Published: Sat, February 09, 2019
Medicine | By Brett Sutton

Making Trumps Anti HIV Plan Work Is Not So Easy

Making Trumps Anti HIV Plan Work Is Not So Easy

The objective is to scale back new infections by 75 % over five years and to "finish the H.I.V. epidemic in America" by 2030, mentioned Alex M. Azar II, the secretary of health and human providers, who coordinated growth of the formidable plan, outlined by Mr. Trump in his State of the Union address. 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. "Together, we will defeat AIDS in America".

The director of the Centers for Disease Control and Prevention said the agency will happily move forward on the administration's new initiative to eliminate HIV/AIDS, while stressing that tools within CDC reach "must be applied now" for maximum impact.

The goal is to reduce new infections by 75 percent over five years and to "end the HIV epidemic in America" by 2030, said Alex Azar, the secretary of health and human services, who coordinated development of the ambitious plan, outlined by Trump in his State of the Union address.

"Almost 90 percent of new infections are transmitted by people who do not know they are infected or who are not being retained in treatment", Azar said.

In 2017, 38,739 people received an HIV diagnosis in the United States and its territories.

Ultimately, the biggest question that emerges from this plan isn't whether or not it would be effective in providing care for people living with HIV and preventing new infections if properly implemented, but whether or not the HIV community can trust the Trump administration at its word.

Briefing reporters ahead of Trump's State of the Union speech, Health and Human Services Secretary Alex Azar and senior public health officials said the campaign relies on fresh insights into where about half of new HIV cases occur - 48 out of some 3,000 USA counties, and Washington, D.C., Puerto Rico and seven states with at-risk rural residents. The department plans to direct funding to those areas to boost resources for fighting HIV and AIDS.

"It showed we had a very geographically focused outbreak, that if we could augment the capacity of those 48 counties to respond to new infections we could drastically reduce the number of new infections", he said. "We have treatment as prevention".

"We've never had that kind of "This is the target", said Dr Anthony Fauci, the government's pre-eminent AIDS warrior and head of the National Institute of Allergy and Infectious Diseases.

One recent advance has been the emergence of drugs like Truvada, which are used for both treating active infection and as "pre-exposure prophylaxis" (PrEP) - a preventive strategy for people deemed at high risk for infection.

"The goal to end the U.S. HIV epidemic is more than aspirational - it is achievable", Zuniga said. Medicaid is the single-largest source of insurance for HIV care services, covering more than 40% of people with HIV, according to the Kaiser Family Foundation.

In the United States, more than 1 million people aged 13 and older are living with HIV infection, with an estimated 15 percent unaware of their status, and approximately 56,000 new infections occur each year, according to National Institutes of Health (NIH).

Jacqueline Wilson of Jackson was diagnosed as HIV positive in 2006.

Inside Trump's plan to end the HIV epidemic and what sparked it (Scipioni, 2/6). But we also should not reject a plan to end the HIV epidemic by 2030 because of where it originated from, and those of us who are able to should do everything we can to mold this plan in our image at the same time we continue to fight back against the Trump administration on so many other fronts. The government has "been trying to address HIV, but never in such a focussed way", he said.

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