Diane Havlir, MD

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Diane Havlir, MD

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Professor of Medicine, UCSF
Professor, School of Medicine
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Biography

Diane Havlir, MD is a UCSF Professor and Chief of the HIV, Infectious Diseases and Global Medicine Division at ZSFG, home to world-renowned HIV research and Ward 86 clinical program. She is also the Associate Chair of Clinical Research in the Department of Medicine, Principal Investigator of the Sustainable East Africa Research in Community Health (SEARCH) Study, Director of the UCSF AIDS Research Institute (ARI), and serves as Robert L. Weiss Memorial Chair for HIV/AIDS Research. She was a resident at UCSF when the AIDS epidemic emerged in the 1980s, and she has both cared for HIV patients and conducted research—transforming national and international guidelines ever since. She is a long-standing NIH-funded investigator with over 400 publications including in the New England Journal of Medicine, JAMA and other high impact journals. Dr. Havlir was a Co-founder and continues as a Co-chair of San Francisco Getting to Zero (GTZ), a citywide consortium with a goal to eliminate new HIV infections and deaths. Diane has been very active globally via leadership roles in the World Health Organization (WHO), having chaired the HIV global drug resistance surveillance network, and the HIV-TB working group. She is the current co-chair of the WHO HIV treatment and prevention global guidelines, and Chair of the United Nations AIDS Scientific and Technical Advisory Committee, which provides high-level guidance on global action to combat the HIV/AIDS pandemic. The overall goal of her research is to develop therapeutic and prevention strategies to respond to global infectious disease pandemics: HIV, TB, and COVID-19. Antiretroviral therapy (for prevention or treatment) is one of the greatest successes in medicine, yet we have not fully used it to eliminate HIV or tuberculosis (TB). In the SEARCH study, Dr. Havlir and her team showed that a multi-disease, patient-centered approach to HIV testing and treatment reduced HIV incidence, HIV-associated tuberculosis and HIV-associated mortality, while improving population-level control of hypertension in a NIH-funded 320,000 person cluster-randomized study in rural East Africa. She continues towards her goal to accelerate the end of AIDS through the SEARCH-Sapphire study, which tests innovative prevention and treatment strategies intended to reach vulnerable populations left behind by current approaches. The study team is currently testing a multi-disease and multi-sector approach, on a path to universal healthcare. In addition to SEARCH-Sapphire, her research team is actively working on COVID-19 test-and-respond and vaccination services in San Francisco. During the COVID-19 pandemic, Dr. Havlir established the city-community-academic partnership Unidos en Salud, which has provided low barrier test-and-respond and vaccine services to thousands of persons in the Mission district of San Francisco, and has tracked epidemiologic trends, including the recent West Coast SARS-CoV-2 variant. Through a collaboration with the Latino Task Force, CZ Biohub, SFDPH and BayPLS, Unidos en Salud designed and evaluated low-barrier mass “test-and-respond” and vaccine interventions in San Francisco, to understand and intervene on COVID transmission in the disproportionately affected Latinx population.
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  1. Spector SA, McKinley GF, Lalezari JP, Samo T, Andruczk R, Follansbee S, Sparti PD, Havlir DV, Simpson G, Buhles W, Wong R, Stempien M. Oral ganciclovir for the prevention of cytomegalovirus disease in persons with AIDS. Roche Cooperative Oral Ganciclovir Study Group. N Engl J Med. 1996 Jun 06; 334(23):1491-7.
  2. Havlir DV, Richman DD. Viral dynamics of HIV: implications for drug development and therapeutic strategies. Ann Intern Med. 1996 Jun 01; 124(11):984-94.
  3. Torriani FJ, Behling CA, McCutchan JA, Haubrich RH, Havlir DV. Disseminated Mycobacterium avium complex: correlation between blood and tissue burden. J Infect Dis. 1996 Apr; 173(4):942-9.
