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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 5  |  Page : 1374-1375
Targeting the end of the AIDS epidemic in the era of sustainable development by the year 2030


Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India

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Date of Web Publication6-Nov-2017
 

How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. Targeting the end of the AIDS epidemic in the era of sustainable development by the year 2030. Ann Trop Med Public Health 2017;10:1374-5

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. Targeting the end of the AIDS epidemic in the era of sustainable development by the year 2030. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Dec 13];10:1374-5. Available from: http://www.atmph.org/text.asp?2017/10/5/1374/196633


Dear Sir,

HIV has been acknowledged as an important global public health concern since last 2 to 3 decades and has accounted for the deaths of more than 34 million individuals.[1] Furthermore, almost 37 million people are living with HIV across the globe at the end of 2014.[1] On a positive note, the Millennium Development Goal pertaining to the reversal of the trend of the disease was successfully achieved and a decline of 35% and 24% has been observed in the incidence and disease-associated death rates.[1],[2]

Nevertheless, the observed gains are not universal and a wide range of geographical disparities has been observed, especially in developing nations that are struggling to minimize the incidence or even extend care and supportive services to those who need them the most.[2] A wide range of parameters such as the absence of a curative option, no prophylactic vaccine, stigma associated with the disease, poor awareness among the general population (viz., about the different aspects of disease, awareness about own HIV status, modes of prevention, importance of compliance to lifelong therapy, etc.), infrastructure constraints with regard to diagnosis or treatment, poor accessibility to antiretroviral therapy (ART), lack of coordination between different stakeholders, and others have interfered with the global fight against the disease.[1],[2],[3],[4]

Moreover, in the mission to ensure that HIV no longer remains an issue of public health concern, it has been incorporated as one of the key targets in the recently adopted Sustainable Development Goals.[2],[4] In fact, a political declaration has been adopted to end the AIDS epidemic in the era of sustainable development by 2030, which is in continuation with the previous commitments made on the same lines owing to which the access to ART improved and almost 17 million people were put on treatment by the end of 2015.[4],[5]

In addition, it has been anticipated that by offering ART to all people living with HIV, in excess of 20 million deaths and around 28 million new infections will be prevented by the year 2030.[4]

Furthermore, the aim is to expand the HIV response, by integrating it in the overall agenda for sustainable development through establishing links with other health and development issues to ensure improvement in the quality of life of the affected persons.[4] In addition, it aims to target the tuberculosis epidemic (by responding to TB-HIV coinfection), hepatitis B and C epidemics, the dual elimination of mother-to-child transmission of HIV and syphilis, and accomplish universal health coverage.[4] Eventually, there is a great need for a multisectoral and a comprehensive response to achieve these targets, as equity and restoration of human rights also has to be ensured.[1],[2],[3]

To conclude, in order to achieve the global target of ending the AIDS epidemic by the year 2030, it is essential that nations should strengthen and fast-track their efforts, and at the same time integrates the existing interventions with the overall framework of the sustainable development.

Acknowledgement

SRS contributed in the conception or design of the work, drafting of the work, approval of the final version of the manuscript, and agreed for all aspects of the work.

PSS contributed in the literature review, revision of the manuscript for important intellectual content, approval of the final version of the manuscript, and agreed for all aspects of the work.

JR contributed in revising the draft, approval of the final version of the manuscript, and agreed for all aspects of the work.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
World Health Organization. HIV/AIDS-Fact sheet N 360; 2015. Available from: http://who.int/mediacentre/factsheets/fs360/en/. [Last Accessed on 2016 June 11].   Back to cited text no. 1
    
2.
Sidibé M. Charting a path to end the AIDS epidemic. Bull World Health Organ 2016;94:408.  Back to cited text no. 2
    
3.
Nischal PM. Early antiretroviral therapy and better care retention can reduce HIV/AIDS epidemic in India. Natl Med J India 2015;28:314.  Back to cited text no. 3
[PUBMED]    
4.
World Health Organization. The United Nations General Assembly adopts the 2016 Political Declaration to end AIDS; 2016. Available from: http://who.int/hiv/mediacentre/news/hlm-2016-political-declaration-ending-AIDS/en/. [Last Accessed on 2016 June 14].   Back to cited text no. 4
    
5.
World Health Organization. 17 million people with access to antiretroviral therapy; 2016. Available from: http://who.int/hiv/mediacentre/news/global-aids-update-2016-news/en/. [Last Accessed on 2016 June 13].  Back to cited text no. 5
    

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Correspondence Address:
Saurabh R Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, 3rd Floor, Ammapettai Village, Thiruporur, Guduvancherry Main Road, Sembakkam Post, Kancheepuram, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.196633

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