Lancet Editorial, Opinion Pieces Discuss Global AIDS Epidemic, Future Of HIV Response

The Lancet: The global HIV/AIDS epidemic — progress and challenges
Editorial Board

“On July 20, UNAIDS released their annual report on the status of the global HIV/AIDS epidemic, which also includes a comprehensive analysis of progress towards ending AIDS as a public health threat. … The report emphasizes that there is no room for complacency. … Current approaches need to be more efficient, and innovations around diagnosis, treatment, service delivery, and surveillance and monitoring need to be brought to bear. The UNAIDS annual report is a vital benchmark for identifying progress, successes, shortfalls, and gaps in tackling the global HIV epidemic. The use of the 90-90-90 goals provides a useful framework that can help countries prioritize their paths and actions toward an AIDS-free world. But what actions will now follow?” (7/22).

The Lancet: 90-90-90 and ending AIDS: necessary and feasible
Reuben Granich, vice president and chief technical officer at the International Association of Providers of AIDS Care; Brian Williams, research associate at the South African Centre for Epidemiological Modelling and Analysis; Julio Montaner, director of the British Columbia Centre for Excellence in HIV/AIDS; and José M. Zuniga, ‎president and CEO at International Association of Providers of AIDS Care

“…Global public health security and human rights demand a focus on ending AIDS. Prioritizing expanded access to HIV self-testing, delivering life-long treatment through community-based comprehensive HIV services, efficiently using limited resources, harnessing new information technology, and enabling meaningful community engagement will all be necessary. Although there are signs of cynicism and complacency, now is not the time to falter on the collective global HIV response. It is time to double down on investment and finish the job of ending AIDS” (7/22).

The Lancet: The International AIDS Society — Lancet Commission on the future of the HIV response and global health
Chris Beyrer, immediate past president of the International AIDS Society (IAS) and professor at the Johns Hopkins Bloomberg School of Public Health; Pamela Das, senior executive editor at The Lancet; Richard Horton, editor in chief at The Lancet; Owen Ryan, executive director of the IAS; and Linda-Gail Bekker, president of the IAS

“…[T]he International AIDS Society (IAS) and the Lancet have formed a Commission on the future of the HIV response and global health. … The IAS-Lancet Commission will interrogate questions of integration and service delivery as HIV services are increasingly integrated into health systems. It will explore key domains in global health with relevance to HIV, and propose ways forward for an invigorated and sustainable global health effort. The Commission will seek to provide evidence for concrete action by policymakers, international bodies, funding agencies, academic institutions, health service providers, and communities through comprehensive review, scenario-based modeling, costing, and policy development. … [T]here are potential vital synergies that could galvanize both HIV responses and global health efforts in the [Sustainable Development Goals (SDG)] era that can and should be explored” (7/22).

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