The annual number of new HIV infections in men who have sex with men (MSM) in the UK is likely to drop dramatically from 2,770 in 2013 to 854 in 2018, and eradication of HIV infection by 2030 is within reach. Indicates that it is in range.By researchers at the MRC Biostatistics Unit at the University of Cambridge and Public Health England (PHE) Lancet HIV..
Enhanced testing and early treatment strategies were expanded between 2011 and 2015 and complemented by pre-exposure prophylaxis (PrEP) from 2015 to control the HIV epidemic in the UK’s MSM. Researchers are investigating the impact of these interventions on the number of new infections, and the United Nations (UN) goal of controlling HIV and eradicating HIV infection by 2030 is within reach among MSMs in the United Kingdom. I investigated whether it was within the range.
The complexity of this assessment is that no HIV infection has been observed. Regular surveillance collects data on new HIV diagnoses, but new diagnostic trends alone represent an infection that occurred many years ago and may depend on the testing behavior of the infected person. , May be misleading.
To estimate new HIV infections in adult MSMs (aged 15+) over the 10 years from 2009 to 2018, researchers have been working on HIV and AIDS diagnoses collected regularly through national HIV and AIDS reports. I used a new statistical model with data. Knowledge of the British system and the progression of HIV. Estimated trends in new infections have been extrapolated to understand the potential to achieve the UN eradication goal defined as less than one new infection per 10,000 MSMs per year by 2030.
The peak number of new HIV infections in men who have sex with men in the United Kingdom is estimated to have occurred between 2012 and 2013, and then dropped sharply from 2,770 in 2013 to 1,740 in 2015, starting in 2016. It decreased steadily to 854 cases. The decrease was consistent in all age groups, but was particularly pronounced in MSM aged 25-34 years and was most modest in those aged 45 years and older. Importantly, this decline began before the spread of PrEP in 2016, demonstrating the success of testing and treatment as a pre-exposure prophylaxis in MSM in the United Kingdom.
With extrapolation, researchers calculated a 40% chance that the UK would reach the UN exclusion target by 2030, and to increase this chance, target relevant age-specific targets for further preventive efforts. Identified (ie, for MSMs over 45 years old).
Professor Daniela de Angelis, senior author and deputy director of the MRC Biostatistics Unit at the University of Cambridge, said:
“This is very good news and suggests that the precautionary measures adopted in the UK since 2011 are effective. With the deployment of PrEP, the UK aims to eliminate infections by 2030. The current challenge is to achieve these reductions in all groups at risk of HIV transmission in order to recognize and respond appropriately to changes in the current declining trend. is.”
Valerie Delpech, Head of National HIV Surveillance for Public Health England, said:
“The UK is on track to end HIV infection by 2030. Frequent testing for HIV and the use and diagnosis of PrEP among people at highest risk of HIV. Prompt treatment of people is the key to ending HIV infection by 2030.
“If you are diagnosed with HIV, you can benefit from life-saving HIV treatment, which also means that you cannot spread the virus.
“During the pandemic of Coronavirus Disease (COVID-19), testing for sexually transmitted diseases remains available at sexual health clinics. Many clinics offer online testing throughout the year. People at the clinic You can order a test on the website, take it home while you are at home, return home by mail to receive it, and have it tested. The results will be notified by text, phone, or mail.
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