The world got some inspiring news at last summer’s International AIDS Conference in Melbourne, Australia: UNAIDS stated we are positioned to see the end of the HIV epidemic by 2030.
To achieve this goal, it proposed that by 2020, 90 per cent of people living with HIV globally should be diagnosed.
Ninety per cent of those diagnosed should be receiving treatment, and 90 per cent of those on treatment should have a significantly reduced amount of virus in their blood, greatly improving the health of people living with HIV and reducing the risk of transmission.
Similar aspirations have been run up the flagpole before, but this time many say the goal of ending the epidemic is reachable. That’s because new research is pointing the way to methods that can greatly reduce the amount of HIV in an infected person, and greatly reduce the likelihood of transmitting HIV to someone else.
Research now confirms: if tested and treated early, people can have a life expectancy approaching those not living with the virus; and early detection, followed by proper treatment and care, not only produces a better health outcome for the individual, but greatly reduces the risk of transmitting HIV to a partner.
Many Canadians don’t know these facts. Sadly, one-quarter of the 71,300 people living with HIV in Canada do not know they are infected. Starting treatment after the disease has progressed increases the likelihood of HIV-related illness and death.
Armed with this new knowledge about HIV transmission and prevention, those working in frontline service delivery have enhanced their outreach to communities.
UNAIDS reports a growing number of countries are on track to achieve its goals with some approaching, meeting or already exceeding some of those targets. In sub-Saharan Africa, several countries are “approaching or within striking distance” of 90 per cent of those living with HIV being tested.
Canada has an extensive network of health-care professionals, community-based organizations and AIDS service organizations contributing greatly to reducing HIV incidence. But, a new report on HIV infections from the Public Health Agency of Canada illustrates the need to expand the reach and impact of HIV prevention and treatment efforts.
Data gathering of this kind is helpful in identifying where we need to expand our network of testing, treatment and care, but more needs to be done.
We need an invigorated, nation-wide plan designed to ensure we provide all communities with the integrated services they need. We need to set our own goals that address Canada’s realities and put us on the map with other countries that have shown leadership in tackling the epidemic.
While Australia has recently released its seventh HIV strategy targeted to the virtual elimination of HIV by 2020, Canada’s second strategy is outdated, and there are no targets.
It’s time to step up.
Laurie Edmiston is the executive director of CATIE, Canada’s source for HIV and hepatitis C information.
