TODAY -

Promise to end AIDS by 2030: Are we on track?

Shobha Shukla *

(L to R) Dr Franco Buonaguro, Dr Ishwar Gilada, Dr Sharon Lewin, Dr Naval Chandra at ASICON 2017
(L to R) Dr Franco Buonaguro, Dr Ishwar Gilada, Dr Sharon Lewin, Dr Naval Chandra at ASICON 2017



Governments of over 190 nations, including India, have promised to end AIDS by 2030 by adopting the UN Sustainable Development Goals (SDGs). But the current data, trends and experiences of HIV experts pose serious concerns on if we are on track to end AIDS by 2030.

"Since India diagnosed its first case in 1986, we have enough piled up scientific evidence to know what are the proven approaches for preventing HIV transmission and caring for people living with HIV (PLHIV), so that they can live normal lives. But is this a reality on the ground? There is no excuse for inaction lest we may fail to meet promises of ending AIDS" said Dr Ishwar Gilada, President of the AIDS Society of India (ASI) and President of 10th National Conference of ASI (ASICON 2017) which will open in Hyderabad on 6th October 2017 on the theme of: Action, Science and Innovation for ending AIDS.

Promise of 90:90:90: Real or mirage?

The National Health Policy 2017 of Indian government promises to “achieve the global target of 90:90:90, for HIV/AIDS by 2020, that is, 90% of all people living with HIV will know their HIV status, 90% of all people diagnosed with HIV infection will receive sustained antiretroviral therapy (ART) and 90% of all people receiving antiretroviral therapy will have viral suppression” (Source: 2.4.1.3. of National Health Policy 2017 of Government of India). These NHP-2017 goals are in line with UNAIDS commitments too. Despite progress there is a long way ahead of us, if we are to meet these goals.

"We need unprecedented action to meet NHP-2017 goals. As of 2016, 67% of PLHIV (2.1 million/ 21 lakhs) know their status; 1.4 million (14 lakhs) are diagnosed with HIV and 902,868 PLHIV were on life-saving ART (source: WHO SEARO). Not only have we not yet reached out to 33% of PLHIV in the country, but also less than 50% of PLHIV are on ART, despite WHO and NACO guidelines to ‘test and treat all’. Less than 65% of PLHIV who know their status, are receiving ART. We cannot become complacent in our efforts, because failing to reach out to each of the estimated PLHIV and putting them on ART threatens to reverse the progress made in fighting AIDS” said Dr Gilada, who was among the first few doctors in India who came forward for HIV management when the first case got diagnosed in the country.

Scientific evidence has shown that if every PLHIV is on ART, with viral load suppression, the risk of HIV transmission is negligible, and the person can lead a normal healthy life. But in India, with very limited capacity to do viral load testing, it is not known how many of the documented 9,02,868 people on ART are virally suppressed. Viral load monitoring of every PLHIV on ART is necessary, emphasizes ASICON 2017 experts, else how would India meet the goal of achieving viral load suppression for 90% of those PLHIV who are receiving ART by 2020?

Dr Naval Chandra, Co-Chair, ASICON 2017 and Professor in Medicine, Nizam Institute of Medical Sciences, Hyderabad said: "In other states of India number of new HIV infections might have come down, but in Andhra Pradesh and Telangana combined, in last 1-2 years we are seeing a sudden increase in new HIV infection."

Dr Franco Buonaguro, National Cancer Institute, Italy, said that viral hepatitis co-infection in PLHIV is now recognized as a major public health problem resulting in increased morbidity and mortality among PLHIV including those on ART. Nonetheless all PLHIV should be tested for HCV.

Professor Sharon R Lewin, Plenary Speaker, ASICON 2017 and Director, Doherty Institute for Infection and Immunity University of Melbourne, Australia, who is also a member of the Governing Council of the International AIDS Society representing the Asia Pacific region, said: "In Asia Pacific, about 5 million people are living with HIV and about 40% of them are receiving treatment [antiretroviral therapy]." She added that "in Australia we have reached the goal of 90:90:90 but we have not changed the numbers of new HIV infection." She put the spotlight on challenges in HIV prevention and new ways we need to explore to effectively prevent transmission of HIV.

