26 Engaging in treatment early and consistently affords individuals with HIV the best possible care outcomes and also has preventive benefits. HIV treatment guidelines recommend initiating ART as soon as one is diagnosed with HIV, 25 and new research (including the Strategic Timing of Antiretroviral Treatment study or START) has underscored the importance of starting treatment early. Routine HIV testing is recommended for all people ages 13-64, 23 and several recent policies have expanded health insurance coverage of HIV testing. 22 Knowledge of HIV status is important because individuals with HIV can engage in care and treatment to achieve optimal health outcomes and can take steps to prevent transmission. 21 It is thought that 38% of all new HIV transmissions occur from those who are undiagnosed. Yet, as of 2019 13% of those with HIV are unaware they are infected. HIV testing is important for both treatment and prevention efforts and rapid testing is now much more widely available.18, 19 Transmission through heterosexual sex now accounts for more cases than at the beginning of the epidemic – 23% of new diagnoses in 2019 – but diagnoses attributable to heterosexual sex have declined 40% between 20, compared to an 11% decline among men who have sex with men. 17 Diagnoses attributable to injection drug use alone have declined significantly over time and accounted for 7% of new diagnoses in 2019. 16 An additional 4% of diagnoses occurred among gay and bisexual men with a history of injection drug use. In 2019, most newly diagnosed cases of HIV occurred through male-to-male sexual contact (66%). HIV transmission patterns have shifted over time.Still, more 1,740 people died with HIV/AIDS as the underlying cause of death in 2020. 13, 14 This is largely due to ART, but also to decreasing HIV incidence. HIV-related mortality rates, which rose steadily through the 1980s and peaked in 1995, have declined significantly the age-adjusted HIV death rate has dropped by nearly 10-fold since 1990 and by half since 2009.in 2019, and declines were not seen among all populations. Still, 34,800 people were newly infected with HIV in the U.S. There have been some promising trends, as the number of new HIV infections declined 73% between 19 and 9% between 20.As people with HIV are living longer with the disease, new infections continue to occur, and diagnoses surpass deaths each year, more people are living with HIV than ever before.Percent of people with HIV virally suppressed: 57%. Percent of people with HIV who don’t know it: 13%.Number of people living with HIV: 1.2 million.Number of new HIV infections (2019): 34,800.Additionally, the private sector and community-based organizations, provide services for people with HIV and those at risk for HIV.īox 1: Key Snapshot of the U.S. Numerous federal and local government departments and agencies are involved in the domestic HIV/AIDS response, which together provide disease surveillance, prevention, care, support services, and health insurance coverage. 8 Still, many people with HIV are not in care, on treatment, or virally suppressed. 7 When an individual with HIV is on antiretroviral therapy and the level of HIV in their body is undetectable, “studies have shown no risk of transmission” through sex. Treatment guidelines recommend initiating treatment as soon as one is diagnosed with HIV. Antiretroviral therapy (ART) has substantially reduced HIV-related morbidity and mortality, improved long-term outcomes for people with HIV and plays a key role in HIV prevention.Yet, 13% of those with HIV are unaware they are infected. HIV testing is important for both treatment and prevention efforts.HIV continues to have a disproportionate impact on certain populations, particularly racial and ethnic minorities, gay and bisexual men and other men who have sex with men and transgender women.2 More than 700,000 people in the U.S., have died from HIV-related illness. and there are more than 35,000 new infections each year. 1 Today, there are more than 1.2 million people living with HIV in the U.S. The first cases of what would later become known as AIDS were reported in the United States (U.S.) in June of 1981.
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