Abstract
The goal of ending the HIV/AIDS pandemic is theoretically achievable and would require addressing this global health catastrophe on individual and global levels by providing optimal prevention strategies and treatment regimens for individual persons living with or at risk for HIV, as well as ending the pandemic as an epidemiologic and global health phenomenon. However, from a practical standpoint, the pathway to ending the HIV/AIDS pandemic will be difficult and will require aggressive implementation of the biomedical research advances that have been made in the areas of treatment and prevention; development of additional tools, such as a moderately effective HIV vaccine; and attention to critical behavioral and social determinants. An end to the HIV/AIDS pandemic can be achieved only with provision of sustained and additional resources at the local, regional, national, and global levels.
Highlights
UNAIDS-sponsored modeling exercises predict an end of the HIV/AIDS pandemic by 2030 if the 90-90-90 targets are achieved by 2020 and 95-95-95 targets are achieved with a decrease to 200,000 new infections among adults annually [29,30]
UNAIDS recently issued its HIV Prevention 2020 Road Map, which outlines a 10-point action plan that focuses on the need for country-level actions to achieve a 75% reduction in new HIV infections and country-level achievement of that specific goal of the 90-90-90 targets [25]
As persons living with HIV or at risk of acquiring HIV who have access to treatment and prevention continue to benefit from the fruits of scientific advances, we must not take our sights off or waver in our pursuit of the ultimate goal of ending the epidemic as a global health catastrophe
Summary
UNAIDS-sponsored modeling exercises predict an end of the HIV/AIDS pandemic by 2030 if the 90-90-90 targets are achieved by 2020 and 95-95-95 targets are achieved with a decrease to 200,000 new infections among adults annually [29,30]. Substantial progress has been made, with certain countries meeting the 90-90-90 targets [31] and 53% of all persons living with HIV accessing ART in 2016, a critical global HIV treatment gap remains: of the 36.7 million HIV-infected persons, an estimated 17.2 million are not receiving ART.
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