this is not the time to lower your guard!



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As the 22nd th International 19459004 AIDS Conference was held in Amsterdam, the UNAIDS report shows that, despite the progress made, this remains insufficient. Infection-related deaths are declining, but not fast enough to reach the 2020 targets. Key populations remain the main victims and do not always have access to the services they need.

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<p> While new HIV infections have declined by 18% in the last seven years, they are on the rise in some 50 countries. </p>
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<p> The global response to HIV is in a worrying situation, as demonstrated by the UNAIDS report "Miles to go" presented on 18 July, so if improvements are observed, they are not up to par. ambitions of the 2020 targets (90% of HIV-positive people who know their HIV status, 90% of those screened on antiretroviral therapy and 90% of people treated with a virally suppressed viral load) .For Stéphanie Seydoux, ambbadador French Ministry of World Health Issues, <q> 2 years from the deadline, this report is an interpellation addressed to all the actors of the international community. The fight is far from over </q>. Worse an expert group published an article in the journal Lancet evoking the fear of a possible "return of the epidemic" according to the latest epidemiological data. </p>
<h2> A crisis of prevention? </h2>
<p> Si for UNAIDS Executive Director Michel Sidibé, great efforts have been made because, for the first time in 2016, less than 1 million people have died as a result of infection, the stakes are high. Investments are down: <q> Unfortunately, there is a deficit of 20% on financing </q>. However, <q> a 20% decrease in aid would force Mozambique to double its health budget to help fight HIV </q>. </p>
<p> In parallel, new infections are increasing in about 50 countries . In addition, globally, there is an insufficient decline of 18% in the last seven years, from 2.2 million in 2010 to 1.8 million in 2017. We are still far from the less than 500 000 infections expected by 2020. </p>
<p> Positive, the percentage of new infections has decreased more rapidly in the areas most affected by the virus, ie eastern and southern Africa where there is a decrease in 30% since 2010. By contrast, in Eastern Europe and Central Asia, the number of infections reported per year has doubled and increased by more than a quarter in the last 20 years in North Africa and the Middle East. </p>
<p> In addition, Michel Sidibé evokes a <q> crisis of prevention </q>. Existing programs are failing to reach what are called key populations, be they men who have bad with men, drug users, bad workers or migrants … These people are hard to reach accessible in particular because of <q> bad laws </q> stigmatizing, which remains <q> a strategically important problem </q>. </p>
<p> More precisely, the people counting among these populations as well as their partner represent 47% new HIV infections globally and as much as 97% in Eastern Europe and Central Asia alone. <q> Russia is the third country with the highest number of new infections just after South Africa and Nigeria </q> reports to the Executive Director of UNAIDS. Similarly, half of the bad workers in Lesotho, Malawi, South Africa or Zimbabwe are HIV-positive, hence the importance of Prep. It is estimated that the risk of contracting HIV is 13 times higher in this population, 27 times higher for men who have bad with men (MSM), 23 times higher for injection drug users, and 12 times higher for men. for transgender women </p>
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Ending the AIDS epidemic by 2030 … the wish of UNAIDS …

Expansion of treatment: significant progress, but nothing has been achieved [19659006] Progress, however, the deployment of antiretroviral therapy has significantly reduced deaths badociated with the disease. With 940,000 deaths, it is the lowest number of deaths in this century. Moreover, in just one year, 2.3 million more people had access to treatment. This is the most remarkable annual increase to date, bringing the total number of people screened on treatment to 21.7 million. According to the figures, 60% of the 36.9 million people with HIV are on treatment in 2017. If this is a considerable success, we are, once again, still far from the targets set (30 million people under treatment) all indications that the rate of expansion is slowing down

On the other hand, West and Central Africa are lagging behind. Nigeria accounts for more than half of the HIV burden in the region. New infections have decreased by only 5% in 7 years and only one person in three has access to treatment.

With € 4.2 billion since 2002, France is the second largest contributor to the Global Fund. AIDS, Tuberculosis and Malaria, which provides access to 11 million people to HIV / AIDS treatment worldwide. Listen to Agnès Buzyn

Children still too touched!

As far as children are concerned, the data are not rebaduring. The new infections fell by only 8% last year and we deplore 110 000 deaths while we can stop says Michel Sidibé. In fact, only half of HIV-infected children are on treatment and no fewer than 180,000 children have contracted the virus during childbirth and badfeeding, while 80% of HIV-positive pregnant women have had access to medicines to prevent HIV infection. the transmission in 2017.

Similarly, the fair bad is not spared. In 2017, 58% of infections among adults over the age of 15 were among women. One in three women is a victim of physical or badual violence, or a correlation between violence and the risk of contracting the virus argues the Executive Director of UNAIDS. Every week young girls between the ages of 15 and 24 have been infected with HIV. According to UNICEF, a teenager is infected every 3 minutes . According to UNICEF Executive Director Henrietta Fore : In most countries, women and girls do not have access to the necessary information and services or even not the possibility of refusing unprotected bad. HIV is spreading rapidly among the most vulnerable and marginalized, placing adolescent girls at the heart of the crisis. For Michel Sidibé, it is necessary that girls remain at home. school and no longer victims of early marriages and pregnancies .

We can not tolerate history repeating itself as technical and scientific means could put an end to 'epidemic. The international community must remobilize on AIDS to avoid this fracture between the North and the South for its part Aurélien Beaucamp, president of AIDES. He also hopes that President Emmanuel Macron will play his lead role especially for UNAIDS 26.2 billion US dollars will be needed for the response in 2020.

The main figures

Nobody living with HIV

  • In 2017 36.9 million people were living with HIV, including 1.8 million children
  • 21.7 million people living with HIV have access to treatment, which represents an increase of 2.3 million since 2016
  • In 2017 59% of HIV-positive adults have access to treatment and 80% of HIV-positive pregnant women have access to treatment to prevent transmission to their child

New infections

  • New infections have decreased by 46% since the peak of 1996
  • There are 1.8 million people newly infected with HIV in 2017
  • Since 2010, new infections in children have decreased by 35%

Women [19659026] About 30 adolescents aged 15 to 19 per hour have contracted HIV in 2017, according to a new UNICEF report. Two-thirds of them were girls.

  • In Sub-Saharan Africa, three out of four new infections affect girls aged 15 to 19
  • Young women aged 15 to 24 are twice as likely to live with HIV. HIV as men
  • Key populations

    • They account for 47% of new infections worldwide
    • And 95% of new infections in Eastern Europe, Central Asia, the Middle East and North Africa
    • New HIV infections among injecting drug users increased by 33% between 2011 and 2015

    Deaths

    • AIDS-related deaths have decreased by 1% since the 2004 peak
    • In 2017, 940,000 died as a result of AIDS-related illnesses

    Investment

    • By the end of 2017, $ 21.3 billion was available for disease control in low- and middle-income countries
    • UNAIDS believes that US $ 26.2 billion is needed for the response to the infection in 2020.

    Sources – UNAIDS, WHO, UNICEF


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