Read SecAzar's remarks to the HHS Global-Domestic HIV Collaboration Conference about how we have the right data, the right tools, and the right leadership to achieve POTUS's plan to end the HIV epidemic in American by 2030.
Successfully executing on our strategy to end the HIV epidemic here at home will come to be known as one of the great American public health victories.Thank you, Dr. Collins, for that kind introduction, and thank you to all the leaders from across HHS for coordinating this meeting and taking the time to be here.
All of you have helped develop the HHS strategy to make that happen, and today is an opportunity to further refine that strategy, drawing on the expertise and experience you all have. At the time, we knew that dramatically expanding access to antiretrovirals in countries with high HIV prevalence would save millions of lives. What we didn’t know for certain was just how dramatically access to ARVs would also reduce the spread of HIV—which is one of the key insights that underlies our plan to end the HIV epidemic here in America.
President Trump set out the bold, specific goals of reducing new HIV infections in the United States by 75 percent in five years, and by 90 percent by 2030—effectively halting the epidemic’s spread. We know that new infections in the United States are geographically concentrated. More than half of HIV diagnoses occur in just 48 counties, plus the District of Columbia and San Juana, Puerto Rico. These geographic hotspots include places where stigma and socio-economic barriers to treatment and prevention remain high, including rural areas and the South.
We have examples already of how work at home can apply abroad, and vice versa. CDC’s famous Epidemic Intelligence Service, which trains “disease detectives” to work here in the U.S., became the model for their international Field Epidemiology Training Program, which has now worked in more than 70 nations, training thousands of disease detectives to work in their own countries.
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