TODAY -

Slump in fight against #AIDS can derail progress made so far!

Shobha Shukla *

xperts' Panel at 22nd International AIDS Conference (AIDS 2018) in Amsterdam, Netherlands
Experts' Panel at 22nd International AIDS Conference (AIDS 2018) in Amsterdam, Netherlands



"Tremendous progress against AIDS over the past 15 years has inspired a global commitment to end the epidemic by 2030. Out of the total 36.9 million people living with HIV (PLHIV) globally, 21.7 million of them were on antiretroviral therapy (ART) by 2017. But we should also note that 1.8 million people were newly infected with HIV in 2017" said Dr Ishwar Gilada, who was Chairing a session at 22nd International AIDS Conference (AIDS 2018) in Amsterdam, Netherlands.

"If we are to meet the UNAIDS 90:90:90 targets and Sustainable Development Goals (SDGs) - one of which is to #endAIDS by 2030 - we cannot afford to slacken HIV prevention or delay provision of ART to every PLHIV and monitor viral load" added Dr Ishwar Gilada, who is also the President of AIDS Society of India (ASI), and among the first doctors who began HIV care in India when first case got diagnosed in the country.

Looming danger of sidelining HIV prevention

Dr Gilada also highlighted the looming danger of sidelining HIV prevention in recent years. "Global new HIV infections have declined by just 18% in the past seven years: from 2.2 million in 2010 to 1.8 million in 2017. If business as usual continues, then we will fail to reach the target of less than 500,000 new HIV infections per year by 2020," he warned.

He said the global community is able to think and strategize for the likes of Test and Treat policy or 90:90:90 target and dare to dream of the target like #endAIDS by 2030, only because of India's role in making ART affordable and accessible - at almost 1-3% of global cost and today India is able to meet 92% of global requirement of ART.

"UNAIDS too warned before AIDS 2018 that the global response to HIV is at a precarious point and the pace of progress is not matching global ambition, calling for immediate action to put the world on course to reach the critical 90:90:90 targets by 2020 (that is, 90% of all PLHIV will know their HIV status; 90% of the people diagnosed with HIV infection will receive sustained antiretroviral therapy (ART); and 90% of all people receiving ART will have viral load suppression)" shared Shobha Shukla, Executive Director, CNS (Citizen News Service).

New action plans needed for a breakthrough

Professor Dr Jürgen Rockstroh of University of Bonn in Germany and Governing Council member of International AIDS Society (IAS) said that, "Despite recent improvements in accessing HIV treatment and care in the region, the response to the HIV epidemic still faces many challenges. Only 28% of the estimated PLHIV in eastern Europe and central Asia were reported to be receiving HIV treatment in 2016, is far below the western and central Europe average of 76% and the global average of 53%.

This indicates an alarming situation in the region as a whole to move towards achieving these targets. Furthermore, about half of the people diagnosed with HIV are diagnosed at late stages and lifesaving treatment gets delayed. Many PLHIV thus start treatment too late and already show signs of widespread immune system damage, leading to excess morbidity and mortality. New action plans are needed to achieve a breakthrough."

Can we afford to slow down momentum against AIDS?

Dr José M Zuniga, President of International Association of Providers of AIDS Care (IAPAC) said, "The 90:90:90 targets and goal to end AIDS by 2030, can be achieved. But, there can be no progress without action, and our ability to act is attenuated if much-needed funding is jeopardized.

Under the Trump Administration's 2018 budget proposals, global health funding for programs, such as the PEPFAR, would be hard hit. Bilateral programs would experience a whopping $880 million cut. US contribution to the Global Fund to Fight AIDS, TB & Malaria would be cut by $225 million. The USAID and other programs would also see cuts- malaria(44%), TB (26%), and MCH(8%). It will slow the forward momentum against AIDS."

