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The global burden of HIV and prospects for control.
The Lancet HIV ( IF 16.1 ) Pub Date : 2019-08-19 , DOI: 10.1016/s2352-3018(19)30230-9
Abhishek Pandey 1 , Alison P Galvani 1
Affiliation  

HIV/AIDS continues to have devastating health effects globally, with over 39 million HIV/AIDS-related deaths to date and more than 36 million people living with HIV currently. Despite great advancements in antiretroviral therapy (ART) and worldwide progress towards implementation of treatment-as-prevention programmes, approximately 2 million people become newly infected with HIV every year. Retrospectively, evaluations of the HIV burden are integral to the assessment of control approaches. Prospectively, projections of future HIV burdens are instrumental to guide resource allocation and policy optimisation. In The Lancet HIV, the GBD 2017 HIV Collaborators assess trends in HIV incidence, prevalence, mortality, and treatment coverage for 195 countries and territories from 1980 to 2017. Furthermore, they use these trends to forecast the course of country-specific HIV trends in the context of achieving UNAIDS goals. The aspirational 90-90-90 goal of UNAIDS aims to globally diagnose 90% of people living with HIV, provide treatment to 90% of people diagnosed, and achieve viral suppression in 90% of people on treatment by 2020. A subsequent 95-95-95 goal is set for 2030. The global HIV care continuum stands today at 75-79-81, corresponding to viral suppression in 48% of people living with HIV.

中文翻译:

全球艾滋病毒负担和控制前景。

艾滋病毒/艾滋病继续对全球健康造成破坏性影响,迄今为止,已有3900万与艾滋病毒/艾滋病相关的死亡,目前有3600万以上的艾滋病毒感染者。, 尽管抗逆转录病毒疗法(ART)取得了长足进步,并且全球在实施预防治疗计划方面取得了进展,但每年仍约有200万人新感染艾滋病毒。, 回顾性的HIV负担的评价是不可或缺的控制的评估方法。潜在地,对未来艾滋病毒负担的预测有助于指导资源分配和政策优化。在柳叶刀艾滋病,GBD 2017 HIV合作者评估了1980年至2017年间195个国家和地区的HIV发病率,患病率,死亡率和治疗覆盖率的趋势。此外,他们使用这些趋势来预测在实现以下目标的情况下针对特定国家的HIV趋势的过程艾滋病规划署的目标。联合国艾滋病规划署的雄心勃勃的90-90-90目标旨在到2020年全球诊断90%的艾滋病毒感染者,为90%的确诊者提供治疗,并在90%的接受治疗的人中实现病毒抑制。随后的95-95设定到2030年的目标是-95。今天,全球艾滋病毒护理统筹保持在75-79-81,与48%的艾滋病毒感染者的病毒抑制相对应。
更新日期:2019-12-03
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