During the 2019 State of the Union address, the federal administration announced a plan to reduce HIV incidence by 90 percent during the next 10 years. A study by the University at Albany School of Public Health and Georgia State University School of Public Health shows that this target is likely unachievable — but with a carefully implemented plan, HIV incidence could be reduced significantly.
From 2013-2017, approximately 40,000 people were diagnosed each year with HIV, and many of these infections were concentrated within a few communities of people — men who have sex with men, persons living in the South, and African Americans.
The researchers analyzed the latest HIV surveillance data from the Centers for Disease Control and Prevention (CDC) to develop a model to project the HIV epidemic in the United States. Several different scenarios of care and prevention goal achievement were examined.
The results showed that we could reduce new HIV infections by 67 percent in the next decade, if the U.S. met internationally accepted targets for HIV diagnosis and care by 2025 and prevent an additional 20 percent of transmissions through targeted interventions such as pre-exposure prophylaxis (PrEP).
“To significantly reduce HIV infections, we need innovative models for delivering HIV care along with prevention interventions that are effective and targeted but are responsive to community needs and locally implementable,” says Dr. Eli Rosenberg. “We need more than just political commitment to reduce HIV infections in the next decade — realistic goals, adequate resources, and a flexible implementation strategy are crucial to meet this goal.”
The full study can be found in AIDS and Behavior.Tags: Friday Letter Submission