Fourth Pillar or “Third Rail?:” Towards a Community-Centered Understanding of the Role of Molecular HIV Surveillance in Ending the HIV Epidemic in the United States

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Justin C. Smith

Tag(s): Journal article


Molldrem and Smith’s (2020) thoughtful article “Reassessing the Ethics of Molecular HIV Surveillance in the Era of Cluster Detection and Response: Toward HIV Data Justice,” calls attention to vitally important considerations in the implementation of molecular HIV surveillance (MHS) in HIV cluster detection response (CDR) efforts. The authors are rightly concerned with the myriad ethical questions posed by how these efforts are carried out, and they echo concerns that some members of the HIV advocacy community in the United States have raised. These questions perhaps take on additional weight in the context of the Federal Ending the HIV Epidemic (EHE) initiative, which includes molecular CDR as a foundational tool of one of its four “pillars.” […]

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