Ending AIDS in the Asia–Pacific region by 2030: are we on track? Policy, epidemiological and intervention insights

Abstract

The Asia–Pacific region is home to nearly 6 million people living with HIV. Across the region, key populations – men who have sex with men, transgender women, people who inject drugs, sex workers, prisoners – and their sexual partners make up the majority of those living with HIV. While significant progress has been made in the past 5 years towards UNAIDS’s 90–90–90 goals (90% of people with HIV diagnosed, 90% on antiretroviral therapy, 90% virologically suppressed), significant gaps remain. The papers in this Special Issue address important questions: are we on track to end the AIDS epidemic in the Asia–Pacific region? And can countries in this region reach the new UNAIDS targets for 2030?

Australian sexually transmitted infection (STI) management guidelines for use in primary care 2022 update

“…This reflects the aim of eliminating HIV transmission and the rise of syphilis notifications in Australia. 4 This is consistent with the WHO guidance for integrating HIV testing with STI clinical services to create opportunities for early diagnosis of co-infections and increase uptake of HIV testing among populations at higher risk for HIV infection. 5,6 HIV testing opportunities are still being missed for people tested for other STIs or diagnosed with STIs.…”

Epidemiological Characteristics and Transmissibility of Human Immunodeficiency Virus in Nanning City, China, 2001–2020

“…This will also improve the rate of condom use. Individual behaviours will reduce the population's susceptibility and reduce the speed of HIV transmission (10,42). From 2005 to 2011, the The HIV fatality rate of HIV in Nanning City was at a high level from 2005 to 2011, and showed a slowly increased.…”

“…Since 2010, most newly HIV infections have been were reported in Asia (8). Although the prevalence of HIV in the Asia-Pacific region remains relatively low (about 15.35%) (9), as ofin 2020, only three countries have achieved the 90-90-90 goals (90% of people with HIV diagnosed, 90% on antiretroviral therapy, 90% virologically suppressed) in Asia, which excluded excluding China (10). As for In China, the HIV epidemic of HIV started later.…”

Pre-exposure prophylaxis (PrEP) efficacy to reduce HIV/AIDS incidence rate among male sex to male (MSM) in Asia

“…The majority of people living with HIV are key populations, including men sex to men (MSM), transgender women, the person who inject drugs, sex workers, and prison inmates. 4 Globally, among key populations, homosexuals and MSM have the highest proportion of HIV infection (23 of 65%) 1 . The MSM group consists of homosexual men, bisexual men, and transgender people (male to a female) 5 .…”

“…Pre-exposure prophylaxis (PrEP) is one of the strategies to prevent HIV infection, especially in populations who are at extremely high risk of acquiring HIV infection, such as MSM and transgender 6,7 . Although PrEP has been introduced for more than a decade, PrEP is still underutilized, especially in Asian countries 4 . Various factors were identified as the cause of low PrEP utilization in key populations.…”