The Department of Health and Social Care in England has recently committed to the elimination of HIV transmission in England (not the entire UK) by 2030. To achieve this in England and hopefully in the devolved nations, individuals living with undiagnosed HIV infection will need to be identified, offered testing and commenced on antiretroviral therapy, thereby eliminating the risk of further onward transmission. Those identified as being at ongoing risk of infection will require combination prevention, including PrEP, to significantly reduce their risk of becoming HIV positive.
HIV treatment guidelines universally acknowledge the benefits of immediate antiretroviral treatment, regardless of CD4 cell count, for an individual’s health. Individuals who are diagnosed promptly can expect a near-normal life expectancy.
Implementation of the above approaches has resulted in dramatic falls in the number of new HIV diagnoses for almost all groups in the UK. HIV testing is the gateway both for accessing effective treatment and for combination prevention, but improvements are required to ensure all individuals can benefit equally.
This consultation will be open for 6 weeks until Friday 31 January 2020.
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