Conference opening synopses
90-90-90 goals in Europe: In action
November 6, 2019
17:35 to 17:55
European countries’ performance on the global 90-90-90 goals for diagnosis, treatment and viral suppression is uneven, resulting in diverging trends of HIV incidence across the region. This lecture will present the latest epidemiological data on HIV for the European region, overall and by key population, and provide examples of evidence-based programmes and policies that are associated with better performance on reducing the number of people living with undiagnosed HIV, the number of diagnosed individuals who are untreated, and the number of treated individuals who are not virally supressed. While the differences in epidemiology of HIV and health systems across Europe necessitate context‐specific strategies to strengthen and control HIV prevention and care efforts, many good practices from the region can be replicated and lead to accelerated progress to reduce HIV incidence in the region.
Speaker: Anastasia Pharris, ECDC, Sweden
HIV care beyond 2019: How to address old and new challenges?
November 6, 2019
17:55 to 18:15
The science supporting the evidence guiding HIV medicine anno 2019 is solid. But only a fraction of the 2.5 million HIV-positive persons on the European continent enjoys the full benefit of these major advances. A large divider is the country of residence – some are successful but others fall behind. The rate of new infections and AIDS cases is inversely correlated with ART coverage. Key affected populations remain most severely affected, but should not be a stereotype. It is imperative to get control on the HIV transmission; the good news is that all required tools are developed. We need stronger political leadership; speak up when public health policies are contra productive. As a professional society we can: agree on core indicators of good care, benchmark our own clinic, and correct reasons if performance is not optimal. The professional codex is that stigmatisation is to be combatted in all its forms. Strategies for HIV testing, linkage-to-care strategies and HIV care need modernisation; new technologies offer great opportunities. Patient empowerment is core – as health professionals, we offer care but can’t mandate that all patients accept the offer. Personalisation of the individual’s needs is the way forward.
Speaker: Jens D. Lundgren, University of Copenhagen, Denmark
Community perspective: Inequalities in care
November 6, 2019
18:15 to 18:30
HIV infection is no longer a “plague of the 21st century”. This is instead a chronic manageable condition like many others, that can be treated effectively and with which one can live a quality life. However, there are ongoing differences in the type of HIV care delivered to patients and this is reflected in varying quality of life amongst HIV-positive people. This is especially apparent when comparing care between the West and the East amid growing new HIV cases and lack of access to treatment. There are also unresolved problems in the West, especially with regard to HIV stigma. Only by joining our forces: governments & society, clinicians and people living with HIV, we can address inequalities in HIV care and give people with HIV the same rights to health and well-being as people free of HIV.
Speaker: Alex Schneider, Life4me+, Switzerland