2013 Articles

When to start ART in Africa.

Shah, Seema; Grady, Christine; De Cock, Kevin M.; El-Sadr, Wafaa Mahmoud

To the Editor:

In their Perspective article, De Cock and El-Sadr (March 7 issue)1 highlight the need for data on when to start antiretroviral therapy (ART) for HIV-infected people in Africa who have CD4+ counts above 350 cells per cubic millimeter. However, their proposed solution — a new randomized, controlled trial in Africa — is flawed.