Making Trumps Anti HIV Plan Work Is Not So Easy

Alicia Farmer
February 9, 2019

"My decision to attend medical school and focus professionally on HIV research and prevention emerged not only from the experience of having lost so many friends to the disease, but also because it was clear that there was so much more we needed to know and do to effectively combat the epidemic". However, this hasn't stored officers on the US Department of Health and Human Services (HHS) from formulating a plan to deal with the epidemic. The South accounted for 52 percent of new HIV diagnoses in 2017, according to the Centers for Disease Control. Through provided funds, a local HIV HealthForce will be created in these counties through partnerships with state, territorial, local, and tribal health departments, "putting boots on the ground to ensure this progress is made", said Redfield. He also underscored the importance of HRSA's Health Center Program, which supports 12,000 delivery sites across the country and provides care to more than 27 million Americans annually. "In so far as the administration is willing to address those issues, which they seem to indicate that they are, then this is definitely an obtainable goal", said Bruce Packett, executive director of the American Academy of HIV Medicine.

Today's HIV treatments work so well they not only can give people with the AIDS virus a near-normal life expectancy, they offer a double whammy - making those patients less likely to infect other people.

U.S. President Donald Trump has unveiled a bold plan to stop spread of HIV within a decade in the United States despite challenges posed by his lack of action to improve healthcare system. The department plans to direct funding to those areas to boost resources for fighting HIV and AIDS.

Nationally, the black community is the racial/ethnic group most burdened by HIV across all stages of the disease from new infections to death. "We have treatment as prevention".

They will also draw on lessons learned from almost 3.5 decades of work in HIV to make sure implementation of these initiatives are done well, said Anthony Fauci, MD, director of NIAID.

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Since the beginning of the epidemic, more than 70 million people have contracted HIV and half of those have died. Hardy said any meaningful policy to lower HIV infections would have to target interventions that expand care for LGBTQ individuals since gay and bisexual men account for almost 70% of new HIV infections, according to the Centers for Disease Control and Prevention. The black community accounted for 43 percent of all HIV diagnoses in the US despite making up 13 percent of the USA population. He agreed that the elimination of new cases of HIV infection by 2030 is possible - given certain conditions. "These diagnoses are disproportionally among young men of colour - the only group in the U.S. to show increases in the rate of annual diagnoses". They said reducing new HIV infections would require addressing problems that hinder access to healthcare for those with HIV, such as increasing health insurance coverage, reducing the impact of socio-economic health determinants, and eliminating existing stigmas of those living with the virus.

'This effort can not move existing resources from one public health program and repurpose them to end HIV without serious consequences to our public health system, ' Michael Fraser, CEO of the Association of State and Territorial Health Officials, said in a statement.

"Only a quarter of sexually active teen gay and bisexual boys have ever had an HIV test", Mustanski noted. The government has 'been trying to address HIV, but never in such a focused way, ' he said.

Community outreach aimed at encouraging safe sex behaviours is another crucial step in getting transmissions down to zero, he said.

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