Greetings from Madrid! Some meetings are a series of presentations, coffee breaks and cocktails. Others are these things plus something else—a sense of movement towards a consensus, a new commitment. As this HIV R4P conference enters its final day, we feel like it's safe to say that this conference heralded an energized, nuanced commitment to choice.

In This Update:

Young women should run the world and if they did, there would be choices and much less shame about bodies and their coverings.
People really do want different things; use can influence preference.
Injectables have promise, based on user preferences and trial data, but also real-world challenges, including “the tail.”
The choice of a vaccine in the future is key—and possible, provided funding remains.
Choice has many champions—including activist scientists!
Biomedical tools must live in programs that address structural issues
We all need to choose our words carefully, and take actions to match

As it happens, AVAC highlighted choice in our annual report, No Prevention No End, released last week ahead of the conference. We noted how politicized the world has become, and how essential it is to reclaim it in speech and more importantly in actions. HIV R4P did this in extraordinary ways. Here are a few takeaways and the sessions that brought this home. Read more via AVAC