It is the additional targets beyond 95-95-95, including such things as more-granular data collection and more effort to reach particularly vulnerable populations, rather than a simple desire for extra “business as usual” money, that has so massively put up the amount of cash unaids reckons will be needed in three years’ time (see chart 1).Īt the moment, there is some way to go to reach even the headline goal of 95-95-95. It is to achieve 95-95-95 (and a whole lot of other targets, many of them social, rather than strictly medical) by 2025. The latest un aspiration, announced in 2021, is not quite that ambitious.
Find, identify and treat every case of hiv infection on the planet and that would be the end of the pandemic.
Only with publication in the 2010s of well-controlled studies which proved the point has u= u, known more formally as “treatment as prevention”, been universally acknowledged. This may not sound surprising, but it was, until quite recently, hotly contested. But it is this equation, above all, which makes attempts to stop hiv spreading realistic-for the idea it encapsulates is that someone for whom art has suppressed viral load to the point that it is undetectable cannot then pass the virus on. The two us stand for different things: “undetectable” and “untransmittable”, respectively. The slogan du jour, though, is “ u= u”, dreamed up by the Prevention Access Campaign, a group of activists. This was followed in 2014 by the unaids target of 90-90-90: the intention that, by 2020, 90% of those living with hiv would know their status, that 90% of that 90% would be taking advantage of treatment, and that 90% of those thus on treatment would have the virus suppressed within their bodies. One of the first, “3 by 5”, captured the aspiration, promulgated by the World Health Organisation ( who) in 2003, to put 3m people on art by 2005. The aids establishment, activists and scientists alike, love a slogan. This was the place where, in 1989, activists and patients gatecrashed what had, until then, been a purely scientific gathering, and created the productive hybrid that these meetings have now become.
This latest meeting, the 24th, was held in Montreal-a venue legendary in the field of aids. To discuss these matters, exchange intelligence and make battle plans, a crowd of researchers, clinicians, activists and patients recently gathered under the auspices of the International aids Society ( ias).
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