Trump launching campaign to end HIV epidemic in USA by 2030

A red ribbon symbolizing AIDS awareness          Associated Press

A red ribbon symbolizing AIDS awareness Associated Press

President Donald Trump's call for ending the HIV epidemic in the 10 years during his State of the Union address last week was lauded by HIV clinical experts who credited his willingness to call attention to an epidemic that still infects almost 40,000 people a year. He also underscored the importance of HRSA's Health Center Program, which supports 12,000 delivery sites across the country and provides care to more than 27 million Americans annually.

It is hard to describe the feeling that came over me on Tuesday night as I watched President Trump pledge to "defeat AIDS in America" during his State of the Union address.

The director of the Centers for Disease Control and Prevention said the agency will happily move forward on the administration's new initiative to eliminate HIV/AIDS, while stressing that tools within CDC reach "must be applied now" for maximum impact. Through the plan announced Wednesday, the Ryan White program will increase its capacity to provide HIV care and treatment for people newly diagnosed with HIV and those living with HIV who are not now retained in care, as well as work with program recipients to expand evidence-based interventions for maintaining care and viral suppression. Since then, more than 700,000 people with AIDS have died in the United States, according to the CDC. To help pinpoint where the need for testing and treatment was greatest, "we actually lifted the number of infections in each county, and that allowed us to sort of rank the counties in terms of how they were contributing to the annual infections in America".

President Donald Trump's plan to stop the transmission of HIV in the United States will focus on 48 counties where about half of new infections occur, administration officials said Tuesday.

Dr Anthony Fauci directs the US National Institute of Allergy and Infectious Diseases and has always been on the forefront of the fight against HIV/Aids.

The 48 counties HHS is focussing on are mainly metro areas.

One recent advance has been the emergence of drugs like Truvada, which are used for both treating active infection and as "pre-exposure prophylaxis" (PrEP) - a preventive strategy for people deemed at high risk for infection. They will know what their viral load is and that's what looks at how infectious you are and whether you're able to pass the infection. He says it is possible to end the HIV/AIDS epidemic in the USA this century.

The Kaiser Family Foundation, a non-profit organization on healthcare issues, cited "poverty, lack of access to health care, lack of awareness of HIV status, and stigma" as challenges for the epidemic among the most vulnerable communities.

In a press name on 6 February, HHS officers outlined a programme to chop new HIV infections by 75% in five years and by not less than 90% in ten. The black community accounted for 43 percent of all HIV diagnoses in the US despite making up 13 percent of the USA population. "One of the things that concern us is that the Trump administration has done everything that it can to limit healthcare through trying to dismantle the ACA", said Dr. David Hardy, board chairman for the HIV Medicine Association.

"This effort can not move existing resources from one public health programme and repurpose them to end HIV without serious consequences to our public health system", CEO of the Association of State and Territorial Health Officials Michael Fraser, said in a statement. Also, counsellors ensure tracking of HIV positive patients through telephone and home visits in the case of those who drop out between diagnosis and treatment to maintain their adherence to treatment, the sources said. They intend to deploy platoons of community health workers to step up the prevention, diagnosis and treatment of infections.

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