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In January 2018, the provincial government of British Columbia began providing individuals at high risk of HIV infection with pre-exposure prophylaxis and post-exposure prophylaxis at no cost. High risk individuals include men and trans women who have sex with men, people who inject drugs, and people who have sex with people living with HIV. One year following this policy change, which is delivered as part of the British Columbia Centre for Excellence in HIV/AIDS 's Drug Treatment Program, almost 3,300 people have been prescribed with PrEP or PEP.

The steps for obtaining PrEP in BC are as follows: speaking to a physician, getting some medical tests, enrolling and being given a prescription, and refilling the prescription. The effort was undertaken to better support the UNAIDS "90-90-90: treatment for all" targets.

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