Several sessions of ASHM have compared Viral Load (VL) when patients are retained in care, vs those who don't. This session examines the results of the IEDEA Collaboration on VL in adults and children.

The IEDEA is an International Epidemiological Data Base, which gathers data around the world, grouped into 7 regions.

35,561 adults and 2,601 children (81% perinatal infected) from four regions were examined. They found 90% of adults had VL suppression at 3 years. Unfortunately the children didn't fare so well, with only 70-80% having VL suppression at the same time. Both of these data sets, were people who were retained in care. When people who were lost to care were added to the figures, the rates of VL suppression was much lower.

Conclusion: Adult patients retained in care have good VL suppression. Each region has different rates of VL suppression. The W.H.O. aim for 90/90/90 in children will be difficult as adherence is more challenging in this group.