Significant new HIV case get diagnosed by private sector

Prof R Sajith Kumar, Governing Council member of AIDS Society of India (ASI) said, "India boasts of an efficient public private partnership with a large proportion of patients under dual care as well. Almost 50% of HIV infected people are diagnosed by private practitioners, though many of them subsequently go to the Government for further care. ASI plays a great role by bringing both groups together under one academic entity. Viral load monitoring and resistance studies that have been extensively promoted by ASI, will contribute to progress towards achieving the 90:90:90 target that is part of India's National Health Policy 2017."

Universal Health Coverage (UHC) remains a big challenge

Reflecting on the current scenario in India, Dr RS Gupta, Deputy Director General of National AIDS Control Organization of Ministry of Health and Family Welfare, Government of India said that, "The good news is that incidence and prevalence of HIV has declined sharply, as a result of improved prevention, care, support and treatment. However universal access of comprehensive healthcare services to all PLHIV and reaching out to the hidden and unidentified populations remains a big challenge in achieving 90-90-90 by 2020 and eliminating HIV by 2030".


* Shobha Shukla, CNS (Citizen News Service) wrote this article for e-pao.net
Shobha Shukla is the Managing Editor of CNS (Citizen News Service) and is leading CNS onsite at 22nd International AIDS Conference (AIDS 2018) in Netherlands. Follow her on Twitter @Shobha1Shukla or @CNS_Health or visit www.citizen-news.org )
This article was webcasted on August 01 , 2018.



