Progress towards the United Nations 90‐90‐90 and 95‐95‐95 targets: the experience in British Columbia, Canada

Lima, Viviane D.; St-Jean, Martin; Rozada, Ignacio; Shoveller, Jean; Nosyk, Bohdan; Hogg, Robert S.; Sereda, Paul; Barrios, Rolando; Montaner, Julio S. G.

doi:10.1002/jia2.25011

Cited by 30 publications

(25 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 34 , 42 The final 90-90-90 target therefore is 73% of persons living with HIV with suppressed viral load (0.90 × 0.90 × 0.90 = 0.73), although UNAIDS urges a 95-95-95 target by 2030. 43 , 44 The Latin America and Caribbean (LAC) region was praised, alongside eastern and southern Africa, for being the first among the developing country blocs to achieve >40% viral suppression, thereby placing these regions on close par with the developed country bloc consisting of western and central Europe and North America. 41…”

Section: Curementioning

confidence: 99%

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Landis

Abayomi

Bain

et al. 2018

AIDS Research and Human Retroviruses

View full text Add to dashboard Cite

The CCAS EXPERT SUMMIT convened an array of international experts in Barbados on August 27–31, 2017 under the theme “From Care to Cure–Shifting the HIV Paradigm.” The Caribbean Cytometry & Analytical Society (CCAS) partnered with the Joint United Nations Programme on HIV/AIDS (UNAIDS) to deliver a program that reviewed the advances in antiretroviral therapy and the public health benefits accruing from treatment as prevention. Particular emphasis was placed on reexamining stigma and discrimination through a critical appraisal of whether public health messaging and advocacy had kept pace with the advances in medicine. Persistent fear of HIV driving discriminatory behavior was widely reported in different regions and sectors, including the healthcare profession itself; continued fear of the disease was starkly misaligned with the successes of new medical treatments and progress toward the UNAIDS 90-90-90 targets. The summit therefore adopted the mantra “Test-Treat-Defeat” to help engage with the public in a spirit of optimism aimed at creating a more conducive environment for persons to be tested and treated and, thereby, help reduce HIV disease and stigma at the individual and community levels.

show abstract

Section: Curementioning

confidence: 99%

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Landis

Abayomi

Bain

et al. 2018

AIDS Research and Human Retroviruses

View full text Add to dashboard Cite

show abstract

“…Owing to the high global HIV burden, the Joint United Nations Programme on HIV/AIDS (UNAIDS) in 2014 declared the "90-90-90" strategy, where 90% of people who are infected should know their status through testing, of whom 90% positive individuals be put on antiretroviral medication and of those on medication, 90% should achieve viral load suppression by the year 2020 [4,5]. With less than a year to attaining the "90-90-90" target, current records show that only 47% of people living with HIV (PLWH) have achieved viral suppression worldwide [2,6]. In Africa, the rate of viral suppression among PLWH in the Eastern and Southern regions are reported to be 52% [1].…”

Section: Introductionmentioning

confidence: 99%

Viral Suppression and Its Associated Factors in HIV Patients on Highly Active Antiretroviral Therapy (HAART): A Retrospective Study in the Ho Municipality, Ghana

