Abstract
This article focuses on emerging trends conflicting current HIV prevention concepts. We address developments in Europe where similar HIV prevention strategies are applied. With epidemiological, time-staggered records from a European institution, we show how ineffective HIV prevention measures have turned out. The decision-makers responsible for these prevention concepts have ignored a multitude of individual motivations from people responsible for the spread of HIV. Both the legal classification of the messages of the prevention campaigns and the obligations of those affected by HIV concerning their social responsibility are analyzed. There are published requirements for updated, multisectoral prevention campaigns. They focus on the intensification of HIV testing concepts to reduce the proportion of late presenters and to link key populations of various kinds to medical and social care services. Four categories present relevant issues with the potential to combine them into suitable arrangements for new prevention concepts.
Highlights
The epidemiological reports of the European Center for Disease Prevention and Control (ECDC) on the spread of the Human Immunodeficiency Virus (HIV) in European countries in recent years reveal diverging trends
The ongoing spread of person-to-person bound HIV infection has occurred despite national prevention campaigns, which are primarily based on the principles of the New Public Health (NPH) strategy, a social learning strategy basing on a “doing by learning” concept, named “inclusion and cooperation”, such as messages
We show the development of the HIV epidemic for given populations in Europe since 2009
Summary
The epidemiological reports of the European Center for Disease Prevention and Control (ECDC) on the spread of the Human Immunodeficiency Virus (HIV) in European countries in recent years reveal diverging trends. The ongoing spread of person-to-person bound HIV infection has occurred despite national prevention campaigns, which are primarily based on the principles of the New Public Health (NPH) strategy, a social learning strategy basing on a “doing by learning” concept, named “inclusion and cooperation”, such as messages. As no adequate studies were conducted back there are no science-based data to assess on a large scale any sustaining impact in mitigating HIV epidemics. This strategy resulted in “HIV exceptionalism” with the additional consequence that affected individuals became stigmatized. The primary causes of the ongoing spread of HIV are attributable to too many people who belong to different groups and are not cooperative with the NPH concepts and messages. The doubts of UNAIDS on the end of AIDS by 2030 because of gaps in financial support [7] should alert policymakers
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