"In India today, almost 80-90% of PLHIV on ART are being managed, not treated, at some 530 ART centres of NACO, and the remaining PLHIV access private healthcare. Retaining PLHIV on ART at public sector ART centres is extremely crucial for managing HIV in India, as they cater to the majority of PLHIV. Clinical studies tell us about efficacy of drugs in a controlled environment, but long-term effectiveness studies are important to corroborate clinical studies’ findings” added Dr Ishwar Gilada.

India had an estimated 86,000 new HIV infections in 2015. Children less than 15 years accounted for 12% (10,400) of total new infections while the remaining (75900) new infections were among adults (over 15 years). The goal to eliminate parent to child transmission of HIV by 2020 also mandates accelerated roll-out of evidence-based measures in India. Countries like Cuba, Thailand among others have already eliminated parent to child transmission of HIV.

Academic partners of ASI include Government of India's National AIDS Control Organisation (NACO), Indian Council of Medical Research (ICMR), Medical Council of India, UNAIDS, Association of Physicians of India, Forum of Parliamentarians on HIV & AIDS, People’s Health Organisation (PHO), CAPRISA South Africa, among others. Over 500 HIV medical experts of various clinical and scientific disciplines from across the country, and other nations including USA and Australia, are taking part in ASICON 2017. s


* Shobha Shukla, CNS (Citizen News Service) wrote this article for e-pao.net
The writer is the Managing Editor of CNS (Citizen News Service) and has written extensively on health and gender justice issues since decades. Follow her on twitter @Shobha1Shukla, website: www.citizen-news.org
This article was posted on October 12 , 2017 .



* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Ningol to her mapam lamdam :: Gallery
  • Chakkouba Fish Mela #1 :: Gallery
  • Ningol Chakkouba Tribute : Flash
  • 'Merger Agreement' and Manipur Question
  • Should fake news be merely brushed away
  • Frozen street laws & nasty people..
  • Resolution of CEC, NPF : Oct 20
  • Concern over meeting btn China, NE ultra
  • Materialistic interpretation of Chakkouba
  • Of power and the powerful
  • Manipuri Calendar for 2018 : Download it
  • Chakkouba Shopping #1 :: Gallery
  • Ningol Chakouba : A message
  • 2 novel TB drugs move into human studies
  • Japan & its myriad culture from my eye
  • Cry of a Dying River- 5 :: Poem
  • Thanksgiving for first Naga woman pilot
  • Manipuri film nominated for APSA, Brisbane
  • NPF whip - the plain truth
  • Subterfuge & money cannot buy the law
  • Pearls of wisdom from Dalai Lama
  • Resisting Partisanship
  • Mera Men Tongba :: Gallery
  • Liberation War And Merger : Part 1
  • Diwaligi Ahingdo :: Wari
  • Exploding cyber crime in India
  • Manipur National Day- 18 October 1948
  • Greetings on Diwali & Ningol Chakkouba
  • TSA DJ Theme Song , DJ icon audition
  • Meghalaya Venue & Daywise Lineup
  • Tasked to monitor talk: Koijam-Himalay
  • Looking beyond the tough words
  • Rejoinder to deserted NPF Group Longleng
  • CM honors U-17 WC Footballers :: Gallery
  • Yinmajo, Thotchui, Daithaorei: eMing
  • I don't want to die before I am dead : Poem
  • Is the 'Fear for Qur'an' Being Traded ?
  • MUTA Series 4 : Who supports Whom?
  • What ails Manipur ?
  • Old Age pension Scheme details uploaded
  • Increased privilege for responsibility
  • Indo-Naga Talks 2017 :: News Timeline
  • Culturals @ Mera Houchongba #1 :: Gallery
  • Seven Years Devastation: Book Review
  • Prelude to what we need to know 2!!
  • Matos bhai & our FIFA boys "bravo"
  • Trafficking vis-a-vis Domestic Work
  • An open letter to Chief Minister
  • DG Assam Rifles calls on Chief Minister
  • Nagaland press firm against intimidation
  • No Aadhaar, No Mid-day Meal stand
  • The good, the bad and the ugly
  • Footballer: U-17 World Cup :: Gallery
  • Kwak Tanba #3 :: Gallery
  • Night Plaza: Outlook of a developing Manipur
  • Biased national media
  • Agri-volatic: boosting agricultural income
  • Natural skin glow for Diwali
  • Eleven LPG refills in 4 months !
  • 'No change in territorial boundary of States'
  • MaiOn (scenes) #1 :: eRang
  • Tune out within dark
  • Loktak: Storm brain before blasting barrage
  • Gojilove : Now In Manipur
  • Fighting a losing battle
  • A Poem for My Wife :: Poem
  • October 15 retrospection
  • E Sonamani: Jnangarima Manad Alankaran
  • 11th Mega Marathon Manipur #5 :: Gallery
  • Langbal Keithel @ Kangjeibung #4 :: Gallery
  • Geo-politics & Skill Devlp in Act East Policy
  • Wildlife Week: Working together for wildlife
  • Letter to ATSUM (Reply to rebuttal)
  • A rebuttal to "Imprudence of ATSUM"
  • Don't sleep with minor wife ruling: Rapist
  • Awaited expectation
  • Journey of Amur falcon #2
  • Irabot Day - March Past #2 :: Gallery
  • Buddha's Metta & Karuna #2
  • Hei-kak: An aquatic cash crop in Manipur
  • Flood prevention and mitigation
  • Unearthing gems: Northeast Diva 2016-17
  • Nagaland Whip issue hearing in the court
  • Film screenings on NE held in Estonia
  • Of Leikhom Leinang & Uphul Waiphul: NH-2
  • March: Mera Houchongba #2:: Gallery
  • AMAND Pune: Annual Cultural #2:: Gallery
  • Langol Tourist Watch Tower #7 :: 360 ° View
  • .. end AIDS by 2030: Are we on track ?
  • Career in Tourism - Part 2
  • Which one should precede- ILPS or ST ?
  • Comedian Audition during Night Plaza
  • Seizure of Dried Fish Grenet (Tirkiya)
  • LPG diversion: Non-local in subscribers list
  • For a little bit more
  • Pot Lannaba: Houchongba #1 :: Gallery
  • Crowd @ World Tourism Day :: Gallery
  • Moreh PWD complex controlled by militants
