HIV Prevention

Human Immunodeficiency Virus (HIV) is passed from person to person primarily through unprotected sex and sharing injection equipment and needles. A person can spread HIV to their baby during pregnancy, birth or breastfeeding.  

HIV transmission can be prevented through changes in behaviors. Sexually active people can reduce their number of sex partners or use condoms the right way every time. People who inject drugs can stop HIV transmission if they never share needles, syringes or injection drug equipment.

Today, medical treatment is part of HIV prevention too. People living with the virus who take their medications as prescribed and keep their viral load low (amount of HIV in the bloodstream) are highly unlikely to give the virus to their partners. In this same way, HIV-positive people can lower the chance of passing the virus to their babies during pregnancy, birth or breastfeeding. There are medications for people who are HIV-negative that will lower their risk of infection. Keep reading for more information on HIV testing, prevention and ways to help stop the spread of HIV. 

 

HIV Testing

We know that many HIV infections happen because people don't know they have HIV. For those who don't know their HIV status, testing is the first step in maintaining a healthy life and reducing the spread of HIV.

We strongly recommend that people who test positive for HIV enter medical care right away. When treatment is started early, people with HIV have better health outcomes. People who test negative may choose to make changes in behavior or take medication that can help them stay negative.  

We recommend that all people who are sexually active get tested by their primary care provider. For people who would prefer another testing option, we offer free testing in community-based settings across Vermont. 

 

Treatment as Prevention 

Treatment for HIV includes anti-retroviral therapy (ART). This is medication people living with HIV take to stay healthy. These medications lower the amount of virus in the body, which keeps the immune system working and to prevent illness.

Another benefit of lowering the amount of virus in the body is that it helps prevent passing the virus to others through sex, needle sharing, and from person-to-child during pregnancy and birth. This is called treatment as prevention.

Pre-Exposure Prophylaxis (PrEP)

Pre-exposure prophylaxis, or PrEP, is a prevention option for people who are at high risk of getting HIV. PrEP is not for everyone. PrEP works better with some people than others. It’s meant to be used regularly, as a pill taken every day, and to be used with other prevention options such as condoms.

HIV post-exposure prophylaxis, or PEP, means taking antiretroviral medicines (ART) after being potentially exposed to HIV to prevent becoming infected. PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV.  

NOTE: The message at the top of certain CDC web pages regarding what the federal administration calls "gender ideology" does not reflect the views of the Vermont Department of Health. The Health Department will continue to collect data and share guidance for people of all identities to promote the physical, mental and social well-being of all people in Vermont.  

HIV Testing in Community and Medical-Based Settings 

We support free HIV and HCV testing at a range of community sites. People who are sexually active may receive referrals to other STI testing. Although some locations offer drop-in testing, we suggest contacting the sites ahead of time to set up an appointment.  

LOCATION(S)COMMUNITY SITE
Bellows Falls, Bennington, BrattleboroAIDS Project of Southern Vermont 
Lebanon, NH (Serving Orange and Windsor County, VT; Coos, Grafton, and Sullivan County, NH) HIV/HCV Resource Center 
Burlington Pride Center of Vermont 
Berlin, Burlington, Rutland, St. Johnsbury Vermont CARES 

People at highest risk for HIV infection may be able to secure a free HIV test through the Comprehensive Care Clinics (Vermont providers of HIV specialty care) or through the Community Health Center of Burlington (a Federally Qualified Health Center).

Other STIs

There is a wide range of sexually transmitted infections (STIs) that sexually active Vermonters may be exposed to, or infected with, other than HIV (CDC), chlamydia (CDC), gonorrhea (CDC) and syphilis (CDC). These germs may be viruses (HPV (CDC), genital herpes (CDC), hepatitis Bhepatitis A,) bacteria (bacterial vaginosis (CDC)) or parasites (pubic lice or crabs (CDC), scabies (CDC), trichomoniasis (CDC)). Some of these are the most common sexually transmitted infections in the U.S. Many STIs are treatable or can be cured, but the medications differ from germ to germ. The populations who are most affected by individual STIs are varied. Treatments and prevention methods for each of these germs often differ as well. 

Some STIs are vaccine preventable.  

Find a Syringe Services Program

Syringe Services Programs (SSPs) are effective community-based interventions that can prevent infectious diseases, link clients to treatment for substance use disorders, and can reduce overdose deaths among people who inject drugs. They do not increase illegal drug use or crime.

SSPs offer free and anonymous services including syringes, supplies, overdose prevention resources, and other services in several communities around Vermont. Clients of SSPs are protected from our state’s paraphernalia law.

Sterile syringes may be sold at pharmacies throughout Vermont without a prescription. However, individual pharmacists may choose not to sell them.

AREAS SERVED NAME MOBILE OR FIXED SITE 
Bennington and Windham CountyAIDS Project of Southern VermontMobile and fixed site
Chittenden CountyHoward Center Safe RecoveryMobile and fixed site 
Orange and Windsor County, select NH countiesHIV/HCV Resource CenterMobile 
Orleans, Essex, Caledonia, Orange, Washington, Lamoille, Addison, Rutland, Chittenden, Franklin, Grand Isle CountyVermont CARESMobile and fixed site
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