Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Harris, Norma S. ; Johnson, Anna Satcher ; Huang, Ya-Lin A. ; Kern, Dayle ; Fulton, Paul ; ... More +
Harris, Norma S. ; Johnson, Anna Satcher ; Huang, Ya-Lin A. ; Kern, Dayle ; Fulton, Paul ; Smith, Dawn K. ; Valleroy, Linda A. ; Hall, H. Irene Less -
Corporate Authors:
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.)
Description:
Background

Approximately 38,000 new human immunodeficiency virus (HIV) infections occur in the United States each year; these infections can be prevented. A proposed national initiative, Ending the HIV Epidemic: A Plan for America, incorporates three strategies (diagnose, treat, and prevent HIV infection) and seeks to leverage testing, treatment, and preexposure prophylaxis (PrEP) to reduce new HIV infections in the United States by at least 90% by 2030. Targets to reach this goal include that at least 95% of persons with HIV receive a diagnosis, 95% of persons with diagnosed HIV infection have a suppressed viral load, and 50% of those at increased risk for acquiring HIV are prescribed PrEP. Using surveillance, pharmacy, and other data, CDC determined the current status of these three initiative strategies.

Methods

CDC analyzed HIV surveillance data to estimate annual number of new HIV infections (2013–2017); estimate the percentage of infections that were diagnosed (2017); and determine the percentage of persons with diagnosed HIV infection with viral load suppression (2017). CDC analyzed surveillance, pharmacy, and other data to estimate PrEP coverage, reported as a percentage and calculated as the number of persons who were prescribed PrEP divided by the estimated number of persons with indications for PrEP.

Results

The number of new HIV infections remained stable from 2013 (38,500) to 2017 (37,500) (p = 0.448). In 2017, an estimated 85.8% of infections were diagnosed. Among 854,206 persons with diagnosed HIV infection in 42 jurisdictions with complete reporting of laboratory data, 62.7% had a suppressed viral load. Among an estimated 1.2 million persons with indications for use of PrEP, 18.1% had been prescribed PrEP in 2018.

Conclusion

Accelerated efforts to diagnose, treat, and prevent HIV infection are needed to achieve the U.S. goal of at least 90% reduction in the number of new HIV infections by 2030.


Subject:
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Adolescent
Adult
Female
HIV Infections
Humans
Male
Mass Screening
Middle Aged
Pre-Exposure Prophylaxis
Viral Load
Vital Signs
Young Adult

Source:
MMWR Morb Mortal Wkly Rep. 68(48):1117-1123
Pubmed ID:
31805031
Pubmed Central ID:
PMC6897528
Document Type:
Journal Article
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:61f27d69ede9778dcf8339e0ed1802441efa54b5005ed431b893187cc137cea5
File Type:

Supporting Files

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