RAPID Committee

The overall goal of the RAPID (Rapid ART Program Initiative for HIV Diagnoses) program is to create a set of “hubs” around the city where persons newly diagnosed with HIV (or out of care) can rapidly access antiretroviral therapy (ART) and have a smooth transition to their medical home. In order to accomplish this goal, a RAPID steering committee established hub locations, standard operating procedure (SOP) for ART start, and SOP for transition to a primary medical home. The committee works with SF Department of Public Health surveillance (now “ARCHES”) to track the uptake and outcomes of persons participating in the program. We build on the existing LINCS programs at SFDPH to create and support hubs for rapid initiation of ART to individuals.

We start ART:

Within 48 hours –

  • If acute/early infection (recent negative Ab test, RNA+/Ab– or recent symptoms of acute retroviral syndrome) or
  • Evidence of advanced infection (opportunistic infection or a CD4 count of less than 200)

Within 5 days –

  • All other newly HIV-diagnosed persons

The program aims to provide ART for up to 5 days for these individuals until they are transitioned into their medical home.

RAPID resources

[Newly Added Publication] Decreased Time from HIV Diagnosis to Care, ART Initiation, and Virologic Suppression during the Citywide RAPID Initiative in San Francisco

Bacon O, Chin J, Cohen SE, Sachdev D, Coffey S, Scheer S, Hessol NA, Buchbinder S, Havlir DV, Hsu L. Decreased Time from HIV Diagnosis to […]

RAPID Restart: Immediate Restart of ART for Persons Re-Engaging in Care (October 2020)

If  you have questions, please contact Susa Coffey (susan.coffey@ucsf.edu), Chair of the GTZ RAPID Committee.

RAPID Standard Operating Procedures (Updated 3/2020)

If  you have questions, please contact Susa Coffey (susan.coffey@ucsf.edu), Chair of the GTZ RAPID Committee.

(UPDATED 2019) RAPID Provider Detailing Brochure “Rapid ART: Immediate ART initiation upon HIV diagnosis”

If  you have questions, please contact Susa Coffey (susan.coffey@ucsf.edu), Chair of the GTZ RAPID Committee.

RAPID News & Updates

[Fact Sheet] Reconnect with Care: It’s Safe to (Re)Connect with HIV, STI and Hep C Care

Reconnect to care, it’s important that you seek care when you need it, including routine STD testing and HIV viral load monitoring if you are a […]

[New Publication] The case for prescribing PrEP in community mental health settings

Sudler A, Cournos F, Arnold E, Koester K, Riano NS, Dilley J, Liu A, Mangurian C. The case for prescribing PrEP in community mental health settings. […]

Progress in HIV care outcomes among Black men in San Francisco

[Newly Added Publication] Decreased Time from HIV Diagnosis to Care, ART Initiation, and Virologic Suppression during the Citywide RAPID Initiative in San Francisco

Bacon O, Chin J, Cohen SE, Sachdev D, Coffey S, Scheer S, Hessol NA, Buchbinder S, Havlir DV, Hsu L. Decreased Time from HIV Diagnosis to […]