Julio Montaner: Shifting the Global Conversation on HIV/AIDS

The United Nations formally adopted UBC Professor and Director of the BC Centre for Excellence (BC-CfE) in HIV/AIDS Julio Montaner’s highly effective ‘Treatment as Prevention’ (TasP) HIV/AIDS approach as part of its 90-90-90 strategy.

The concept behind TasP¨ is to provide immediate and full access to antiretroviral treatment upon an HIV diagnosis. Sustained treatment helps to improve a patient’s health and longevity, while dramatically reducing the likelihood they will spread the disease. The TasP¨ strategy was developed at the BC-CfE in Vancouver and is now standard practice throughout British Columbia – where it has been successful in reducing HIV morbidity and mortality by 90 per cent, reducing new HIV cases by 66 percent and decreasing new AIDS cases by 88 percent.

The tactic is also global in scope: TasP forms the backbone of the UNAIDS global targets towards ending AIDS worldwide by 2030. The UNAIDS’ strategy’s 2020 target is 90 percent of people living with HIV to be diagnosed, 90 percent of those on treatment and 90 percent of those virally suppressed. Dr. Montaner strongly believes an AIDS-free generation can be reached in Canada and the world through TasP¨. France, Spain, Brazil, Panama, major U.S. cities, and many other jurisdictions have already gotten on board. However, the Canadian federal government has yet to implement a nationwide HIV and AIDS strategy, despite rising rates of the disease in many of the country’s regions.

Montaner hopes this will soon change: “Unless we change that conversation and come down from the pulpit and get our hands dirty engaging with people on their terms, we won’t be successful.”

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Canada Post has provided notification of restarting their operations on December 17, 2024. As Canada Post ramps up and stabilizes their services, the BC-CfE will continue the following measures on an interim basis to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory will utilize private courier for delivery of outgoing reports and documents. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy will utilize private courier for delivery of medications. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)