Health
Estimated 1.3 million People Infected with HIV in 2023
Estimated 1.3 million People Infected with HIV in 2023
By: Michael Mike
An estimated 1.3 million people became infected with HIV in 2023, three times more than the target of fewer than 370,000 by 2025. While there has been marked progress in sub-Saharan Africa, for the first time, in 2023 more than half of the new HIV infections occurred outside of sub-Saharan Africa, a report released on Wednesday said.
The report by the Global HIV Prevention Coalition (GBC), said the rising new HIV infections are evident in several countries, particularly in countries where key populations including men who have sex with men, sex workers, transgender people and people who use drugs, are most affected, and investment in prevention was lower, noting that key populations and their sexual partners now represent the majority (55%) of new HIV infections globally, up from 44% in 2010.
The Global HIV Prevention Coalition (GBC), established in 2017, is addressing the HIV prevention crisis. Focusing on 40 countries the GPC, a coalition of United Nations Member States and partners including UNAIDS, donors, civil society and private sector organizations, is working to strengthen and sustain political commitment for HIV prevention.
GPC Co-chair and Former Minister of Health, Botswana. Prof. Sheila Tlou, said: “The HIV epidemic has evolved – now more than ever, we need resilient capacity to deliver and manage integrated, differentiated and equitable HIV prevention interventions,”
There has been great variation in progress among GPC member countries; the biggest declines occurred in countries within eastern and southern Africa including Kenya, Malawi and Zimbabwe, where new HIV infections were reduced by more than 66% and which are on track to achieve the global target of 90% reduction by 2030 – and, to a lesser extent, in western and central Africa. Expansion of access to effective HIV treatment, combined with an ongoing focus on primary prevention, are driving those achievements.
UNAIDS Deputy Executive Director for Programmes, Angeli Achrekar said: “The moment of opportunity for HIV prevention is now,” adding that: “Today, we have a wider range of prevention options including new long-acting antiretroviral prevention—with the new results about lenacapavir—a twice yearly injection to prevent HIV—providing a promising game-changing option—and new opportunities to communicate about HIV prevention and health.”
According to the report, Long-acting technologies like pre-exposure prophylaxis (PrEP) will play a major role in preventing new infections in the coming years. Access is increasing, but only in a few countries. Around 3.5 million people were accessing PrEP (antiretroviral medicine which prevents HIV) in 2023 up from just 200 000 in 2017, but this remains far short of the 10 million target set for 2025.
New HIV prevention products in the pipeline such as long-acting injectable cabotegravir (CAB-LA) and most recently, lenacapavir, are raising expectations due to their combination of convenience and high efficacy. However, the key is accessibility and affordability. The cost of the new long-acting injectable PrEP options, and the speed with which they are made available to potential users in the countries with the most need will be critical in expanding access to these life-saving technologies.
Persistent gaps remain in HIV prevention coverage (only 61% of areas with high incidence of HIV have programmes for young women, less than half of sex workers, and only about a third of gay men and other men who have sex with men and people who inject drugs regularly access prevention in GPC focus countries).
Condoms remain the most effective low-cost HIV prevention tool, however global condom procurement or distribution in low- and middle-income countries declined by an average of 27% between 2010 and 2022 and procurement by major donors fell by an average 32% in that period. Socially marketed distribution declined from a peak of about 3.5 billion condoms in 2011 to about 1.8 billion in 2022.
Condoms, PrEP, post exposure prophylaxis, antiretroviral therapy to ensure viral suppression thus preventing transmission of the virus, harm reduction and voluntary medical male circumcision are all HIV prevention options that should be real choices available for people at risk of HIV infection. Addressing structural and gender inequalities faced by these priority and key populations is essential in ensuring access to prevention services. The urgency to secure and sustain gains for HIV prevention cannot be overemphasized – programmes need to be community-led and country-led.
“No matter how good the science or community leadership, HIV will not end unless we have significant policy change to reverse criminalization and lessen stigmatization of affected populations. If we can’t protect human rights, then we can’t end HIV. This is never just about the virus—it’s about people, and the people must lead,” said GPC co-chair and Executive Director, AVAC, Mitchell Warren,
The report said an enormous unmet need for resources for HIV prevention and societal enabler programmes in almost all regions persists. An estimated US$ 2.4 billion was available for primary prevention programmes in low- and middle-income countries in 2023 compared to the estimated need of USD 9.5 billion in 2025. Investing in HIV prevention now is essential to scale up programmes, noting that if 1.3 million people continue to acquire HIV every year, the response will become more challenging, more complex and more costly in 2030 and 2050. Increased investments in HIV prevention, strengthened political leadership, enabling legal and policy environments are urgently needed to effectively implement programmes, insisting that the time to act is now.
Estimated 1.3 million People Infected with HIV in 2023
NSCDC Takes Medical Outreach to Community in Nasarawa
By: Michael Mike
The Nigeria Security and Civil. Defence Corps have continued to strengthen collaborations with one of the best HMOs in Nigeria, the United Healthcare International Ltd., this is in a bid to improve the well being of the serving officers and some host communities and also improve on grassroot security techniques and effective information gathering to forestall criminality.
Speaking at the opening ceremony of a medical outreach organised by the NSCDC Commandant General, Dr Ahmed Audi, said the partnership with the United Healthcare International has positively impacted the Corps hence in order to give back to the communities and further foster and improve on the existing synergy between NSCDC and host communities, the Medical Health Service Department of the NSCDC organized the medical outreach programme to promote effective collaborations.
