Progress in the HIV epidemic: Identifying goals and measuring success.

Abstract:

:Substantial progress has been made towards the goal of ending the HIV/AIDS epidemic due to advancements in both prevention and treatment of HIV. However, major challenges still remain. We describe basic principles of epidemic control in the context of HIV and identify a number of attainable goals in terms of control and elimination of HIV in specific populations and risk groups, given currently available HIV prevention and treatment methods. Currently available HIV prevention methods make it a feasible goal to eliminate HIV transmission attributable to mother-to-child transmission and blood transfusions. Reductions in transmission attributable to sexual behavior and injection drug use are feasible, but elimination of these modes of transmission will require further advancements in behavioral and biomedical HIV prevention. With regard to HIV-related mortality, we argue that elimination of death due to HIV-related causes is a feasible goal. HIV-related deaths should be treated as sentinel events triggering epidemiological investigation into the breakdowns in the HIV care continuum that led to them. We briefly discuss additional considerations that will affect the success of HIV prevention programs.

journal_name

PLoS Med

journal_title

PLoS medicine

authors

Jones J,Sullivan PS,Curran JW

doi

10.1371/journal.pmed.1002729

subject

Has Abstract

pub_date

2019-01-18 00:00:00

pages

e1002729

issue

1

eissn

1549-1277

issn

1549-1676

pii

PMEDICINE-D-18-01659

journal_volume

16

pub_type

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