Visions for an AIDS-Free Generation: Red Ribbons of Hope
JAMA July 12, 2016 V.316 N.2 P.154-155
Preeti N. Malani, MD, MSJ
1Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan
2Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
3Associate Editor, JAMA
July 12, 2016, Vol 316, No. 2 >
When the initial cases of AIDS were reported in 1981, the human immunodeficiency virus (HIV) was yet to be identified, scientists did not understand how HIV was transmitted and prevented, and effective treatment would not become available for many years.
Today, the antiretroviral armamentarium is large and increasing. Preferred regimens are well tolerated, effective, and convenient; there are no lingering questions about whether early antiretroviral therapy (ART) improves outcomes.1
However, the promise of ART is not reaching everyone. Globally, more than 37 million people are living with HIV, 20 million of whom are not receiving ART.2 Even in well-resourced health systems, linkage to care, retention in care, and adherence to medications remain major barriers to viral suppression and ultimately barriers to prevention….
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