In 2014, The Joint United Nations Program on HIV and AIDS (UNAIDS) has set an ambitious target code-named 90-90-90, which aims to ensure that 90% of all people living with HIV will know their state, 90% of all people diagnosed will receive sustained antiretroviral therapy, and 90% of all people receiving ART will have viral suppression by 2020. Since 2014, many tests and treatment programs have been developed to achieve the above goals worldwide. In 2019, it was reported that many developed countries can reach the target with the right strategies, as well as regions that are still far from the targets.

It has been reported that the fourth 90 should be one of the targets related to HIV infection in recent years. This view, beyond virological suppression, was towards developing programs that would enable people living with HIV to live not only longer but also healthy.

The socio-cultural and economic obstacles to reach the targets may vary according to geographical regions, but it is clear that COVID-19 disease, which has taken the whole world under the influence since 2019, is a major obstacle to the 90-90-90 targets worldwide.

Difficulties in the diagnosis and access to ART and treatment nonadherence which may be encountered more frequently due to many factors may threaten both the health of people living with HIV and public health.

The COVID-19 pandemic has disrupted many programs developed in the fight against the HIV epidemic.

Considering COVID-19 disease and future epidemics that may create a chaotic environment, analyzing the difficulties experienced in the pandemic retrospectively, and determining new strategies that will bring appropriate solutions to the problems will play an important role in the proper management of future issues.

2014年，联合国艾滋病毒与艾滋病联合规划署（UNAIDS）设定了一个雄心勃勃的目标代码，命名为90-90-90，旨在确保90％的艾滋病毒携带者知道自己的状况，其中90％的人知道自己的状况。所有被诊断的人都将接受持续的抗逆转录病毒疗法，到2020年，接受ART的人中将有90％受到病毒抑制。自2014年以来，已经开发了许多测试和治疗方案来实现全球上述目标。据报道，在2019年，许多发达国家可以通过正确的战略以及距离目标还很远的地区实现这一目标。

据报道，第四个90应该是近年来与HIV感染有关的目标之一。除病毒学抑制外，这种观点还在于制定方案，使艾滋病毒携带者不仅可以更长寿，而且可以健康。

达到目标的社会文化和经济障碍可能会因地理区域而异，但很明显，自2019年以来影响全世界的COVID-19疾病是90-90年代的主要障碍全球有90个目标。

由于许多因素，可能更经常遇到诊断和获得抗逆转录病毒疗法的困难以及治疗的不依从性，这可能威胁到艾滋病毒携带者的健康和公共卫生。

COVID-19大流行中断了许多与HIV流行作斗争的计划。

考虑到可能会造成混乱环境的COVID-19疾病和未来流行病，回顾性分析大流行中遇到的困难，并确定将为问题提供适当解决方案的新策略，将在正确管理未来问题中发挥重要作用。