{
    "document_id": 10877,
    "page": 4,
    "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": 17,
    "counts_by_type": {
        "footer": 2,
        "header": 1,
        "heading": 4,
        "list": 1,
        "list_item": 3,
        "text": 6
    },
    "build_ms": 1,
    "items": [
        {
            "id": "p4.1",
            "order": 1,
            "type": "header",
            "bbox": {
                "l": 161.4307,
                "t": 582.7994,
                "r": 257.8574,
                "b": 568.4034
            },
            "text": "UK guide to PrEP",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p4.2",
            "order": 2,
            "type": "heading",
            "bbox": {
                "l": 40.5376,
                "t": 540.3311,
                "r": 286.8814,
                "b": 521.3764
            },
            "text": "What is PrEP: first questions",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p4.3",
            "order": 3,
            "type": "heading",
            "bbox": {
                "l": 40.2977,
                "t": 501.7018,
                "r": 125.2108,
                "b": 487.5457
            },
            "text": "What is PrEP?",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p4.4",
            "order": 4,
            "type": "text",
            "bbox": {
                "l": 40.2977,
                "t": 476.5087,
                "r": 285.2023,
                "b": 461.8728
            },
            "text": "PrEP stands for Pre-Exposure Prophylaxis."
        },
        {
            "id": "p4.5",
            "order": 5,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 454.1949,
                "r": 378.2708,
                "b": 412.2064
            },
            "text": "PrEP is taken before sex, so it is pre-exposure. But it also needs to be taken afterwards too. Prophylaxis means to prevent infection. More than 86,000 people in the UK already use PrEP."
        },
        {
            "id": "p4.6",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 405.2484,
                "r": 372.514,
                "b": 336.1474
            },
            "text": "PrEP usually contains two HIV drugs in a single pill. This is usually TD (tenofovir disoproxil) plus FTC. A version using TAF (tenofovir alafenamide) instead of TD is used by the NHS if you have kidney or bone issues. Generic TAF/FTC can also be bought cheaply online, see p11."
        },
        {
            "id": "p4.7",
            "order": 7,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 329.4292,
                "r": 364.3585,
                "b": 286.721
            },
            "text": "During 2024, PrEP using a 2-monthly injection of cabotegravir is being assessed for approval in the UK. Studies are also ongoing using a 6-monthly injection of lenacapavir."
        },
        {
            "id": "p4.8",
            "order": 8,
            "type": "heading",
            "bbox": {
                "l": 40.2977,
                "t": 272.8048,
                "r": 158.3125,
                "b": 258.8887
            },
            "text": "Who can take PrEP?",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p4.9",
            "order": 9,
            "type": "text",
            "bbox": {
                "l": 40.0578,
                "t": 250.491,
                "r": 358.3618,
                "b": 222.6587
            },
            "text": "Anyone who is HIV negative and who could benefit from PrEP should now be able to access it."
        },
        {
            "id": "p4.10",
            "order": 10,
            "type": "text",
            "bbox": {
                "l": 40.2977,
                "t": 214.9808,
                "r": 377.7911,
                "b": 186.1887
            },
            "text": "PrEP is especially important if you have used PEP, had a recent STI, have chemsex or have partners with these risks."
        },
        {
            "id": "p4.11",
            "order": 11,
            "type": "heading",
            "bbox": {
                "l": 40.2977,
                "t": 169.8732,
                "r": 337.7332,
                "b": 154.7574
            },
            "text": "You do NOT need PrEP if you are HIV negative and...",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p4.12",
            "order": 12,
            "type": "list",
            "bbox": {
                "l": 40.5376,
                "t": 147.08579999999995,
                "r": 367.2369,
                "b": 70.68079999999998
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p4.12.1",
                    "order": 13,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.7774,
                        "t": 147.08579999999995,
                        "r": 311.108,
                        "b": 128.19399999999996
                    },
                    "text": "You are happy and able to always use condoms."
                },
                {
                    "id": "p4.12.2",
                    "order": 14,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.7774,
                        "t": 125.07879999999994,
                        "r": 367.2369,
                        "b": 95.0138
                    },
                    "text": "You only have sex with HIV positive people who are on HIV treatment and who have an undetectable viral load.",
                    "marker": "•"
                },
                {
                    "id": "p4.12.3",
                    "order": 15,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.5376,
                        "t": 89.57259999999997,
                        "r": 323.8209,
                        "b": 70.68079999999998
                    },
                    "text": "You don't use condoms but your partner is low risk.",
                    "marker": "•"
                }
            ]
        },
        {
            "id": "p4.13",
            "order": 16,
            "type": "footer",
            "bbox": {
                "l": 41.2572,
                "t": 37.9096,
                "r": 50.1323,
                "b": 26.3927
            },
            "text": "4",
            "attrs": {
                "block_label": "number"
            }
        },
        {
            "id": "p4.14",
            "order": 17,
            "type": "footer",
            "bbox": {
                "l": 296.476,
                "t": 37.1898,
                "r": 376.8316,
                "b": 23.9934
            },
            "text": "February 2024",
            "attrs": {
                "block_label": "footer"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}