  4. Zhang H, Dornadula G, Wu Y, Havlir D, Richman DD, Pomerantz RJ. Kinetic analysis of intravirion reverse transcription in the blood plasma of human immunodeficiency virus type 1-infected individuals: direct assessment of resistance to reverse transcriptase inhibitors in vivo. J Virol. 1996 Jan; 70(1):628-34.
  5. Katlama C, Havlir DV. Newer nucleosides: lamivudine and stavudine. AIDS. 1996; 10 Suppl A:S135-43.
  6. Havlir D, McLaughlin MM, Richman DD. A pilot study to evaluate the development of resistance to nevirapine in asymptomatic human immunodeficiency virus-infected patients with CD4 cell counts of > 500/mm3: AIDS Clinical Trials Group Protocol 208. J Infect Dis. 1995 Nov; 172(5):1379-83.
  7. Havlir D, Cheeseman SH, McLaughlin M, Murphy R, Erice A, Spector SA, Greenough TC, Sullivan JL, Hall D, Myers M. High-dose nevirapine: safety, pharmacokinetics, and antiviral effect in patients with human immunodeficiency virus infection. J Infect Dis. 1995 Mar; 171(3):537-45.
  8. Cheeseman SH, Havlir D, McLaughlin MM, Greenough TC, Sullivan JL, Hall D, Hattox SE, Spector SA, Stein DS, Myers M. Phase I/II evaluation of nevirapine alone and in combination with zidovudine for infection with human immunodeficiency virus. J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Feb 01; 8(2):141-51.
  9. Richman DD, Havlir D. Early versus delayed treatment of HIV infection. Zidovudine should be given before symptoms develop. Drugs. 1995; 49 Suppl 1:9-16; discussion 38-40.
  10. Torriani FJ, McCutchan JA, Bozzette SA, Grafe MR, Havlir DV. Autopsy findings in AIDS patients with Mycobacterium avium complex bacteremia. J Infect Dis. 1994 Dec; 170(6):1601-5.
  11. Havlir DV. Mycobacterium avium complex: advances in therapy. Eur J Clin Microbiol Infect Dis. 1994 Nov; 13(11):915-24.
  12. Havlir D, Torriani F, Dubé M. Uveitis associated with rifabutin prophylaxis. Ann Intern Med. 1994 Oct 01; 121(7):510-2.
  13. Kemper CA, Havlir D, Bartok AE, Kane C, Camp B, Lane N, Deresinski SC. Transient bacteremia due to Mycobacterium avium complex in patients with AIDS. J Infect Dis. 1994 Aug; 170(2):488-93.
  14. Kemper CA, Havlir D, Haghighat D, Dubé M, Bartok AE, Sison JP, Yao Y, Yangco B, Leedom JM, Tilles JG. The individual microbiologic effect of three antimycobacterial agents, clofazimine, ethambutol, and rifampin, on Mycobacterium avium complex bacteremia in patients with AIDS. J Infect Dis. 1994 Jul; 170(1):157-64.
  15. Richman DD, Havlir D, Corbeil J, Looney D, Ignacio C, Spector SA, Sullivan J, Cheeseman S, Barringer K, Pauletti D. Nevirapine resistance mutations of human immunodeficiency virus type 1 selected during therapy. J Virol. 1994 Mar; 68(3):1660-6.
  16. Havlir D, Kemper CA, Deresinski SC. Reproducibility of lysis-centrifugation cultures for quantification of Mycobacterium avium complex bacteremia. J Clin Microbiol. 1993 Jul; 31(7):1794-8.
  17. Flanigan T, Whalen C, Turner J, Soave R, Toerner J, Havlir D, Kotler D. Cryptosporidium infection and CD4 counts. Ann Intern Med. 1992 May 15; 116(10):840-2.
  18. Havlir DV, van der Kuyp F, Duffy E, Marshall R, Hom D, Ellner JJ. A 19-year follow-up of tuberculin reactors. Assessment of skin test reactivity and in vitro lymphocyte responses. Chest. 1991 May; 99(5):1172-6.
  19. Havlir DV, Wallis RS, Boom WH, Daniel TM, Chervenak K, Ellner JJ. Human immune response to Mycobacterium tuberculosis antigens. Infect Immun. 1991 Feb; 59(2):665-70.
  20. Havlir DV, Ellner JJ, Chervenak KA, Boom WH. Selective expansion of human gamma delta T cells by monocytes infected with live Mycobacterium tuberculosis. J Clin Invest. 1991 Feb; 87(2):729-33.
  21. Wallis RS, Alde SL, Havlir DV, Amir-Tahmasseb MH, Daniel TM, Ellner JJ. Identification of antigens of Mycobacterium tuberculosis using human monoclonal antibodies. J Clin Invest. 1989 Jul; 84(1):214-9.
  22. Havlir D, Brown L, Rousseau GK. Do not resuscitate discussions in a hospital-based home care program. J Am Geriatr Soc. 1989 Jan; 37(1):52-4.
  23. Havlir D, Tierney LM. Biochemical and clinical aspects of amyloidosis. West J Med. 1987 Jul; 147(1):65-70.
  24. Havlir DV, Witt MD, Sande M. A 32-year-old man with the acquired immunodeficiency syndrome and pneumococcal meningitis. West J Med. 1987 May; 146(5):618-9.
  25. Havlir DV, Murillo S, Robles E, Trejos A, Mata L. Nutritional status of the elderly in Palmares, Costa Rica. Arch Latinoam Nutr. 1983 Jun; 33(2):409-22.