Substantial Heterogeneity in Progress Toward Reaching the 90-90-90 HIV Target in the WHO European Region.

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Kholoud PorterECDC Dublin Declaration Monitoring Network

Abstract

Achieving the UNAIDS 90-90-90 target by 2020 is expected to end the HIV epidemic by 2030. We report on progress in the WHO European Region in meeting this target. The European Centre for Disease Prevention and Control (ECDC) sent questionnaires to 55 countries in 2016. We report estimates for 4 stages of the continuum of HIV care (living with HIV, diagnosed, treated, and virally suppressed), corresponding to the Joint United Nations Programme on HIV and AIDS (UNAIDS) target and explore differences by subregion and challenges with reporting data. Forty-four countries provided data for ≥1 stage, and 29 for all 4 stages. Estimated HIV prevalence was 0.19% (range 0.02%-0.84%, n = 37 countries providing stage 1 data). The proportion diagnosed of people living with HIV ranged from 38% to 98% (n = 37 reporting number of people living with HIV and diagnosed). The proportion on ART of those diagnosed ranged from 27% to 96% (n = 40 reporting numbers diagnosed and treated), and viral suppression rates ranged from 32% to 97% (n = 31 providing numbers treated and virally suppressed). The overall continuum of care estimate for 29 countries with complete data was 81-84-88, which differed by subregion: 84-88-90, 84-69-62, and 57-45-57 for the ...Continue Reading

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Citations

Oct 1, 2019·Current Opinion in HIV and AIDS·Melanie Thompson
Dec 10, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kasha P Singh, Sharon R Lewin
Aug 2, 2019·PloS One·Cristina Gómez-AyerbeMaría Jesús Pérez Elías
May 13, 2020·Ocular Immunology and Inflammation·Remco P H PetersJohn H Kempen
Sep 23, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Georgia VourliUNKNOWN European HIV Continuum of Care Working Group
Jan 10, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Alison E BrownUNKNOWN The Ecdc Dublin Declaration Monitoring Network
Sep 22, 2019·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Hélène JeulinEvelyne Schvoerer
Jul 1, 2021·Public Health·A Le GuillouUNKNOWN Dat’AIDS study group
Jul 23, 2021·Journal of the International AIDS Society·Catrina MugglinUNKNOWN International epidemiology Databases to Evaluate AIDS in Southern Africa
Aug 29, 2021·Viruses·Bluma G Brenner The Montreal Primary Hiv Infection Phi Cohort Study Group
Nov 28, 2020·Current HIV Research·Hayat Kumbasar Karaosmanoglu

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