The inevitable is happening as we predicted here at GMAP. Remember PrEP is nothing like the contraceptive pill for gay men, as is sold by the gay (ill)health organisations. HIV is an ever mutating disease and the drug regime can be complex depending on the strain you are infected with to get to an undetectable viral load. If you read between the lines of this article not only did PrEP not work against a drug resistant strain but his HIV infection was more difficult to treat because Truvada was used as PrEP. Truvada is one of the first line of drugs that is used to treat HIV. It’s also relevant to note that the man who infected him, his treatment was failing, is this due to continued barebacking? Did he actually believe he was undetectable and told his partner? Who knows.
It’s therefore important for HIV positive men to wear a condom not only for their partners but their own health so they are not reinfected with a different strain on HIV which is resistant to their present drug regime. The more barebacking that occurs in the gay community the more these resistant strains will occur, the less PrEP will work and the more complex and difficult to treat HIV will be, if treatable at all.
The gay (ill)health organisations are doing the gay community a disservice to sell HIV as easy to treat, you just take one pill a day and get on with your life for the next 50 years. http://www.slate.com/blogs/outward/2016/02/26/hiv_transmission_on_prep_is_possible_but_very_rare_according_to_new_study.html