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HIV Prevention: The Key to Ending AIDS by 2030

机译:预防艾滋病毒:到2030年消除艾滋病的关键

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There is no viable substitute for re-energizing, funding and supporting culturally attuned, locally staffed HIV advocacy and prevention programmes, especially in resource poor settings. The evidence that such interventions are effective remains compelling; and although the cost implications are not negligible, the medium to long-term outcomes must be regarded not as complementary, but as integral, to biomedical interventions. The success of the anti-retroviral drugs upscale has enabled a noticeable improvement in AIDS related morbidity and mortality in the recent years; yet the underlying dynamics of the epidemic remains undetermined by the rate at which new infections are taking place in relation to the number of AIDS deaths. While the rate of new HIV infections is stabilising in some of the hardest hit countries, it remains far too high and the future cost of maintaining an ever-expanding pool of people reliant on daily drugs for survival is unsustainable. Countries must exercise caution in continuing to focus on treatment as a ‘quick fix’ to end AIDS as a public health concern. HIV is a socially culturally induced crisis and, as such, a variety of measures are needed simultaneously to appeal to different people, groups and circumstances.
机译:没有什么办法可以替代当地的艾滋病毒宣传和预防方案,特别是在资源匮乏的地区,以重新激发活力,提供资金和支持。这种干预有效的证据仍然令人信服;尽管费用的影响不容忽视,但中长期结果不应被视为对生物医学干预措施的补充,而是不可或缺的。近年来,抗逆转录病毒药物的成功推广使艾滋病相关的发病率和死亡率有了明显的改善。然而,该流行病的潜在动态仍然无法确定,与艾滋病死亡人数相关的新感染发生率。在一些受灾最严重的国家中,新的艾滋病毒感染率正在稳定下来,但仍然过高,维持每天依靠药物维持生存的人数不断增加的未来成本是不可持续的。各国必须谨慎行事,继续将治疗作为“迅速解决之道”,以结束将艾滋病作为公共健康问题的根源。艾滋病毒是一种社会文化诱发的危机,因此,需要同时采取多种措施来吸引不同的人群,群体和情况。

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