Ending the HIV Epidemic by 2030

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Federal Ending the HIV Epidemic (EHE) Initiative White House National HIV Strategy HI V / AI D S NATIONAL STRATEGY for the United States 2022–2025 The United States has set an ambitious goal of ending the U.S. HIV epidemic by 2030.

The goal is building on overall progress in HIV prevention and treatment, which has been partly achieved by leveraging 3 highly effective prevention and treatment options:

19%

reduction in estimated annual new HIV infections between 2010 and 2021

Routine HIV testing
HIV Pre-Exposure Prophylaxis (PrEP)
HIV treatment as prevention (U=U)
1.
2.
3.
But, the communities most affected are not equitably benefiting from these options.
This threatens achievement of the 2030 goal to reduce annual new HIV infections to fewer than 3,000.

For communities left behind, new HIV infections are:

• inadequately decreasing

• stagnating at elevated levels

• in some cases increasing

• or too often invisible

For example, the number of estimated annual new HIV infections in Black communities remains unacceptably elevated, despite a 24% reduction between 2010 and 2021.

-24% annual new HIV infections among Black people

0% change in annual new HIV infections among Latinx people

Alarmingly, estimated annual new HIV infections among Latinos have changed by 0% over the same timeframe.

8,000 2010 2012 2011 2013 2014 2015 2016 2017 2018 2019 2020 2021
16,000
Estimated annual new HIV infections

In 2010, young Latino, Black, and White men who have sex with men (MSM) aged 25 to 34 years accounted for approximately equal numbers of estimated new HIV infections

. 4,000 1,000
2,000 2,000 2,100
Estimated new HIV infections in 2010
Young Latino MSM Young Black MSM Young White MSM

By 2021, however, the estimated annual HIV incidence had alarmingly increased by 65% among young Latino MSM and by 67% among young Black MSM, as compared to a 5% decrease among young White MSM.

4,000 1,000 Estimated change in annual new HIV infections 2010-2021 Young Latino MSM Young Black MSM Young White MSM +65% 3,300 1,900 -5% 3,500 +67% 2010 2021

Estimated annual new HIV infections among people who inject drugs had declined between 2010 and 2014, but it then reaccelerated from 2014 to 2021, eliminating the previous progress.

2010 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2,500 2,500 2,400 2,200 2,200 2,100 2,400 2,600 2,600 2,600 2,400 2,400 Estimated
Inject
2,700 2,000
Annual New HIV Infections Among People Who
Drugs

Transgender women urgently need HIV prevention and treatment services — but too often their needs remain invisible.

~26% Latina Transgender Women

~44% Black Transgender Women

More than one in four Latina and Black transgender women are estimated to be living with HIV.

Without implementation of an equitable national HIV response, we cannot sufficiently accelerate progress in the remaining 7 years to achieve the declared goal by 2030.

Average annual reduction needed 2021-2030

Average annual reduction before EHE, 2010-2019

550

Average annual reduction during EHE, 2019-2021

1,350

40,000 32,000 24,000 16,000 8,000 2010 2015 2020 2025 2030 39,700 38,500 37,500 37,800 36,100 33,600 38,600 37,300 37,700 36,500 34,800 32,100
3,250 X

Without accelerated progress, the 2030 goal will soon be out of reach.

But we can still succeed if we equitably implement the available HIV prevention and treatment tools, by:

Eliminating...

Bias

HIV Stigma Implicit Biases

End Systemic Racism

Structural Racism HIV Criminalization

in clinical practice, programming, and policy, and rebuilding the trustworthiness of public health and healthcare services

Broadening and diversifying the HIV workforce and enabling comprehensive, team-based, and demedicalized prevention and care through leveraging all available clinical and non-clinical providers at their highest scope of practice

RN

Investing in implementation research and demonstration projects of novel strategies for mitigating the harmful Social Determinants of Health that drive HIV inequities

Systemic Community Person

Sexual Health Community Services

Ending the chronic under-prioritization and under-investment in U.S. public health by advancing equity-focused health system transformation and meaningful community engagement

We have the tools to end HIV in the U.S. by 2030. Now we need to utilize them equitably. Scan or click the QR code to access resources that can advance health equity in your HIV work.

# StopHIVTogether # 4HIVEquity

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