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HIV Pre-Exposure Prophylaxis and Sex Work in Canada 2016

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oad to talk<strong>in</strong>g about these th<strong>in</strong>gs. And really what we produce out of these two days is<br />

all up to you. It’s what you want out of it. We will do our very best to produce that, to<br />

take what you give us <strong>and</strong> synthesize it <strong>in</strong>to someth<strong>in</strong>g that you will then see <strong>and</strong> you will<br />

approve—even if that means we just want to meet aga<strong>in</strong>. So that’s the <strong>in</strong>troduction from<br />

my side.<br />

Dan Allman, Dalla Lana School of Public Health<br />

Hi everyone. Thank you for com<strong>in</strong>g first of all. I can’t believe how many hours collectively<br />

of journey we have here. It’s been a long road. I’m really happy to see you all here. I’m a<br />

professor here <strong>in</strong> the Dalla Lana School of Public Health. In a bit of a way I’m a teacher. I<br />

teach. I teach some of the students walk<strong>in</strong>g by here. I come from a family of teachers. And<br />

even though there are some elements of what we will do here that might seem “researchy”<br />

I just want to make it clear that this is actually not research. It is education <strong>and</strong> capacitybuild<strong>in</strong>g.<br />

We will ask about your thoughts on our ability to record what is discussed<br />

here today. That record<strong>in</strong>g will be used to <strong>in</strong>form the report<strong>in</strong>g—not to contribute to<br />

research. We all, I th<strong>in</strong>k, have experience of research <strong>in</strong> our community, that’s not what we<br />

are do<strong>in</strong>g here. Elton John AIDS Foundation doesn’t fund research. We got top-up money<br />

from Gilead—the maker of Truvada® PrEP—<strong>and</strong> they would not fund research either.<br />

They just wanted to fund our education.<br />

The other th<strong>in</strong>g I want to say is this. This is what we’re here talk<strong>in</strong>g about. These pills.<br />

Now I went to Gilead, <strong>and</strong> I said, you know, “can we have some pills?” It’s just, otherwise<br />

it’s so abstract. Here we can pass them around. So, I asked Gilead if we could have some<br />

of these for a demonstration <strong>and</strong> they said, “No, no you can’t.” I had to go on the black<br />

market. But I did that. No, I cannot divulge how much they were. So, on a certa<strong>in</strong> level<br />

that is what we are here to talk about today. This is meant to be the new condom—<strong>in</strong><br />

some people’s eyes. I mean it won’t prevent you from gett<strong>in</strong>g pregnant. And, it won’t<br />

prevent you from becom<strong>in</strong>g <strong>in</strong>fected with syphilis for example—transmitt<strong>in</strong>g syphilis or<br />

gonorrhea or anyth<strong>in</strong>g else. But <strong>HIV</strong>? You know, by <strong>and</strong> large… I th<strong>in</strong>k a lot of us were<br />

pretty suspicious orig<strong>in</strong>ally at the beg<strong>in</strong>n<strong>in</strong>g, but the evidence does seem to suggest that<br />

despite its side-effects—<strong>and</strong> there are some, for <strong>in</strong>stance we’re go<strong>in</strong>g to hear about that.<br />

We have people who are go<strong>in</strong>g to come here <strong>and</strong> talk about that—give us a little more<br />

education, a little more knowledge about how these th<strong>in</strong>gs work. What they’re good for,<br />

<strong>and</strong> what they’re not good for. It is someth<strong>in</strong>g that arguably can be added to the sex<br />

worker’s toolkit. Doesn’t mean that anybody has to use them. I don’t know if I would use<br />

them, but anyway that’s neither here nor there.<br />

The other th<strong>in</strong>g I want to talk about is the consent process around record<strong>in</strong>g what you<br />

say today so I’ll just get the form back here so I’ll know what it is that I am say<strong>in</strong>g.<br />

Keep<strong>in</strong>g <strong>in</strong> m<strong>in</strong>d that this is not research, it’s an education <strong>and</strong> capacity-build<strong>in</strong>g<br />

consultation, we have a form here that asks for your consent. The form is two parts.<br />

One, it asks for your consent. It <strong>in</strong>forms you about what is go<strong>in</strong>g down here, <strong>and</strong> <strong>in</strong> fact<br />

we could h<strong>and</strong> this out so that people could read it as we go along. If we could h<strong>and</strong> out<br />

two copies to every person so that people—whether they want to sign or not have a<br />

copy or two to take with. It tells you what the consultation is. Let me read it because<br />

it’s important.<br />

12 #SWPrEP

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