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With only 70 months left to end AIDS why is the urgency missing?

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* 90% of people living with HIV and people at riskare linked to other integrated health services

* Less than 10% of people living with HIV and key populations experience stigma and discrimination

* Less than 10% of people living with HIV, women and girls and key populations experience gender-based inequalities and violence

* Less than 10% of countries have punitive laws and policies

Why are we failing to do what we know works!

The latest Global AIDS Update Report of the UNAIDS shows that most new HIV transmissions are attributed to among those who are undiagnosed, followed by those who are diagnosed but untreated, and then by those who are on antiretroviral therapy but not virally suppressed. There is "zero risk" of HIV transmission from those who are on treatment and virally suppressed or those whose viral load is undetectable (that is why it is referred to as undetectable equals untransmittable or U equals U).

To deliver on the 2025 targets, instead of 95% of people living with HIV knowing their status, only 78% were aware of it by 2023 in Asia Pacific. Instead of 90% of those knowing their status receiving the lifesaving antiretroviral therapy by 2023, only 67% were getting the medicines in the region. And instead of 86% of those on antiretroviral therapy remaining virally suppressed, only 65% were virally suppressed in the region by 2023.

"The alarming point is that in the Asia Pacific region, nearly a third of people living with HIV are not getting the care and support they need to stay healthy and prevent transmission," said UNAIDS India leader David Bridger. "Asia Pacific has the second largest epidemic globally."

Six countries in the Asia Pacific region have growing HIV epidemics: Bangladesh, Lau, Papua New Guinea, Afghanistan, Fiji, and the Philippines. In the Philippines HIV rates have increased by almost 600% during 2010-2023 (largely driven by male-to-male sex, predominantly among younger people). In the Fiji, HIV rates grew by over 200% during 2010-2023, largely driven by injecting drug use.

Nine countries of the region have increasing number of deaths due to AIDS-related illnesses: Pakistan, Indonesia, and Mongolia along with the above six countries where HIV rates are on a rise too.

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