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CROI 2016: PopART Shows Feasibility of Reaching 90-90-90 HIV Testing and Treatment Targets

Early findings from the PopART study of the impact of a test-and-treat strategy on antiretroviral treatment coverage and HIV incidence show that after one round of household-based testing, linkage to care, and offer of immediate antiretroviral therapy, 90% of adults knew their HIV status and 71% of adults diagnosed with HIV were on treatment, according to preliminary findings presented at the recent Conference on Retroviruses and Opportunistic Infections (CROI 2016) in Boston. The primary outcome of the study -- the impact of expanded treatment coverage on HIV incidence -- is expected to be reported in mid-2018.

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CROI 2016: Botswana Close to Reaching 90-90-90 HIV Testing and Treatment Targets

Botswana is already close to reaching the 90-90-90 target for HIV testing, treatment, and viral suppression, and is ahead of the United States and most European countries in its efforts to improve treatment coverage, Tendani Gaolathe of the Botswana-Harvard AIDS Institute Partnership reported at the Conference on Retroviruses and Opportunistic Infections (CROI 2016) this week in Boston.

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UNAIDS: HIV Epidemic Will Spring Back without Near-Universal Diagnosis and Treatment

Adopting "fast-track" targets could avert more than 28 million new HIV infections and prevent 21 million AIDS-related deaths by 2030, according to this year's UNAIDS World AIDS Day Report. However, if the response is not rapidly scaled-up over the next 5 years to achieve near-universal diagnosis and treatment, the epidemic is likely to "spring back" with an even higher rate of new HIV infections than today, the report warns.

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CROI 2015: Treatment Cascades and Viral Load Surveys Inform ART as Prevention in Africa

Reaching ambitious HIV prevention targets in South Africa will require intensified efforts to engage and retain men and young people in care, in order to increase the proportion of people on HIV treatment with suppressed viral load, according to a national study presented at the Conference on Retroviruses and Opportunistic Infections (CROI 2015) last week in Seattle. Another study, conducted in 3 countries in sub-Saharan Africa, showed that to maximize the preventive effect of antiretroviral therapy (ART), efforts to expand treatment coverage need to focus on those with the highest viral load off treatment -- mainly people who are already eligible for treatment under current guidelines.

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UNAIDS: "Fast Track" Strategy Could Help End AIDS Epidemic by 2030

A rapid acceleration of HIV prevention and treatment efforts over the next 5 years directed at people most at risk in high prevalence areas could help turn the tide in the AIDS epidemic, according to participants at a recent high-level meeting during the 69th United Nations General Assembly. If fully implemented, this approach could potentially prevent 18 million new HIV infections and 11 million deaths by 2030, as well as reducing future costs.

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