title: Increases in newly acquired HIV infections in Victoria, Australia: epidemiological evidence of successful prevention?
abstract: BACKGROUND
  Rates of newly acquired HIV notifications provide useful data for monitoring transmission trends.
  
  
  METHODS
  We describe 10-year (2001-10) trends in newly acquired HIV notifications in Victoria, Australia. We also examine recent trends in HIV testing and incidence and risk behaviours among gay and other men who have sex with men (MSM) attending four high MSM caseload clinics.
  
  
  RESULTS
  Between 2001 and 2010 there was a significant increasing linear trend in newly acquired HIV that was driven primarily by increases between 2009-2010. MSM accounted for 85% of newly acquired HIV notifications. Between 2007-10, the total number of HIV tests per year at the high caseload clinics increased 41% among MSM and HIV incidence declined by 52%; reported risk behaviours remained relatively stable among these MSM.
  
  
  CONCLUSIONS
  More newly acquired HIV notifications may reflect recent increased testing among MSM; continued scrutiny of surveillance data will assess the sustained effectiveness of testing as prevention, health promotion and the contribution of risk and testing behaviours to HIV surveillance outcomes.
authors.affiliation: Centre for Population Health, Burnet Institute, Melbourne, Vic. 3004, Australia.
authors.forename: Anita
authors.initials: A
authors.lastname: Feigin
authors.forename: Carol
authors.initials: C
authors.lastname: El-Hayek
authors.forename: Margaret
authors.initials: M
authors.lastname: Hellard
authors.forename: Alisa
authors.initials: A
authors.lastname: Pedrana
authors.forename: Ellen
authors.initials: E
authors.lastname: Donnan
authors.forename: Christopher
authors.initials: C
authors.lastname: Fairley
authors.forename: B K
authors.initials: BK
authors.lastname: Tee
authors.forename: Mark
authors.initials: M
authors.lastname: Stoové
mesh_terms: D001727:Bisexuality; D018563:Disease Notification / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D008297:Male; D011159:Population Surveillance; D012307:Risk Factors; D047568:Unsafe Sex; D014739:Victoria / Q000453:epidemiology