Undetectable = Untransmittable

July 26, 2020

undetectable   untransmitable

The information that "undetectable equals untransmittable" (U equals U, also known as "can't pass it on") is amazing news, and adds another option to how we can address the ways HIV impacts our communities. In order to share this science far and wide, the Prevention Access Campaign launched the campaign, “undetectable=untransmittable” or “UequalsU” in 2016. This groundbreaking campaign brings the most up-to-date research about viral load and HIV to those of us who aren’t reading the latest medical journals with our morning coffee. Many notable doctors and researchers (in British Columbia and worldwide) and some of the leading HIV organizations (such as Terrence Higgins Trust and CATIE) have gotten behind this campaign first led by people living with HIV.

At YouthCO, we’re really excited about UequalsU. To fully understand the message, we’re going to break it down piece by piece:

  1. Viral load refers to the amount of HIV in our body. For those of us living with HIV and getting medical care, a measure of viral load is one of the things that our doctors typically check when we do bloodwork.   
  2. One of the things HIV medications do is lower the viral load in our bodies. Less virus in our bodies is good news for our health, and less HIV to potentially pass on to sex partners. When we get regular HIV care and follow our doctor’s instructions for our medications on an ongoing basis, many of us will be able to have a viral load that is undetectable.
  3. An undetectable viral load means that there is such a small amount of HIV in our body, that the tests used by labs are not able to find the HIV in our blood. The HIV is still there, but in very small amounts. It is only by taking HIV medications regularly that we can lower our viral load to the point it is undetectable.  

What the UequalsU campaign focuses on is the fact that if our viral load is consistently undetectable for 6 months, we continue to take our HIV medications, and we get tested and treated for STIs as needed, we can’t pass HIV to our sexual partners. This information means those of us living with HIV who have a viral load under 200 copies can know that when we are having sex, we can’t pass HIV to our partners, and can confidently share this information.

Whether or not we are living with HIV, we have lots of options to prevent coming into contact with HIV during sex. Internal and external condoms prevent HIV, STIs and pregnancy, our HIV-negative partners can use medications (called PrEP or PEP) to prevent becoming HIV-positive, and we can choose kinds of sex that don’t pass HIV, or are less likely to pass HIV. Since HIV first impacted our communities, we have seen that those of us living with HIV do a lot to prevent passing the virus to our partners. 

At YouthCO, we are excited about the UequalsU message, and are committed to sharing this information with our communities. We have already been sharing information about viral load as part of our HIV 101 workshops, and will continue to incorporate this knowledge into all of our programs in culturally appropriate ways. We also look forward to updating our HIV 101 resource, Gearing Up To Get Down, to include this information. We are also exploring hosting an online discussion about this topic for youth living with HIV. Stay tuned to our social media for your opportunity to connect with this message, whether in-person or online.

We’re also working to share this message in a way that recognizes the reality that many of us as youth don’t have an undetectable viral load. In fact, compared to other age groups in British Columbia, youth living with HIV have the lowest rates of undetectable viral loads. There are a lot of explanations for this fact, and through what we do every day at YouthCO, we’re working to shift the stigma and oppression that is often part of this equation. 

Stigma has no place in our response to HIV, whether in conversations we’re having with each other, sexual health information provided in workshops, websites, or brochures, or services for people living with HIV. We are grateful that we get to work towards this becoming a reality every day, and are excited to see where the UequalsU campaign will go in helping to stop stigma and build communities that know the truth about HIV.