Challenges of reaching 90–90–90 in the Southern United States
Purpose of review More than half of new HIV diagnoses occur in the Southern United States where the epidemic disproportionately affects persons of color. Although other areas of the country are seeing dramatic declines in the number of new cases, the progress in the South lags behind. This review will examine the reasons for that disparity. Many are unique to the South. Recent findings Despite advances in antiretroviral therapy for HIV, many in the South are not benefiting from these medications, at either a personal or public health level. The reasons are complex and include lack of access to healthcare, lower levels of funding than other areas of the country, stigma, structural racism, increased barriers due to social determinants of health, coexisting mental health disorders, substance use disorders and sexually transmitted diseases and insufficient workforce capacity to meet the needs of those living with HIV. Summary These findings should underline the need for investment in the South for a holistic healthcare approach to persons living with HIV including supporting basic needs such as access to food, transportation and housing. Prioritization among politicians for policy and systems changes and approaches to decrease stigma and enhance education about HIV will be key.
Authors: Vuylsteke B, Reyniers T, De Baetselier I, Nöstlinger C, Crucitti T, Buyze J, Kenyon C, Wouters K, Laga M Abstract INTRODUCTION: Pre-Exposure Prophylaxis (PrEP) is highly effective in reducing the risk for HIV infection among men who have sex with men (MSM) and may have an important impact in slowing down the HIV epidemic. Concerns remain however about low adherence, increased risk behaviour and reduced condom use when using PrEP. The aim of this study was to assess these factors prospectively among MSM using daily and event-driven PrEP in Belgium. METHODS: An open-label prospective cohort study wa...
[Premium Times] The Nigerian government has pledged to release $12 million to end epidemics of HIV/AIDS, tuberculosis, malaria and other preventable and treatable disease across the globe.
[WHO] Over the years, HIV control strategies and approaches in Zimbabwe have evolved to address the changes in the epidemic and according to new evidence. Due to this evolution, the country has ended up with many vertical sub-programs under the HIV program including Care and treatment, HIV Testing Services, Voluntary medical male circumcision (VMMC), Sexually transmitted infections (STIs) and Prevention of mother-to-child transmission (PMTCT) among others. Until now, each of these programs has had separate plann
[Global Fund] Lyon, France -In an unprecedented show of global solidarity, donors at the Global Fund's Sixth Replenishment Conference pledged US$14.02 billion for the next three years - the largest amount ever raised for a multilateral health organization, and the largest amount by the Global Fund. The funds will help save 16 million lives and end the epidemics of AIDS, tuberculosis and malaria by 2030.
[WHO] The HIV epidemic in Zimbabwe has evolved over the years. The overall HIV prevalence for adults aged 15-49 has fallen to 14.0% in 2016, from 18.1% in 2005 (source: Zimbabwe Demographic and Health Survey). Over the years the Ministry of Health and Child Care (MOHCC) with the support of its partners has implemented multiple interventions including HIV Testing Services, Voluntary Medical Male Circumcision, Pre-Exposure prophylaxis for HIV, Sexually Transmitted Infections, Elimination of Mother to Child Transmi
[Vanguard] Wife of the Oyo State Governor, Mrs Tamunominini Makinde, says she will scale up HIV/AIDS response to put an end to the epidemic in the nearest future.
Publication date: Available online 3 August 2019Source: Journal of Health EconomicsAuthor(s): Erick Gong, Damien de Walque, William H. DowAbstractTransactional sex is an important risk-coping mechanism and a leading contributor to the HIV/AIDS epidemic in sub-Saharan Africa. We use data from a conditional cash transfer (CCT) experiment in rural Tanzania designed to incentivize safer sexual behavior by conditioning transfers on testing negative for sexually transmitted infections (STIs). For women, we find that negative shocks measured by food insecurity lead to a 36% increase in STIs and increases in self-reported risky se...
Authors: Tang Q, Zhang X, Lu H Abstract Acquired immune deficiency syndrome (AIDS), hepatitis B virus (HBV), hepatitis C virus (HCV), gonorrhea and syphilis are the major sexually transmitted diseases (STDs) in the world, which are the focus of epidemic prevention and control in China. The epidemiological trend analysis of STDs in Shanghai could reflect the epidemic situation of these diseases in high-income areas of China, providing a reference for how to control their epidemic. Although the overall incidence rate of infectious diseases levelled off after 2009, Shanghai still faces many new obstacles in the fight ...
[The Conversation Africa] Efforts to manage the HIV epidemic in much of sub-Saharan Africa need to specifically target sections of the population that are most vulnerable to HIV infection. Two such key populations include men who have sex with men and transgender women. But in many countries on the continent same sex relationships - and transgender identities - are criminalised.
[SAnews.gov.za] The use of innovation and technology has been punted as the key tool to end the scourge of HIV and Aids in the country at the 9th South African Aids Conference.