Day in tunisia. People have voted for their self first directly elected president. In sport, luis hamilton is this years formla one world champion, winning the title for a second time. Victory at the abu dhabi grand prix. Story later this hour. First, an update from afghanistan where at least 49 people have been killed. Dozened more injured at a volleyball match in pata aska pe incident. First to our correspondent in the capitol. Wh what else do we know . Reporter we have been speaking to a tribal elder who is in the hospital around about 45 minute drive from where that attack happened. He describes how the suicide bomber walked in on foot into this volleyball tournament before detonating an explosive device. He describes many children amongst the casualties. We are also hearing that a helicopter, two helicopter did have been authorized to go down to paktaka prove incident to pick up some and bringing them back to hospitals. We have heard some have been brought to a Military Hospital h
So their effectiveness is probably 80 in preventing hiv transmission. And so the next slide is really about paying for prep because it could be expensive. The great news is the cdc made the recommendation that its provided. Medical covers this in california and medicaid nationally. Most employee sponsored programs pay for it and we have patient assistance programs outlined here but its a complex situation and people seeking prep need a lot of assistance because each plan within a Given Program pays for a different amount and may cover one component but not visits or lab tests, and so we really need what we found is most successful in getting people prep is having the navigators that help them arrange the appropriate insurance and find providers willing to provide it, so we have a three pronged approach for what is needed for prep. We need assistance from providers. There are providers not comfortable providing prep so support for the new prep clinics and training on line tools and assi
Package are both the sides as well as some slides on injection drug use and the program that the city has to address those because you asked that before. Tracy packer is sitting here and available to answer any questions that you may have about this. I want to mention tracy is also a important member of the Population Health hiv working crew that you see listed on the slides and with two members of the gain to zero [inaudible] so im going to tell you a little bit about this collective impact initiatives. The question is, why this, why now, why us why we tried to get to zero new hiv infections zero associate hiv gas and zero associated stigma. So i would say that i think we have one of the best if not the best hiv surveillance programs in the world and certainly nationally. We have this Extensive Care Network that includes both clinical care, community care, and care for a number of other kinds of issues like needle exchange. We had from the beginning of the epidemic really Strong Commu
Item and id be happy to answer any questions or dr. Chow our commissioner singer if youve anything to add to that. I think i would add for commissioners to be aware that the committee is rewriting the process for the review of contracts that currently [inaudible] at 500,000 will cover 90 percent of our contacts at cost. It actually would then allow us to really look at a lower number of contracts themselves and can do better. And im courage you all look at what will be the draft proposal that will come to the finance committee and hopefully den we will then at the finance committee at next months meeting bring it to the commission for its approval so that it can be put into place for 2015. We are looking at a half year period of time for assessment to see what other additional parameters might be used to make this a more effective review and a more collaborative review with the department. So the 1 million special that was proposed we are currently speaking about using a 500,000 thresh
Successful in getting people prep is having the navigators that help them arrange the appropriate insurance and find providers willing to provide it, so we have a three pronged approach for what is needed for prep. We need assistance from providers. There are providers not comfortable providing prep so support for the new prep clinics and training on line tools and assistance for the users and we still have the disparities and we need the information about availability into the communities most impacted by hiv. We would like to set up a user hot line so people can call and get information. Theres a lot of questions that individuals have about prep and we need to address affordability and then we want to measure the impact of prep, both theup take of prep, the benefits of prep but also any negative consequences and in particular we know of one case Life Insurance denied to a person initiated prep and we want to make sure those discriminatory practices for people caring for their health