{
    "document_id": 10877,
    "page": 23,
    "width_pt": 419.528,
    "height_pt": 595.276,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 10988,
    "item_count": 16,
    "counts_by_type": {
        "footer": 2,
        "header": 1,
        "heading": 1,
        "list": 1,
        "list_item": 2,
        "text": 9
    },
    "build_ms": 1,
    "items": [
        {
            "id": "p23.1",
            "order": 1,
            "type": "header",
            "bbox": {
                "l": 161.1909,
                "t": 582.5595,
                "r": 258.3371,
                "b": 568.6433
            },
            "text": "UK guide to PrEP",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p23.2",
            "order": 2,
            "type": "list",
            "bbox": {
                "l": 40.5376,
                "t": 542.9608,
                "r": 375.6323,
                "b": 463.3124
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p23.2.1",
                    "order": 3,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.7774,
                        "t": 542.9608,
                        "r": 355.0037,
                        "b": 512.4988
                    },
                    "text": "Take a double dose of PrEP asap (if you still have some). This will cover you while you are trying to access PEP.",
                    "marker": "•"
                },
                {
                    "id": "p23.2.2",
                    "order": 4,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.5376,
                        "t": 507.45459999999997,
                        "r": 375.6323,
                        "b": 463.3124
                    },
                    "text": "You can get PEP from your clinic or from A&E when your clinic is closed. A&E departments are open 24 hours a day, 7 days a week.",
                    "marker": "-"
                }
            ]
        },
        {
            "id": "p23.3",
            "order": 5,
            "type": "heading",
            "bbox": {
                "l": 40.0578,
                "t": 446.517,
                "r": 205.3265,
                "b": 431.6411
            },
            "text": "Can I stop PrEP completely?",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p23.4",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 421.5639,
                "r": 374.9127,
                "b": 393.2517
            },
            "text": "As with the flexibility for dosing, you might decide that you want to stop PrEP altogether."
        },
        {
            "id": "p23.5",
            "order": 7,
            "type": "text",
            "bbox": {
                "l": 40.2977,
                "t": 386.0536,
                "r": 227.1544,
                "b": 371.4177
            },
            "text": "Please discuss this with your clinic."
        },
        {
            "id": "p23.6",
            "order": 8,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 363.4999,
                "r": 359.0814,
                "b": 321.9913
            },
            "text": "You might want to discuss this with your partner(s) and get tested for HIV and other STIs together. Use a 4th generation HIV test six weeks after the last time you had sex."
        },
        {
            "id": "p23.7",
            "order": 9,
            "type": "text",
            "bbox": {
                "l": 39.818,
                "t": 315.0332,
                "r": 354.7638,
                "b": 300.1573
            },
            "text": "How you stop PrEP depends on how you were taking PrEP."
        },
        {
            "id": "p23.8",
            "order": 10,
            "type": "text",
            "bbox": {
                "l": 40.2977,
                "t": 292.9593,
                "r": 376.3519,
                "b": 277.8435
            },
            "text": "If you were taking daily PrEP, then continue for seven days."
        },
        {
            "id": "p23.9",
            "order": 11,
            "type": "text",
            "bbox": {
                "l": 39.818,
                "t": 270.4055,
                "r": 369.3957,
                "b": 228.1771
            },
            "text": "If you were using event-based dosing then stop after your last planned dose. This will be after two days with 2:1:1 dosing or seven days with 2:7 dosing."
        },
        {
            "id": "p23.10",
            "order": 12,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 221.6989,
                "r": 311.8276,
                "b": 193.8666
            },
            "text": "It is always easy to restart PrEP in the future if your circumstances change again."
        },
        {
            "id": "p23.11",
            "order": 13,
            "type": "text",
            "bbox": {
                "l": 39.818,
                "t": 186.1887,
                "r": 370.8349,
                "b": 144.4402
            },
            "text": "If you stop PrEP and have a risk afterwards, please contact your clinic. This is in case you need post-exposure prophylaxis (PEP). Outside of clinic hours, please contact A&E."
        },
        {
            "id": "p23.12",
            "order": 14,
            "type": "text",
            "bbox": {
                "l": 40.2977,
                "t": 137.4821,
                "r": 334.8548,
                "b": 122.6062
            },
            "text": "PEP needs to be started as soon as possible (see p22)."
        },
        {
            "id": "p23.13",
            "order": 15,
            "type": "footer",
            "bbox": {
                "l": 41.2572,
                "t": 37.1898,
                "r": 121.6127,
                "b": 23.5135
            },
            "text": "February 2024",
            "attrs": {
                "block_label": "footer"
            }
        },
        {
            "id": "p23.14",
            "order": 16,
            "type": "footer",
            "bbox": {
                "l": 367.4768,
                "t": 38.6294,
                "r": 383.0682,
                "b": 26.6327
            },
            "text": "23",
            "attrs": {
                "block_label": "number"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}