It has been 40 years since HIV first appeared in the US. Can we bring it to a close in the next 10 years?
Absolutely, write HGHI associate faculty director Ingrid Katz and HGHI faculty director Ashish Jha in the Journal of the American Medical Association this month.
In his State of the Union address on February 5, 2019, President Donald Trump announced a national commitment to end the spread of HIV in the United States by the year 2030. This very ambitious goal can be achieved, Jha and Katz argue -- but it will require overcoming challenges in three key areas:
* preventing HIV in high-risk communities,
* ensuring that individuals receiving treatment have undetectable viral loads,
* and addressing the large socioeconomic, racial, and geographic health disparities associated with this disease.
Preventing new HIV infections can be accomplished by increasing access to and use of pre-exposure prophylaxis (PrEP). PrEP is highly effective, but must be taken daily, is expensive, and requires a prescription.
Individuals living with HIV rarely transmit the disease if they are on effective treatment. Ensuring this treatment requires a multifaceted approach, including addressing stigma and making treatment more accessible.
Finally, HIV disparately impacts minority communities in America. To overcome these disparities, social safety programs need to be maintained, including access to health insurance.
To access the article, click HERE.