Delivering a goodwill message while representing the CG at the opening ceremony, ACG Ilelaboye Oyejide reiterated the commitment of the Corps to enhancing the health and well being of not only officers and men of the Corps but also the host
communities.
“In carrying out our statutory mandates, it requires the supports of the host communities for positive results and this is why the NSCDC is concerned about the state of health and wellness of the people.
“As an agency with the roles and responsibility of Disaster mitigation we belief that the free medical outreach organized for the people will go a long way to further cement the existing working relationship of the Corps and the entire community”.
The NSCDC Boss hinted that the Medical outreach would be carried out in various communities as time unfolds he noted that the Corps medical officers alongside the United Healthcare HMOs would be at Laminga Local Government Area of Nasarawa State for the first phase in the year.
NSCDC Takes Medical Outreach to Community in Nasarawa
Korean Film Festival Returns to Nigeria After COVID-19 Break
By: Michael Mike
The Korean Embassy in Nigeria has commenced the Korean Film Festival in Nigeria after it went on break during the CIVID-19 pandemic.
The latest edition is the 12th Edition of the festival and was hosted at the Silverbird Cinema, in Abuja between 19th September to 21st September 2024 with several movies screened.
Speaking at the opening ceremony, the Korean ambassador to Nigeria, Kim Pankyu, expressed delight with the return of the festival after it was suspended due to the COVID-19 pandemic in 2020.
He said: “I have come to deeply feel that South Korea and Nigeria share a strong cultural affinity, especially in their love for music and dance.
“Due to this cultural affinity, various elements, such as fashion and cuisine, along with music, are resonating in Nigeria.
“Particularly, there has been a significant surge in the spread of dramas and films.”
He added that: “Along with the global hit ‘Squid Game’ in 2021, the most-watched drama series on Netflix Nigeria in 2022 was ‘Alchemy of souls’.
“Thus, I have come to realise the importance of introducing Korean films to Nigeria, one of the world’s top 3 film-producing countries.”
Also speaking at the event, the Director-General of the National Council for Arts and Culture, Mr Obi Asika, said millions of Nigerians had fallen in love with K-pop [Korean music] and K-drama [Korean drama].
He said Nigeria would continue to learn from the Koreans to improve its entertainment industry.
Korean Film Festival Returns to Nigeria After COVID-19 Break
New UNAIDS Report that Debt Crisis Has Left Health Chronically Underfunded in Africa
By: Michael Mike
Growing public debt is choking sub-Saharan African countries, leaving them with little fiscal room to finance health and critical HIV services, a new report by the Joint United Nations Programme on HIV and AIDS (UNAIDS).
The report said domestic revenues, debt relief and development aid: Transformative pathways for ending AIDS by 2030 Eastern and Southern Africa/ Western and Central Africa, shows that the debt crisis is putting in jeopardy progress made towards ending AIDS.
It added that sub-Saharan Africa accounts for the largest number of people living with HIV, with more than 25.9 million people of the 39.9 million living with HIV globally. The region’s success in having reduced new HIV infections by 56% since 2010 will not be sustained if fiscal space is constrained.
The report, released ahead of the 79th session of the United Nations General Assembly in New York, showed that the combination of growing public debt payments and spending cuts set out in International Monetary Fund agreements in the next three to five years will, if unaddressed, leave countries dangerously under resourced to fund their HIV responses.
The UNAIDS Executive Director Winnie Byanyima said: “When countries cannot effectively look after the health care needs of their people because of debt payments, global health security is put at risk,” adding that: “Public debt needs to be urgently reduced and domestic resource mobilization strengthened to enable the fiscal space to fully fund the global HIV response and end AIDS.”
The report said debt servicing now exceeds 50% of government revenues in Angola, Kenya, Malawi, Rwanda, Uganda, and Zambia, adding that even after debt relief measures, Zambia will still be paying two-thirds of its budget on debt servicing between 2024 and 2026.
It said there has been a noted decline in HIV response spending since 2017 in Western and Central Africa, from 0.3% of GDP in 2017 to just 0.12% in 2022.
It said Western and Central Africa will need to mobilize US$ 4.18 billion to fully fund the HIV response in 2024. This will climb to US$ 7.9 billion by 2030 unless efforts are scaled up today to stop new HIV infections.
While US$ 20.8 billion was available for the HIV response in 2022 in low and middle-income countries through both domestic and international sources, this funding was not enough to sufficiently finance the HIV response. Western and Central Africa for example had a funding shortfall of 32% in 2022.
In 2024 alone, Eastern and Southern Africa will need to mobilize almost US$ 12 billion to fully fund the HIV response. This amount will climb to around US$ 17 billion by 2030 unless new HIV infections are reduced.
It said to enable increased domestic resource mobilization for countries to respond effectively to their pandemics, sub-Saharan African countries will need to strengthen their tax systems, including closing tax exemptions which currently cost countries an average of 2.6% of GDP in lost revenue across the region. Donors need also to scale up financial assistance for health and the HIV response between now and 2030, while creditors should offer debt relief to heavily indebted countries to ease the burden.
Byanyima said: “World leaders cannot let a resource crunch derail global progress to end AIDS as a public health threat by 2030.”
New UNAIDS Report that Debt Crisis Has Left Health Chronically Underfunded in Africa
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