Lokpo

Ofori-Attah

Ameke

et al. 2020

AIDS Research and Treatment

View full text Add to dashboard Cite

Background. The WHO targets to end HIV/AIDS as a public health problem by 2030. The introduction of the ambitious “90-90-90” strategy to attain this target is expected to be achieved by the year 2020. However, there is lack of regional data, especially on the third “90.” This study sought to assess the rate and associated factors of viral suppression among people living with HIV (PLWH) on highly active antiretroviral therapy (HAART) at the Antiretroviral Therapy (ART) Clinic in a Ghanaian health facility. Method. The study design was a retrospective analysis of secondary data of 284 HIV registrants on HAART for at least 6 months at the ART Clinic from July 2016 to April 2019. Data on sociodemography including age, gender, marital status, education, and occupation as well as pharmacological (type of medication and duration on medication) and laboratory variable (current viral load results) were extracted from patients’ folders. Viral suppression and failure were determined using the WHO definitions (viral suppression as viral load <1000 copies/ml and virologic failure ≥1000 copies/ml). Regular clinic attendance (used as a proxy measure for medication adherence) was defined as consistent monthly clinic attendance for HAART medication and other clinical management within the past 12 months. Results. Out of the 284 HIV patients, 195 (69%) achieved viral suppression. Of the 195 who were virally suppressed, 77 (39.5%) had undetectable levels, with a similar proportion (39.5%) achieving viral load results ranging from 20 to 200 copies/ml. Moreover, 27 (13.8%) patients had viral load ranging from 201 to 500 copies/ml while 14 (7.2%) recorded viral load from 501 to 1000 copies/ml. No clear pattern in the viral suppression rate was associated with the age groups (p=0.1152). However, regular clinic attendance (used as proxy for medication adherence) (p<0.0001) and being on HAART for more than three (3) years (p=0.03) were associated with viral suppression. Conclusion. The rate of viral suppression among PLWH on HAART in the Ho municipality fell short of the WHO target. However, the study identified regular ART clinic attendance and treatment >3 years as factors associated with viral suppression.

show abstract

“…We term this type of interventions as a global solution. For example, the 90-90-90 strategy promoted by the WHO is a global solution to end the HIV/AIDS epidemic [61,62]; the measures used to end the SARS epidemic is a global solution [11]; and the ongoing measures to control influenza [63,64] and malaria [45,65], and the measures taken by China, WHO and many countries in the world to control the new coronaviral epidemic started in China are also great examples of global solutions [66].…”

Section: The Concept Of Global Solutionmentioning

confidence: 99%

“…The impact of HIV/AIDS is global. Any HIV/AIDS studies regardless of their scope will be global as long as it contributes to the global efforts to end the HIV/AIDS epidemic by 2030 [61,62]. Lastly, an investigation of cardiovascular diseases (CVD) in a country, in Nepal for example, can be considered as global if the study is framed from a global perspective [44].…”

Section: Types Of Global Health Researchesmentioning

confidence: 99%

What is global health? Key concepts and clarification of misperceptions

Chen

Lucero‐Prisno

et al. 2020

glob health res policy

View full text Add to dashboard Cite

The call for "Working Together to Build a Community of Shared Future for Mankind" requires us to improve people's health across the globe, while global health development entails a satisfactory answer to a fundamental question: "What is global health?" To promote research, teaching, policymaking, and practice in global health, we summarize the main points on the definition of global health from the Editorial Board Meeting of Global Health Research and Policy, convened in July 2019 in Wuhan, China. The meeting functioned as a platform for free brainstorming, indepth discussion, and post-meeting synthesizing. Through the meeting, we have reached a consensus that global health can be considered as a general guiding principle, an organizing framework for thinking and action, a new branch of sciences and specialized discipline in the large family of public health and medicine. The word "global" in global health can be subjective or objective, depending on the context and setting. In addition to dual-, multicountry and global, a project or a study conducted at a local area can be global if it (1) is framed with a global perspective, (2) intends to address an issue with global impact, and/or (3) seeks global solutions to an issue, such as frameworks, strategies, policies, laws, and regulations. In this regard, global health is eventually an extension of "international health" by borrowing related knowledge, theories, technologies and methodologies from public health and medicine. Although global health is a concept that will continue to evolve, our conceptualization through group effort provides, to date, a comprehensive understanding. This report helps to inform individuals in the global health community to advance global health science and practice, and recommend to take advantage of the Belt and Road Initiative proposed by China.

show abstract

Progress towards the United Nations 90‐90‐90 and 95‐95‐95 targets: the experience in British Columbia, Canada

Cited by 30 publications

References 31 publications

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017

Viral Suppression and Its Associated Factors in HIV Patients on Highly Active Antiretroviral Therapy (HAART): A Retrospective Study in the Ho Municipality, Ghana

What is global health? Key concepts and clarification of misperceptions

Contact Info

Product

Resources

About