Getting to 40!

Abstract

There remains a lack of consensus about the extent to which pre-exposure prophylaxis (PrEP) contributed to the recent dramatic and stunning declines in HIV incidence occurring in the United Kingdom. This chapter describes the potential role of PrEP in this decline and offers insights into how this occurred despite a lack of formal, government-sponsored support for PrEP. Further, the chapter describes the development of a new PrEP movement in England as well as contributing factors, such as the leadership of a new wave of HIV activists, access to global generic markets, innovative supply chains, and the use of social media and the Internet. The “U-turn” and subsequent court cases are also described.