The following op-ed was written by Dr. Julio Montaner.
The 19th International AIDS Conference has just come to a close amid much talk of the beginning of the end of AIDS, turning the tide on HIV and even a potential cure. It is now more certain than ever that we have the tools, medicines and expertise to stop this epidemic.
However, without the political will to expand antiretroviral treatment to everyone in need, the audacious goals set before us in Washington last week will never be met and infection may spiral out of control once again.
While we make gains in certain areas of the globe, we remain mired in a growing epidemic. For every person placed on highly active antiretroviral treatment (HAART), two more people become infected. We now have 34 million people living with HIV/AIDS and are treating only eight million of the 15 million eligible people in resource-limited countries. At least 25 per cent of HIV-infected individuals do not know they are infected and, as a result, cannot protect themselves or their loved ones. And they contribute disproportionally to the spread of HIV. When you do the math, it’s crystal clear: HIV and AIDS remain daunting foes.
However, our situation does not need to be so dire. We unequivocally know that HAART prevents death and also stops AIDS. Furthermore, HAART dramatically reduces HIV transmission. The primary benefit of a healthy person and the secondary benefit of healthier communities should be the tipping point that gets politicians falling all over themselves to mobilize and fund the universal rollout of HAART.