ECDC and WHO require enhanced HIV screening in Europe


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IMAGE: Sex in between guys stays the primary mode of HIV transmission reported in the EU/EEA, representing 39% (9 598) of all brand-new HIV medical diagnoses in 2019 and majority …
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Credit: ECDC

The variety of individuals coping with undiagnosed HIV is increasing in the WHO European Area. According to information released today by ECDC and the WHO/Europe, more than 136 000 individuals were recently detected in 2019 – approximately 20% of these medical diagnoses remained in the EU/EAA and 80% in the eastern part of the European Area.

Every 2nd HIV medical diagnosis (53%) occurs at a late phase of the infection, when the body immune system has actually currently begun to stop working. This is an indication that screening techniques in the Area are not working correctly to detect HIV early.

The variety of individuals detected with HELP, the end-stage of an unattended HIV infection, has actually decreased by majority in the last years and the Sustainable Advancement Objective (SDG) target of ending the AIDS epidemic by 2030 is attainable. Nevertheless, in the EU/EEA for instance, 74% of the 2 772 AIDS medical diagnoses in 2019 were made soon after the preliminary HIV medical diagnosis – within 3 months. This reveals a substantial issue with late medical diagnosis of HIV infection.

Late medical diagnosis adds to continuous HIV transmission as, frequently for many years at a time, individuals do not understand they have HIV and are not getting treatment.

Although the pattern throughout the Area as a whole has actually stabilised in the last few years, the variety of individuals recently detected with HIV has actually increased by 16% given that 2010. On the other hand, the percentage of brand-new medical diagnoses throughout EU/EEA nations has actually decreased by 9% over the exact same duration.

The variety of recently reported HIV medical diagnoses and the approximated variety of brand-new HIV infections in the entire WHO European Area reveal that more individuals have actually ended up being contaminated with HIV over the last years than have actually been detected, showing that the variety of individuals coping with undiagnosed HIV is increasing in the Area.

In the EU/EEA, the opposite pattern has actually been observed: the variety of individuals coping with undiagnosed HIV has actually been falling.

ECDC Director Dr Andrea Ammon highlights: “Regardless of the concentrate on COVID-19 today, we should not forget other public health problems like HIV. Earlier medical diagnosis of HIV is an immediate top priority. We can not reach the Sustainable Advancement Objective target if takes approximately 3 years for individuals to learn that they are HIV-positive after infection with the infection. 3 years throughout which live-saving treatment is not offered to them and throughout which they can unwittingly hand down HIV. If we wish to minimize the high percentage of individuals detected late, it is necessary to diversify our HIV screening techniques as detailed in the ECDC screening assistance, for instance.”

Dr Hans Kluge, WHO Regional Director for Europe, states: “I keep in mind when a medical diagnosis of HIV appeared like a death sentence. Now, with correct treatment, individuals with HIV can live without worry of HELP. These information are from 2019, and the concern in 2020 needs to be what result the pandemic will have had on screening by the end of 2021. In the meantime, our message needs to be to secure the development of the last years by continuing to focus on HIV screening and getting treatment to those who require it. We can not enable the pandemic to rob us of an AIDS-free future that is within our grasp.”

Early medical diagnosis: greater life span and less transmission

The HIV/AIDS security information for 2019 program that the percentage of those who are detected late boosts with age.

Throughout the entire Area, 67% (EU/EEA: 65%) of individuals aged 50 years and older were detected late in the course of their HIV infection. In 2019, one in 5 brand-new HIV medical diagnoses remained in an individual over 50 years of age.

The factors for this are not yet completely comprehended. It might be that older grownups themselves, or the health care employees taking care of them, ignore the danger of infection. Older grownups might be more impacted by the preconception connected with the illness and less comfy asking to be checked.

WHO/Europe and ECDC tension that to minimize the variety of future HIV infections, Europe requires to concentrate on 3 primary locations: .

  1. Prioritising a variety of avoidance procedures, such as awareness-raising, promo of more secure sex, prophylactics, arrangement of needle exchange programs and opioid replacement treatment, and pre-exposure prophylaxis for HIV, likewise referred to as PREPARATION; .
  2. Offering effective HIV counselling and screening services, consisting of quick diagnostic services, community-based HIV screening and HIV self-testing; and .
  3. Guaranteeing quick access to quality treatment and look after those detected.

Early medical diagnosis is essential due to the fact that it permits individuals to begin HIV treatment earlier, which in turn increases their possibilities of living a long and healthy life and avoids more transmission.

Assistance to enhance screening in Europe

In their standards, both WHO/Europe and ECDC advise that HIV screening services consist of self-testing and community-based screening by ordinary companies utilizing quick tests.

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Monitoring report offered from:
https://www.ecdc.europa.eu/en/news-events/world-aids-day-2020-towards-2030

Notes to the editor

Late medical diagnosis is specified as having a CD4 cell count listed below 350 cells/mm3 blood at the time of medical diagnosis. This is a procedure of the individual’s body immune system operating.

The WHO European Area consists of 53 nations, with a population of almost 900 million individuals, of which around 508 million reside in the EU/EEA (27 EU Member States, the UK plus Iceland, Liechtenstein and Norway).

World AIDS Day was presented by the World Health Company (WHO) in 1988 and is observed every year on 1 December to raise awareness of the AIDS pandemic brought on by HIV infection.

HIV/AIDS: The human immunodeficiency infection (HIV) is an infection, which assaults the body immune system and triggers a long-lasting serious disease with a long incubation duration. The end-stage of the without treatment infection, obtained immunodeficiency syndrome (HELP), arises from the damage of the body immune system. AIDS is specified by the existence of several “opportunistic” diseases (other diseases due to reduced resistance).

Sustainable Advancement Objectives (SDG) and 90-90-90 targets: in 2015, 17 Sustainable Advancement Objectives (SDGs), each with particular targets for 2030 were presented by the UN, consisting of target 3.3 to end AIDS as a public health hazard by 2030.

In 2014, UNAIDS and partners released the so-called ’90-90-90 targets’ with the go for 2020 that 90% individuals coping with HIV are detected (early) and 90% of those detected get antiretroviral treatment (ART) which results in viral suppression amongst 90% of those on such treatment, i.e. the infection is no longer noticeable in the blood. Such an undetected viral load likewise implies that HIV favorable individuals on reliable treatment do not transfer the infection. Newest information on development towards these 90-90-90 throughout Europe and Central Asia can be discovered here:
https://www.ecdc.europa.eu/en/publications-data/continuum-hiv-care-monitoring-implementation-dublin-declaration-2018-progress .

Disclaimer: AAAS and EurekAlert! are not accountable for the precision of press release published to EurekAlert! by contributing organizations or for using any info through the EurekAlert system.



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