  • FIFA U-17 : A milestone for NE football
  • Post submergence impacts of Mapithel dam
  • Cry of a Dying River - 4 :: Poem
  • Program on World Mental Health Day
  • Out but not down :: Needed : A strong Cong
  • Redefining 'Manipuri'
  • Imphal Evenings- Night plaza #2 :: Gallery
  • FIFA U-17 Profile :: Kh Ninthoinganba
  • Keithel Lairembi Ima #3 :: Gallery
  • Observation of World Mental Health Day
  • Ruskin Bonding - VI
  • Life - A Bubble :: Poem
  • Mapung fana chathari
  • Surgical Closure of 'Hole in the Heart'
  • Inferred or in B/W? Integrity Vs integration
  • Imphal is changing but traffic a menace
  • Kwak Tanba #2 :: Gallery
  • FIFA U-17 Profile :: Thounaojam Jeakson
  • Langbal Keithel @ Kangjeibung #3 :: Gallery
  • NE Fashion Week @ Dimapur:: Gallery
  • Journey towards Breaking the Shackles
  • The Man Who Saw Tomorrow :: Poem
  • Free Medical Camp at Lilong
  • From Nobap to World Cup: Magnificent 8
  • Journey of Amur falcon #1
  • FIFA U-17 Profile :: Nongdamba Naorem
  • Lamyanba Irabot- Birth Anniv #2:: Gallery
  • 11th Mega Marathon Manipur #4 :: Gallery
  • FIFA U-17: US won but we were lauded more
  • Imprudence of ATSUM
  • Tonsuring the nature
  • March: Mera Houchongba #1:: Gallery
  • FIFA U-17 Profile :: Dheeraj Moirangthem
  • AMAND Pune: Annual Cultural #1:: Gallery
  • Research Line : Book release Function
  • 100 Yrs Of Tangkhul Naga Football
  • Make RIMS shining
  • Another NE Youth Missing in the Capital
  • AMAND, Pune : 6th AGM / Annual Cultural
  • Sadar Hills District Demand: News Timeline
  • Nungshibi : Social Networking :: Website
  • Seeking 2 years time: Too early to judge
  • Let Holy books be replaced by Constitution
  • FIFA U-17 Profile :: Amarjit Kiyam (Captain)
  • FIFA U-17 Profile :: Thangjam Boris
  • FIFA U-17 Profile :: Wangjam Suresh
  • FIFA U-17 Profile :: Md Shahjahan
  • Loktak Folklore Museum- for fishing
  • Opening: Imphal Evenings :: Gallery
  • Mayanglambam Gourachandra: Awardee
  • Win the hearts if not the FIFA Cup
  • Cry of a Dying River #3 :: Poem
  • For the 8 football players of Manipur..
  • Article 342 makhada furup amana ST ki list
  • Manipur to set up land bank
  • Hosts India set to make FIFA WC debut
  • ATSUM against ST: Let the experts decide
  • A matter of concern for the future
  • Irabot Day - March Past #1 :: Gallery
  • Bor khoiramba @ Hiyangthang #2 :: Gallery
  • Manipur Have done it again
  • Hingchabi Changba: Possessed/ Exorcism
  • Tourism as career option
  • Hydro Electric Power: A must for Manipur #4
  • The Killing Fields :: News Timeline
  • Imphal Evenings- Night plaza #1 :: Gallery
  • Keithel Lairembi Ima #2 :: Gallery
  • Doren: 'Theatre of the Earth' wins in Kerala
  • Solo Album Launch of Awarthanga Chiru
  • How Manipur missed internal autonomy..
  • Whispering of Heart :: Peom
  • Kwak Tanba #1 :: Gallery
  • Nitya Raas, Ras Leela Fest #1 :: Gallery
  • 11th Mega Marathon Manipur #3 :: Gallery
  • Manipur Assembly Elections 2017 #2
  • Manipur State League: Table - 1st Oct
  • Lamyanba Irabot- Birth Anniv #1:: Gallery
  • Vanishing pottery craft & Livelihood: Chairen
  • Irabot Day Celebration at New Delhi
  • Inner Line Permit (ILP) Demand : Timeline
  • World Tourism Day- Inauguration :: Gallery
  • Research Line : Book Preview
  • Irabot Day Celebration (2017)
  • 'Maniwood' vs 'Haolywood' Football :: Gallery
  • Death Anniv- Bhagyachandra #5 :: Gallery
  • Featured Photo for 2017 #4 :: Gallery
  • Nangna Helli Nungshiba #1 :eRang
  • Manipur Sangai Festival 2016 #6 : Ooba
  • Traditional Ritual @Khurkhul #4 :: Gallery
  • Priyogopal : Senior Film Artist :: eRang
  • Hathei Phanit @Sirarakhong :: Gallery
  • Heitha Leithaba @Kekrupat #2:: Gallery
  • Eyek Tamba :: Learn Manipuri script
  • Kang Tournament #2 :: Gallery
  • Old Manipuri Movie #1 :: eRang Classic
  • Landscape of Manipur #7: Wallpaper
  • SPONSORED ADS