ASHM Report Back

Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.

90-90-90: Are we close?

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The opening plenary talk was given by Dr Valarie Delpech, who outlined the progress towards attaining treatment for all.

 

  • the UNAIDS target for 2020 is 90-90-90
    • 90% of patients diagnosed
    • 90% of patients on ART
    • 90% with viral suppression
  • data from Levi et al (2016) showed
    • 54% diagnosed, 41% on ART and 32% virally suppressed (2015 data)
  • there appears to be a great disparity in the countries able to achieve this with many having poor rates of diagnosis and hence low rates of treatment/viral suppression
  • Dublin declaration data: EU/EEA countries are performing better than the non-EU/EEA
  • to date, no country has met the 90-90-90 goal (except claimed by Sweden)
  • a major issue
    • most countries have very little data about actual rates (even 4 decades into the epidemic)
    • there is variation with data sources and quality of definitions/standard methodology
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