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At the Crossroads in HIV Treatment, Prevention and Cure: Australia’s Strategic Role

At the Crossroads in HIV Treatment, Prevention and Cure: Australia’s Strategic Role. ASHM Special Session Edwina Wright WorldAIDS 2014 Melbourne, Australia. Picture credits provided at end of talk. Conflicts of Interest.

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At the Crossroads in HIV Treatment, Prevention and Cure: Australia’s Strategic Role

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  1. At the Crossroads in HIV Treatment, Prevention and Cure: Australia’s Strategic Role ASHM Special Session Edwina Wright WorldAIDS 2014 Melbourne, Australia Picture credits provided at end of talk

  2. Conflicts of Interest • Recipient of unrestricted funding for research from Gilead, Abbott, Janssen, Boeringher Ingelheim • Payments received for lectures for ViiV and consultancy for ViiV, Gilead, MSD and Abbott: used for research purposes only

  3. Australia: Current National Strengths in Relation to HIV Treatment & Prevention 23,500,000 people, 26% born overseas1 Internet use by age1 98% National Public Private Partnership Policy 1. Australia Bureau of Statistics

  4. Strategies to reduce HIV transmission by 30-96% Available in Australia QPrEP PRELUDE HIV CURE?

  5. ≈ 1 in 1,000 Australians are HIV+ in 2014 Newly diagnosed HIV infectionsin Australia by year 23,100 living with diagnosed HIV MSM: 8-10% PWID: 1-2% Sex workers: <0.1% ATSI: 0.15% 1,236 in 2013 All data from Kirby 2014 Report: Source: State/Territory health authorities

  6. ≈ 1 in 1,000 Australians are HIV+ in 2014 HIV diagnoses in the Australian born population by Aboriginal and Torres Strait Islander status, sex and year 23,100 living with diagnosed HIV MSM: 8-10% PWID: 1-2% Sex workers: <0.1% ATSI: 0.15% Adapted from Kirby 2014 Report: Source: State/Territory health authorities

  7. Estimated HIV care and treatment cascade in Australia Adapted from: Kirby Institute 2014 Report

  8. Australian AIDS 2014 Legacy All Australian States and Territories have signed a pledge to end HIV transmissions by 2020 We are at a crossroad where Australia has the opportunity to achieve this 2020 Legacy Goal

  9. ASHM and ending HIV transmissions by 2020 in Australia Policy & Practice & Partnerships • HIV, BBV, STI National Strategies • HIV testing policies and testing portal • HIV Point of Care testing policies and training • Guidance HIV Management in Australia • Access to early ARV treatment: PBAC • National HIV Treatment as Prevention workshops and seminars • Partnerships with community, researchers, government, regulators, private sector ASHM works to facilitate similar outcomes at regional and international levels

  10. Australia Ending HIV Transmissions by 2020 and Working with Others The Science of HIV Treatment & Prevention is at its highest tide ever & Australia has all the scientific tools available • Never has the time been better to consider ending HIV transmission in Australia and choose the right path to optimise this opportunity Australian is a good international citizen • Bilateral, regional, multilateral HIV Programs • We can and will contemporaneously share our knowledge, experience and successes with others as we move towards our 2020 Legacy Goal

  11. Thank You*

  12. Picture credits 1,000 people : http://www.psychguides.com/interact/am-i-ugly/ outline of man: http://pixabay.com/en/outline-people-man-silhouette-37469/ Aboriginal Australia map: http://www.mappery.com/map-of/Australia-Aboriginal-Tribes-Map Ballot box: http://www.abc.net.au/news/2014-06-05/earl-modern-voting/5500502 Medicare card: www.dryes.com.au PBS: http://www.pbs.gov.au/pbs/home NHMRC: www.nhmrc.gov.au ARC: www.arc.gov.au Amrep: www.med.monash.edu Kirby Institute: www.Kirby.unsw.edu.au CSRH: www.csrh.arts.unsw.edu.au Arcshs: http://www.latrobe.edu.au/arcshs Internet use Australia http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/8146.0Chapter32012-13 Homebased testing : www.rebeccagawthorne.com.au AIDS 2014 legacy : http://gaynewsnetwork.com.au/ Crossroads: http://www.australiantraveller.com/ alere determine combo: http://www.alere.co.uk/sexual-health/articles/alere-determinetm-hiv-combo-customer-training-239/text.htm PrEP ribbonhttp://www.google.com.au/search? PEPimagehttp://www.google.com.au/search? End HIVhttp://www.baywindows.com/FENWAY-HEALTH-COMMENDS-FDA-ON-APPROVAL-OF-FTC-TDF-AS-PRE-EXPOSURE-PROPHYLAXIS-FOR-HIV-PRE Tasp graphic: http://www.google.com.au/search? Pronto: http://pronto.org.au/ Microbicide: www.caprisa.org needle exchange http://www.canberratimes.com.au/act-news/needle-exchanges-can-curb-hep-c-20130116-2cu46.html sex positionshttp://www.betterworldbooks.com/position-sex-card-deck-id-1592333192.aspx IVF: http://www.google.com.au/search Vaccine: http://www.google.com.au/search?

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