Friday, 19 April, 2019


Trump launching campaign to end HIV epidemic in USA by 2030

ILLINOIS DEPARTMENT OF PUBLIC HEALTH National Black HIV  AIDS Awareness Day     by Press release submission |  Feb 7 2019 ILLINOIS DEPARTMENT OF PUBLIC HEALTH National Black HIV AIDS Awareness Day by Press release submission | Feb 7 2019
Patty Aguilar | 09 February, 2019, 20:11

U.S. President Donald Trump delivers the State of the Union address, alongside Vice President Mike Pence and Speaker of the House Nancy Pelosi, at the U.S. Capitol in Washington, D.C., on February 5, 2019. He also underscored the importance of HRSA's Health Center Program, which supports 12,000 delivery sites across the country and provides care to more than 27 million Americans annually. In 2017, African Individuals accounted for 13% of the USA inhabitants however 43% of recent HIV diagnoses.

"We're going to diagnose all people as early as possible, we're going to treat the infection rapidly and effectively, we're going to protect those at highest risk, we're going to respond to any outbreaks with overwhelming force, and we're going to create a public health work force throughout this country with the specific goal of reducing new diagnoses by 75% within five years and by 90% within 10 years", said Admiral Brett Giroir. Through the plan announced Wednesday, the Ryan White program will increase its capacity to provide HIV care and treatment for people newly diagnosed with HIV and those living with HIV who are not now retained in care, as well as work with program recipients to expand evidence-based interventions for maintaining care and viral suppression.

Nationally, the black community is the racial/ethnic group most burdened by HIV across all stages of the disease from new infections to death.

Briefing reporters ahead of Trump's State of the Union speech, Health and Human Services (HHS) Secretary Alex Azar and senior public health officials said the campaign relies on fresh insights into where about half of new HIV cases occur - 48 out of some 3,000 USA counties, and Washington, DC, Puerto Rico and seven states with at-risk rural residents.

HIV researchers and patient advocates have long known that the virus hits certain groups hardest, most notably gay and bisexual men of colour.

The 48 counties HHS is focussing on are mainly metro areas.

Then there's the issue of treatment - both to prevent new infections and control existing infections.

"We've never had that kind of "This is the target", said Dr Anthony Fauci, the government's pre-eminent AIDS warrior and head of the National Institute of Allergy and Infectious Diseases. So, "if you put those two together, you could theoretically end the epidemic as we know it".

In the United States, more than 1 million people aged 13 and older are living with HIV infection, with an estimated 15 percent unaware of their status, and approximately 56,000 new infections occur each year, according to National Institutes of Health (NIH).

Millions of people worldwide have died from HIV, but the advent of potent antiretroviral drug cocktails in the mid-1990s revolutionized care, keeping viral levels down to undetectable levels and stopping the onset of Aids.

"Every 44 minutes, a 13- to 29-year-old gay or bisexual man in the USA gets diagnosed with HIV", Mustanski added.

In his State of the Union address, President Trump promised that his administration would try to end the transmission of HIV/AIDS in the U.S. William Brangham learns more from Jon Cohen of Science Magazine and Carlos del Rio of Emory University School of Medicine about the attainability of this goal, the practical and political challenges and what could help.

Pre-exposure prophylaxis (PrEP), a prevention pill and program that is up to 99 percent effective at preventing HIV infection when utilized consistently and correctly, is helping reduce the spread of HIV.

"It sounds very much like teleprompter Trump saying words but not being invested in the statement itself", said Scott Schoettes, counsel and HIV project director for Lambda Legal, a civil rights organization focused on the LGBT community.

Trump's plan will fund programs in geographic hot spots, data to identify and track the spread of HIV, and the creation of local efforts in targeted areas to expand HIV prevention and treatment.

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