The 90-90-90 solution to AIDS pandemic

The AIDS world is dealing with something unprecedented: good news.

Bear in mind that “good” is a relative term, especially when dealing with the worst pandemic in human history. But the data are still noteworthy:

  • There were 1.5 million AIDS deaths last year, down from 2.4 million a decade ago;
  • There were 2.1 million new infections, down from a peak of 3.4 million;
  • The number of people living with HIV has held steady at 35 million.

With the numbers heading in the right direction, scientists and activists alike are hoping to accelerate the trend and write the final chapter of the AIDS pandemic.

The plan, unveiled by UNAIDS, aims to end the spread of HIV by 2020, and eliminate the disease altogether by 2030. It goes by the moniker 90-90-90.

Much of the progress to date is due to widespread use of antiretrovirals for both treatment and prevention, and the 90-90-90 plan depends largely on dramatically expanding their use. (ARVs are drugs that prevent the virus from replicating, staving off illness and making people less infectious and less likely to spread the disease.)

Dr. Julio Montaner, head of the B.C. Centre for Excellence in HIV/AIDS, said the plan is a good one.

“This is a natural evolution of the philosophy of treatment as prevention,” he said. “But the big question is: ‘Who’s going to pay for it?'”

AndrÂŽ Picard
The Globe and Mail
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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (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 has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
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