{"id":1030,"date":"2014-10-08T07:24:49","date_gmt":"2014-10-08T07:24:49","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1030"},"modified":"2014-10-08T07:24:49","modified_gmt":"2014-10-08T07:24:49","slug":"fast-tracking-the-end-of-the-hiv-epidemic","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2014\/10\/08\/fast-tracking-the-end-of-the-hiv-epidemic\/","title":{"rendered":"\u201cFast-tracking\u201d the end of the HIV epidemic"},"content":{"rendered":"

At a high-level event on the margin of the UN General Assembly meeting in New York last month, convened with the support of UNAIDS, world leaders agreed that ending the AIDS epidemic as a global threat by 2030 was possible, and should be placed at the centre of health development goals.\u00a0 The brochure, Fast Track<\/a> (7 pages), sets out the agreed proposals.\u00a0 The context of the agreement is the General Assembly\u2019s discussion of 17 Sustainable Development Goals<\/em> for 2015-2030 to replace the Millenium Development Goals<\/em> that are due to expire in 2015 – and, more specifically, the formulation of targets to accompany the Sustainable Development Goal for health: \u201cTo ensure health lives and promote well-being for all at all ages\u201d.\u00a0 The week before the UN General Assembly saw the early online publication of a paper by 16 international experts (Norheim & Peto<\/a>) \u00a0proposing as a \u201cfeasible goal\u201d the overall reduction of pre-mature deaths by 40% – including, as an important element, a reduction by two-thirds of deaths due to HIV.<\/p>\n

The proposals contained in Fast Track<\/a> are in line with the most radical response scenario set out in pp.291-3 of the UNAIDS GAP<\/a> report (July 2014), involving reduction of new adult infections to 500,000<\/strong> by 2020<\/strong>, and 200,000<\/strong> by 2030<\/strong>.\u00a0 Also reminiscent of the earlier document is the sense of the tide of the epidemic having turned, and of its increasing concentration within the cities of 30 or so nations – and, more specifically, within fairly specific populations of those cities, such as sex workers, intravenous drug-users, etc..\u00a0 This concentration represents both a challenge and an opportunity (STI\/blogs\/UNAIDS GAP report<\/a>).\u00a0 The new element in Fast Track<\/a> is a three-fold target of 90%:<\/strong> for the proportion of those infected should know their HIV status, the proportion of those knowing their HIV status who receive anti-retroviral therapy, and the proportion of those on therapy who achieve undetectable levels of viral load – all by 2030.\u00a0 A glance back at the GAP<\/a> report itself reveals what a challenge this is likely to be (e.g. at present, 3 in 5 of HIV infected not receiving ART).<\/p>\n

Also timed to coincide with the proposals (25th<\/sup> September) was the announcement of a scheme to expand access to viral load testing through an agreement affecting the pharmaceutical Roche\u2019s COBAS\u00ae AmpliPrep\/COBAS TaqMan HIV-1 Test version 2.0 (see STI\/Hatzakis & Kantzanou<\/a>).\u00a0 Access to viral load testing is essential to monitoring of HIV-infected people (STI\/Hill & Minton<\/a>), and its high cost has been an obstacle to progress in low and middle income companies up until now.\u00a0 The new agreement may smooth the way to the achievement of the ambitious targets set out in Fast Track<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"

At a high-level event on the margin of the UN General Assembly meeting in New York last month, convened with the support of UNAIDS, world leaders agreed that ending the AIDS epidemic as a global threat by 2030 was possible, and should be placed at the centre of health development goals.\u00a0 The brochure, Fast Track […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[81,264,2274],"tags":[],"class_list":["post-1030","post","type-post","status-publish","format-standard","hentry","category-diagnostics","category-health-policy","category-hiv-epidemiology"],"yoast_head":"\n\u201cFast-tracking\u201d the end of the HIV epidemic - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2014\/10\/08\/fast-tracking-the-end-of-the-hiv-epidemic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cFast-tracking\u201d the end of the HIV epidemic - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"At a high-level event on the margin of the UN General Assembly meeting in New York last month, convened with the support of UNAIDS, world leaders agreed that ending the AIDS epidemic as a global threat by 2030 was possible, and should be placed at the centre of health development goals.\u00a0 The brochure, Fast Track [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/sti\/2014\/10\/08\/fast-tracking-the-end-of-the-hiv-epidemic\/\" \/>\n<meta property=\"og:site_name\" content=\"Sexually Transmitted Infections\" \/>\n<meta property=\"article:published_time\" content=\"2014-10-08T07:24:49+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/10\\\/08\\\/fast-tracking-the-end-of-the-hiv-epidemic\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/10\\\/08\\\/fast-tracking-the-end-of-the-hiv-epidemic\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"\u201cFast-tracking\u201d the end of the HIV epidemic\",\"datePublished\":\"2014-10-08T07:24:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/10\\\/08\\\/fast-tracking-the-end-of-the-hiv-epidemic\\\/\"},\"wordCount\":444,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"articleSection\":[\"Diagnostics\",\"health policy\",\"HIV Epidemiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/10\\\/08\\\/fast-tracking-the-end-of-the-hiv-epidemic\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/10\\\/08\\\/fast-tracking-the-end-of-the-hiv-epidemic\\\/\",\"name\":\"\u201cFast-tracking\u201d the end of the HIV epidemic - 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