Ending the hiv epidemic

This new initiative seeks to reduce the number of new HIV infections in the United States by 75 percent within five years, and then by at least 90 percent within 10 years, for an estimated 250,000 total HIV infections averted.
During the 2019 State of the Union address, the Trump administration announced the new “Ending the HIV Epidemic: A Plan for America”. This will be a ten year initiative beginning in FY 2020 to achieve the important goal of reducing new HIV infections to less than 3,000 per year by 2030. Reducing new infections to this level would essentially mean that HIV transmissions would be rare and meet the definition of ending the epidemic.

The initiative will focus efforts in 48 counties, Washington, DC, San Juan (PR), where >50% of HIV diagnoses occurred in 2016 and 2017, and an additional seven states with a substantial number of HIV diagnoses in rural areas. View the list here.

The efforts will focus on four key strategies that together can end the HIV epidemic in the U.S.
  1. Diagnose all people living with HIV as early as possible after transmission.
  2. Treat HIV rapidly and effectively to achieve sustained viral suppression.
  3. Prevent HIV transmission among people at highest risk with Pre-Exposure Prophylaxis (PrEP) and prevention education.
  4. Respond rapidly to detect and respond to HIV clusters and prevent new HIV infections.