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CDC awards $109 million to end the HIV epidemic in the United States

Cross message from CDC NCHHSTP Newsroom

Targeted funding goes to regions and communities most affected by HIV

The CDC has awarded $109 million to state and local health departments to accelerate progress in addressing the HIV epidemic in the United States. Communities will use the funding to customize and implement high-impact HIV diagnosis, treatment, prevention and intervention strategies, and to reduce local barriers to HIV prevention and care.

The award is part of a five-year program funding programwhich is part of the federal initiative Ending the HIV Epidemic: A Plan for America. This award will help expand efforts in the 50 local areas which account for most new HIV infections in the United States and in seven states with a large rural HIV burden.

The CDC provided funding to national and local health services to achieve the 57 priority areas for the first five years of the Ending the HIV Epidemic initiative. Prices range from $1.9 million to $10.6 million. The CDC distributed available funding based on the severity of the outbreak and the number of target counties in each state.

“We have identified 57 jurisdictions as part of President Trump’s initiative to end America’s HIV epidemic within ten years, and these new grants will help these communities customize and implement strategies. to achieve this goal in a way that meets their local needs,” HHS said. Secretary Alex Azar. “As we battle COVID-19, the Trump administration remains committed to vital public health priorities, including ending the HIV epidemic within ten years.”

Ending HIV and fighting COVID-19

As our country battles both COVID-19 and HIV simultaneously, CDC is working with funded recipients to adapt plans to meet the HIV prevention needs of their communities and address current service challenges and disruptions. Approaches could include the use or expansion of telemedicine and telehealth, rapid HIV self-testing, self-testing by mail, and other locally adapted creative solutions.

Areas that have received funding for jump start activities in 2019 have already seen success with innovations such as:

  • Train registered nurses to fill gaps in the capacity of providers to offer pre-exposure prophylaxis (PrEP) to people at high risk of contracting HIV;
  • Mobilize community health workers to reach people who do not regularly access the health system;
  • Support programs that offer home HIV self-testing;
  • Offer express visits for HIV/STD testing at STD clinics.

“Make no mistake – our challenge to end the HIV epidemic – has just become infinitely more difficult and more complex due to the massive disruption caused by the COVID-19 pandemic,” said ADM Brett P. Giroir, MD, Assistant Secretary of Health. “We must continue to implement Ending the HIV Epidemic: A Plan for America, it’s time to redouble our efforts. »

Addressing racial and ethnic disparities in HIV diagnosis, treatment and care

In recent years, more than half of all new HIV diagnoses and nearly two-thirds of new HIV diagnoses among Black/African Americans and Hispanic/Latinx people in the United States have occurred in the 57 priority areas for the Ending the HIV epidemic initiative. To reduce these disparities and promote health equity, funding recipients will allocate resources to identify groups of people within their jurisdiction who are disproportionately affected by HIV and develop specific plans to reduce these disparities. .

“We will not end the HIV epidemic without the voices and participation of the communities most severely affected by HIV,” said CDC Director Robert R. Redfield, MD. “Scientific advances are powerful, but we will not end this epidemic unless we commit to addressing the health disparities clearly evident with the HIV epidemic. This funding will help communities close longstanding gaps in equitable access to HIV progress and bring us closer to the finish line.

Efforts will be guided by Ending the HIV epidemic plans adapted by and for each community. While the specifics of implementation differ by area and funding, each community will strive to scale four key strategies that together can end the HIV epidemic:

  • Diagnose all people living with HIV as early as possible;
  • Treat people living with HIV quickly and effectively;
  • Preventing new transmissions of HIV using proven interventions such as PrEP and needle services programs;
  • Respond quickly to potential HIV epidemics.

As part of the $109 million fundraising effort, the CDC awarded a total of $3 million to seven state and local health departments to expand quality HIV prevention services in STD clinics. STD clinics play a vital role in Ending the HIV epidemic and provide a critical means of reaching populations at risk for HIV who are not engaged in HIV prevention programs or other health services.

In addition to serving as the main source of STD and HIV prevention services for people without regular access to care, STD clinics serve a high proportion of racial and ethnic minorities, gay and bisexual men and of transgender people. This funding will strengthen the infrastructure of STD clinics in the seven locations by increasing HIV and viral load testing to detect new infections and support people living with HIV whose viral load is n is not deleted. The funding will also support the linkage or re-engagement of people living with HIV in care and increase the number of people receiving PrEP or non-occupational post-exposure prophylaxis (nPEP) at funded STD clinics.

“The CDC is committed to providing the resources and flexibility that communities will need to end the HIV epidemic while continuing to fight the COVID-19 pandemic,” said Jonathan Mermin, MD, MPH, Director from the CDC’s National Center for HIV/AIDS, Viral Hepatitis. , STDs and tuberculosis prevention. “The challenges ahead of us are great, but our determination to move forward and work together is greater.”

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