hospital of St. Gallen in Switzerland and an author of the report.
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