World Health Organisation says 38 million people in the world lived with HIV infection last year.
According to WHO, an estimated 26 million people globally were on antiretroviral treatment in mid-2020, against 2.4 per cent from an estimated 25.4 million at the end of 2019.
In marking World AIDS Day on December 1, WHO noted, “This increase is too slow by comparison to last year where treatment coverage increased by an estimated 4.8% between January and June of 2019.
“In 2019, there were still 38 million people living with HIV infection. One in five people living with HIV were not aware of their infection and one in 3 people receiving HIV treatment experienced disruption to the supply of HIV treatments, testing and prevention services, especially children and adolescents.
“In 2019, 690 000 people died from HIV-related causes and 1.7 million people were newly infected, with nearly 2 in three (62%) of these new infections occurring among key populations and their partners.
Despite significant efforts, progress in scaling up HIV services was already stalling before the COVID-19 pandemic.
S”lowing progress means the world will be missing the “90-90-90” targets for 2020, which were to ensure that: 90% of people living with HIV are aware of their status; 90% of people diagnosed with HIV are receiving treatment; and 90% of all people receiving treatment have achieved viral suppression. Missing these intermediate targets will make it even more difficult o achieve the end of AIDS by 2030.
T”he breakdown in essential HIV services due to COVID-19 threatens lives. COVID makes it difficult and dangerous for frontline health workers to deliver continuous, high quality HIV services to everyone who needs them. Sickness and restricted movement make it difficult for people living with HIV to access services.
“Economic disruption caused by COVID can make HIV services unaffordable or unobtainable. And the pandemic may interfere with supply chains and service delivery. For example, as of July 2020, one third of people on HIV treatment had experienced drug stockouts or interruptions in supplies.
“Supply disruptions such as these are devastating; a WHO and UNAIDS modeling study showed that six-month disruption in access to HIV medicines could lead to a doubling in AIDS-related deaths in sub-Saharan Africa in 2020 alone.
Now is the time for us to once again make a leap in our response to work together to end COVID-19 and get back on track to end HIV by 2030.
On World AIDS Day 2020, WHO is calling on global leaders and citizens to rally for “global solidarity” to overcome the challenges posed by COVID-19 on the HIV response.
“Among 24 countries with monthly data reported to UNAIDS and WHO, people currently on treatment have been supported and maintained, but testing has declined in all and newly enrolled on treatment has been halved. In the last few months; however, there positive signs of rebound in testing and treatment services.
WHO is calling on global leaders and citizens to rally for “global solidarity” to maintain essential HIV services during COVID 19 and beyond – and to ensure continued provision of HIV services for children, adolescents and populations most at risk for the disease.
Dr Meg Doherty, Director of WHO’s Department of Global HIV, Hepatitis and STI Programmes said “The Organization also called on countries to provide health workers with greater protection and support so they can continue their work safely during the pandemic.
“Protecting people from HIV during the pandemic, and ensuring they can maintain treatment, is critical. Researchers are currently investigating whether people with HIV have an increased risk of poor outcomes with COVID-19.
“Preliminary evidence of a moderate increased vulnerability of people with HIV makes it even more urgent that people with HIV have access to antiretrovirals (ARVs) and treatments for co-morbidities – such as treatment for non-communicable diseases (NCDs), chronic obstructive pulmonary disease (COPD), diabetes and tuberculosis.
“WHO and partners sounded the alarm earlier this year, concerned at the impact of reported disruptions in service delivery. But now, thanks to the unstinting work of health and community workers, the number of countries reporting disruptions in HIV services has declined by almost 75% since June.
“Only 9 of the 152 countries surveyed are still reporting disruptions (maps: June 2020 – November 2020); and in June, 24 countries reported less than 3 months supply of ARVs, while now only 12 report a critically low stock.
“This is mainly due to the implementation of existing guidelines, including providing multi-month dispensing (MMD) of ARVs for 3-6 months to patients who did not have access to health facilities; strong WHO-led global, regional, country, manufacturer and partner coordination to ensure adequate supply of drugs stocks, and sustained provision of facility-based essential health services and community delivery mechanisms.
“But countries have also introduced a number of effective adaptations and innovations in service delivery during COVID-19. These include:
* In many countries in sub-Saharan Africa, testing for COVID-19 has heavily relied on the laboratory systems built and developed by HIV and TB programs. Devices have been shared across programs as well as infrastructure, sample transport systems, and highly skilled staff.
*In Thailand, PrEP services have been delivered through key population led health services providing multi-month dispensing, telehealth, Xpress service, self-sampling, and counselling.
*In Bulgaria, a demonstration project showed strong community demand for HIV self-testing which also led to expansion of testing services to reduce inequalities between rural and urban areas.
“On World AIDS Day 2020, we pay tribute to the communities and countries who have shown resilience and innovation – often spearheaded by people themselves living with HIV,“ Doherty said.
“This is vital, because while we focus on fighting this new pandemic, we must not drop our guard on a twin pandemic that has been with us for 40 years and which is far from over,” she noted.
Progress towards global targets for diagnosis and treatment has slowed down considerably this year.
WHO hopes that some of the innovative approaches adopted during COVID-19 can help the world catch up and accelerate progress towards our new 2025 targets and the SDG goals of ending AIDS as a public health threat by 2030.
WHO has chosen to focus on “Global solidarity, resilient HIV services” as the WHO theme for World AIDS Day this year.
