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An unexpected voice against PrEP has been a rising discourse on “Truvada whores” or “PrEP whores,” amplified by the critique of certain HIV service providers. More research needs to be done in this area, but the reluctance could be due to lack of training with the medication regimen or the ancillary health issues that must be incorporated into the clinical interaction (such as sexual health).Īnother factor could be the lack of knowledge within the gay community about the availability of PrEP, especially outside of for HIV epicenters: San Francisco, Los Angeles, New York City, and Miami. Another is a lack of medical doctors prescribing PrEP to patients. One factor is that gay and bisexual men may not consider themselves appropriate candidates for PrEP. While PrEP is endorsed by the Centers for Disease Control and Prevention (CDC), the uptake of the intervention has been slow. PrEP is seen as a potential solution to the disproportionate rate of HIV infection among certain communities – like African American, gay, bisexual, trans* and other men who have sex with men (MSM). The current approved treatment plan is a daily regimen, to be implemented as long as the individual is potentially exposed to HIV. PrEP is a daily course of tenofovir and emtricitabine (combined in a single tablet known by its brand name Truvada) that has a significant protective quality after five days against HIV aquisition: up to 92 percent with medical adherence- newer research puts this number at over 99 percent. Narrative One: Public Health and HIV in the United States Two narratives about PrEP-one in public health and other in community groups-both attempt to persuade us of their absolute truth. HIV pre-exposure prophylaxis ( PrEP) has emerged as a potent new tool in HIV prevention.