Utilizing ‘Treatment as Prevention’ can stop the spread of HIV and AIDS"We will eliminate HIV from the whole of our country, if we can provide the environment in which people feel comfortable to be tested" - Professor Clive Landis, Deputy Principal of the UWI, Cave Hill Campus
Putting an end to the spread of HIV and AIDS would be rather simple, if persons simply adhered to the motto of “Test, Treat, Defeat”, which allows persons to know their status and take action, allowing health professionals to treat them with antiretroviral medication, to prevent HIV transmission to others.
Professor Clive Landis, Deputy Principal of the UWI, Cave Hill Campus spoke of the latest scientific understanding of the prevention effectiveness of HIV treatment that results in viral suppression, to reduce the risk of sexual transmission of HIV, as he delivered an address at the Barbados
National Faith Leaders Consultation, held at the Radisson Aquatica Resort. This he referred to as,“Treatment as Prevention”.
“So treatment as prevention is that the viral load in your body is suppressed to point where you cannot detect it anymore. It is just no longer detectable. If you were to stop your drugs, it would come back, but it is no longer detectable in any of your body fluids and it can’t be transmitted. So there is a personal benefit because AIDS is eliminated in that person and there is a public benefit as well because if you are not infectious, you certainly cannot transmit to anybody,” Professor Landis pointed out.
The evidence he said, has been borne out by numerous studies and the fact that mother-to-child transmission of HIV has been significantly reduced in Barbados. Cuba became the first country in the world to receive validation from the World Health Organisation that it has eliminated mother-to-child transmission of HIV and late last year, six Caribbean countries joined the group of countries, successfully ending mother-to-child transmission of both HIV.
“So by suppressing the virus in a person’s body, there are really noninfectious, even to the life that’s within their womb,” Landis commented.
“So Test, Treat, Defeat is really what it is all about. We will eliminate HIV from the whole of our country, if we can provide the environment in which people feel comfortable to be tested and then they are able to access treatment and be comfortable being treated and then we will just treat our way out of this disease,” Professor Landis said.
WHAT IS PANCAP?
PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, and coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilise resources and build the capacity of partners.
What are the Global AIDS Strategy 2021–2026 targets and commitments?
If targets and commitments in the strategy are achieved:
- The number of people who newly acquire HIV will decrease from 1.7 million in 2019 to less than 370 000 by 2025
- The number of people dying from AIDS-related illnesses will decrease from 690 000 in 2019 to less than 250 000 in 2025.
- The goal of eliminating new HIV infections among children will see the number of new HIV infections drop from 150,000 in 2019 to less than 22,000 in 2025.
What are the 95-95-95 Targets for ending AIDS?
- 95% of People Living with HIV know their HIV status;
- 95% of people who know their status on treatment; and
- 95% of people on treatment with suppressed viral loads.
HELPFUL LINKS:
Global AIDS Strategy 2021–2026, End Inequalities, End AIDS
https://pancap.org/pancap-documents/global-aids-strategy-2021-2026-end-inequalities-end-aids/
Caribbean Regional Strategic Framework on HIV and AIDS (CRSF) 2019-2025
https://pancap.org/pancap-documents/caribbean-regional-strategic-framework-2019-2025/