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Four fast-track cities announce 90-90-90 data on HIV/AIDS
Four cities that are part of a plan to end the HIV/AIDS epidemic in their communities by 2030 announced 90-90-90 data at AIDS 2016 in Durban, South Africa, this week.
Amsterdam; Denver; Kiev, Ukraine; and Paris are among the fast-track cities that have pledged to accelerate their HIV/AIDS responses as part of a program launched on World AIDS Day in 2014.
“Attaining the 90-90-90 and zero discrimination and stigma targets in high HIV burden cities is grounded in data-driven HIV care continuum optimization that aims to leave no one behind and holds stakeholders accountable,” José M. Zuniga, PhD, MPH, president and CEO of the International Association of Providers of AIDS Care (IAPAC), said in a press release.
Figure 1. Data presented at AIDS 2016 show how close four cities are to the UNAIDS 90-90-90 targets (Table 1), as well as the percentages of patients in those four cities and in San Francisco who have been diagnosed, linked to care, prescribed ART and virally suppressed (Table 2).
Source: IAPAC
Click the image to enlarge.
“Our work with fast-track cities to generate 90-90-90 and HIV care continuum data allows us to understand specific barriers affecting the HIV care continuum, thus permitting cities to devise informed strategies to attain the decisive targets and contribute toward the goal of ending AIDS as a public health threat by 2030. We applaud fast-track cities for their commitment to transparency and accountability, and look forward to announcing future milestones.”
Amsterdam is closest to reaching the UNAIDS 90-90-90 target, in which 90% of all HIV patients know their status, 90% of those patients receive sustained ART, and 90% of patients on ART achieve viral suppression. The Dutch capital stands at 93%, 88% and 94%, respectively.
Among the four cities, only Kiev (51%-44%-85%) has not reached the 90% target in any of the categories.
Paris stood at 81%-82%-94%. The French capital is one of four core partners of the program, along with the IAPAC, UNAIDS, and the United Nations Human Settlements Program.
“We all share the same certainty: We no longer have the right to see and bear the worsening of the HIV epidemic when solutions exist,” Anne Hidalgo, mayor of Paris, said in the release. “And because these solutions exist, we have no excuse for inaction. AIDS is a political fight, so I want to say it loud and clear: Paris is committed to ending the AIDS epidemic.”
Denver did not announce data for patients on ART, but reported 90% diagnosis and 87% viral suppression.
All four cities, plus San Francisco, also announced HIV care continuum data, which includes the percentages of people with HIV who have been diagnosed, linked to care, receiving ART and virally suppressed. San Francisco announced that 93% of HIV patients had been diagnosed, 69% were in continued care, 65% were on ART, and 60% had achieved viral suppression. – by Gerard Gallagher
Disclosures: Hidalgo is the mayor of Paris. Zuniga is president and CEO of IAPAC.