* 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
  • Nongpok Thong Hangba
  • Khubak Eeshei @Kang festival : Gallery
  • Punsi Sangba, Mathiupuang :: eMing
  • Arresting decline of higher education
  • RPL-PMKVY Certificate at Tripura
  • Silence :: Poem
  • AFSPA took my father
  • Dark Net: Underbelly of the internet
  • Alternative Arrangement, Article 371A
  • Petition challenging dilution AFSPA
  • Rio for integration of Naga areas
  • Brought NE closer to Delhi: PM
  • Independence Day celebrated in NE
  • Tikendrajit : The Lion of Manipur #1
  • Compressed Earth Blocks: Housing
  • Support breastfeeding among adolescent
  • Ithai: Development Decision Gone Awry
  • Who made the sports university ours?
  • An Unoccupied Forehead :: Poem
  • 'NRC should not be a political issue'
  • Independence Day : Govt needs trust
  • Apprehensions before final pact
  • NNC stand to protect Naga sovereignty
  • 'Delay in solution irks people'
  • Patriots' Day- Floral Tribute : Gallery
  • A shot at survival
  • Demography and Population Studies
  • RPL-PMKVY Certificate at Baishalgarh
  • E-Commerce to help access new markets
  • Manipur Heart Foundation Anniversary
  • Artist lineup for NH7 Weekender
  • Kakching World War-II Memorial Run
  • The Killing Fields 2013-18 : News Timeline
  • AMPWA observed Patriots' Day
  • Real homage or just showmanship
  • Drama of political clout at MU
  • Patriots' Day @ Kolkata : Gallery
  • Historical War fought by Manipur
  • Where are the nurses in HIV response?
  • Understanding false smut of rice
  • The love song of autumn :: Poem
  • Help Underprivileged Sports Youngsters
  • Police : List of Awardees on I-Day
  • NSCN-IM word on Naga unity
  • Scribes demand colleague's release
  • Jadugi Mingsel :: Folk Tale
  • Patriotism Redefined [On 13th Aug]
  • Karate Winners felicitated at Kumbi
  • Of Citizenship & Manipur People's Bill
  • Seminar : Path & Pattern in Northeast
  • 42nd Indian Social Science Congress
  • Naga Peace Process :: News Timeline
  • Certificate Distribution at Tripura
  • Failure by WPS-IE to arrest rapist
  • Resolutions : People's Democratic Alliance
  • ..Will it burnt the state again
  • ..Now get the killers !
  • 'Homecoming', Painting Exhibition : Gallery
  • Legacy of Resistance in Cordillera Highland
  • Woke Up, But You're Nowhere :: Poem
  • Resurgence of Sanamahism
  • Nagas & Meiteis must live together
  • No change in 1951 as Base Year : JCILPS
  • B. Voc. at DM Community College
  • Young Scholars Conference 2018
  • ..legitimacy of remaining to power
  • The precursor of things to come
  • Khangkhui Cave , Ukhrul #4 : Gallery
  • Kanglen Kang Chingba #2 : Gallery
  • Reform Manipur's Education System
  • Friendship
  • Cry of a Dying River - 40
  • World's Indigenous Peoples Day
  • Chandigarh students' solidarity with MU
  • MU agitator should withdraw their agitation
  • Repercussion of a prejudice attitude
  • Regulate school vans/buses
  • Disputed Myanmar Border Pillar : Gallery
  • Seven Breaths of Dragon :: Book Rvw
  • Chronological framework of NRC
  • Buttering Najmaji in public
  • JRF Post at Mizoram University
  • Manipur Tourism : Festival Promotion Award
  • The uneasy shift
  • Well co-ordinated rallies across dists
  • Chalwa Village, Kangpokpi #1 : Gallery
  • General strike on article 371 (A) #2 : Gallery
  • Up against the saffron brigade
  • My unsailed ship :: Poem
  • Mathematics and Science Competition
  • General Strike by ATSUM on August 10
  • Drawing Competition at Wapokpi, Bishnupur
  • ADBU delivers course to Indian Railways
  • One man that put Manipur in frying pan
  • Relax MU shut down !
  • Khumang Pokpa Haraoba #2: Gallery
  • Robert Naorem @Blr Fashion Week : Gallery
  • Territorial integrity of Manipur
  • The string :: Poem
  • General Strike by KIM on August 8
  • Robert Naorem at Bangalore Fashion Week
  • Inner Line Permit (ILP) Demand :: Timeline
  • Dr. Monisha Behal's work in North East
  • Registrations for IIT Techniche workshop
  • PDA on situation in Nagaland
  • The politics of divide: MU
  • Significance of August
  • Mukna Khong Kangjei #3 : Gallery
  • Greater Nagaland or Mini Nagaland? #2
  • Paint Your City : Campaign at Kakching
  • Pemberton line in Kabaw is our boundary
  • Awakening :: Poem
  • Coffee Plantation : In-lieu of Poppy
  • Recalling of AK Pandey by HRD Ministry
  • TSA's reply to KNO/KNA's allegations
  • 21st Manipur Integrity Day : Gallery
