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
Publications
- *New* Outcomes of Rapid Restart Among People With Previously Diagnosed HIV at a Safety-Net HIV Clinic in San Francisco. JAIDS Journal of Acquired Immune Deficiency Syndromes 100(3):p 256-264, November 1, 2025.
- Development of a Citywide Rapid Antiretroviral Therapy Initiative in San Francisco. AJPM. 2021 November, Pages S47-S54.
- Decreased Time from HIV Diagnosis to Care, ART Initiation, and Virologic Suppression during the Citywide RAPID Initiative in San Francisco. CID. 2020 May 25.
- RAPID ART: High virologic suppression rates with immediate ART initiation in a vulnerable urban clinic population. AIDS. 2018 December 21.
News & Updates
September 2019 Consortium Meeting: Latest HIV Epidemiology Report and Addressing Disparities in HIV Prevention and Care for U.S. Born & Foreign Born Latinx
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HIV & Health Insurance 101 – online training resource
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Women & HIV focus of April 25th GTZ-SF Consortium Meeting
Thanks to all who came out and engaged with us in conversation about what we as individuals and collectively as GTZ can do to better serve and support women in all our diversity. We had an opportunity to hear from and talk with Dr. Grant Colfax, the new Director of Public Health. Ande Stone from…
SF HIV FOG presents poster at 2018 National Ryan White Conference on HIV Care & Treatment
SF HIV FOG’s abstract “Organizing the HIV Frontline Worker Community” was accepted for poster presentation at the December 2018 Ryan White Conference. To download the poster, click here. If you’d like more information about SF HIV FOG, please visit here or contact Dawn Evinger (Dawn.Evinger@prcsf.org)