  • Konung Kang Chingba #3 : Gallery
  • Ecological, social impact of Ithai Barrage #3
  • Swindling Manipuris in solving Naga issue
  • The Last of the Romantics :: Poem
  • 'Thoughts on MU strategies'
  • Concerned about continued closure of MU
  • Fear factor
  • No takers for 1 month leave
  • View from Shirui Hills #1 : Gallery
  • Manipur as seen by Meiteis, Nagas, & Zo
  • Certificate Distribution at Nirjuli, ArP
  • Contract Jobs available at NIELIT HQs
  • Cry of a Dying River - 39 :: Poem
  • Banana flower vada
  • Entrance for Free Residential IAS Coaching
  • Resolution of NPF Consultative Meeting
  • Concerned about militants' interference
  • Issues : From ILP, MU to FA
  • Emergence Nongda Lairen Pakhangba #2
  • MU Rally at Canchipur : Gallery
  • News Analysis 0f Akashvani Imphal
  • ILP: A Genuine Idea Lost in Translation
  • Tryst with an Alzheimer's patient #2
  • Letter to Prime Minister of India
  • Female DTP faculty reqd at Protocol
  • In between :: Poem
  • Sowing the seeds of Greater Lim
  • General strike on article 371 (A) #1 : Gallery
  • Student is important or AP Pandey
  • Article 371A is sui generis
  • Protection on Land, Environment at TML
  • Press Conference on MU Crisis at Delhi
  • Oppose extension of Article 371(A)
  • DTP-Desktop Publishing course at Nambol
  • Certificate Distribution at Namsai, ArP
  • Rejoinder to KNO/KNA on Moreh attack
  • Issues which burn Manipur State Assembly
  • The brand of politics in MU crisis
  • Central team @ BP 81 , Kwatha #3 : Gallery
  • August Calendar for Year 2018 :: Tools
  • Protest against MHRD @Delhi : Gallery
  • People's Strike greets this August
  • Slump in fight against #AIDS
  • What does moonlight want ? :: Poem
  • MU students protest against MHRD
  • An Unknown killer - "E-Waste"
  • Talking peace and threatening others
  • Singcha Wuya Won @Kamjong #1 : Gallery
  • Dismal Politics in Universities
  • Kanglen Kang Chingba #1 : Gallery
  • Engulfing Uncertainties
  • Ecological, social impact of Ithai Barrage #2
  • Certificate Distribution at Dibang, ArP
  • EEVFAM case: Report for 30 July
  • Pertaining to statement of T. R. Zeliang
  • Issues plaguing the state
  • What is the stand of BJP Govt ?
  • Monsoon Assembly Session : Gallery
  • Election 2019: end of road for Modi
  • The absurd baby talk :: Poem
  • Assam University BTech, MTech Admission
  • Saving the Rhinos - Campaign
  • Arrest perpetrators of Moreh attack
  • Training programmes of NCC
  • Central team @ BP 81 , Kwatha #2 : Gallery
  • MU: Students clash with Police #2: Gallery
  • Prospects of coffee in Manipur
  • Why ILP should not be implemented
  • Hill students get alert on Trafficking
  • IBSD Meghalaya inaugurated
  • Conference on India-Vietnam
  • Govt's strategically pre planned conflict
  • Heart ruptured but life saved
  • Pseudo intellectuals should stop thinking
  • Mass sit-in protest : How about Nagaland?
  • Folklore genres of Meetei community
  • Kang Khichri chaba : Gallery
  • Binalakshmi Nepram at United Nations, NY
  • Certificate Distribution at Changlang, ArP
  • Out to clear her name
  • CBI failed to comply to SC orders
  • Condemned as a cry in wilderness
  • Security meeting conducted
  • Ripe opportunity for awareness & action
  • Is the NRC of 1951 available ?
  • Central team @ BP 81 , Kwatha #1 : Gallery
  • Our Common Crisis: What are We to Do #3
  • ..Take a break from the common road
  • Skin problems that arise during monsoon
  • Cry of a Dying River - 38 : Poem
  • Meghalaya edition of NH7 Weekender
  • 'Special status' under which provisions ?
  • Issues which need minute deliberations
  • Pay Nareckpi : Funga Wari
  • Kayada Ningthijaba Lambino : Story telling
  • Yumkhaibam Nanao: Walking from Delhi..
  • Ningol Pali at Kang Festival : Gallery
  • Eyek Tamba :: Learn Manipuri script
  • Naga American conference at California
  • MU: Students clash with Police #1: Gallery
  • Kanglen Kang Chingba : Gallery
  • ISKCON Kang Chingba festival : Gallery
  • Meira Rally protest of MU VC : Gallery
  • Bandh demanding VC removal #2 : Gallery
  • Front Page Photo 2018 #3: Gallery
  • Art Exhibit @Imphal Art College #1 : Gallery
  • Kang Khichri chaba @Kwakeithel : Gallery
  • Dzuko valley #4 :: 360 Panorama View
  • Manglandasu Nang - OST :: e-pao Radio
  • HSLC 208 Exam Toppers : Gallery
  • Class XII Exam Toppers : Gallery
  • Temples of Manipur : Gallery
  • Old Manipuri Movie #1 :: eRang Classic
  • SPONSORED ADS