ASHM Special SessionEdwina Wright

WorldAIDS 2014Melbourne, Australia

Picture credits provided at end of talk

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

Strategic Role

• 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

Conflicts of Interest

Australia: Current National Strengths in Relation to HIV Treatment & Prevention

23,500,000 people, 26% born overseas1

1. Australia Bureau of Statistics

Internet use by age1

98%

National Public Private Partnership Policy

HIVCURE?

Strategies to reduce HIV transmission by 30-96%

PRELUDE

QPrEP

Available in Australia

0

500

1000

1500

2000

2500

1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012

Nu

mb

er

Year HIV diagnoses

All data from Kirby 2014 Report: Source: State/Territory health authorities

Newly diagnosed HIV infections in Australia by year

1,236 in 2013

≈ 1 in 1,000 Australians are HIV+ in 201423,100 living with diagnosed HIVMSM: 8-10%PWID: 1-2%Sex workers: <0.1%ATSI: 0.15%

Adapted from Kirby 2014 Report: Source: State/Territory health authorities

HIV diagnoses in the Australian born population by Aboriginal and Torres Strait Islander status, sex and year

≈ 1 in 1,000 Australians are HIV+ in 201423,100 living with diagnosed HIVMSM: 8-10%PWID: 1-2%Sex workers: <0.1%ATSI: 0.15%

Estimated HIV care and treatment cascade in Australia

Livin

g with

HIV

Diagnosed

Linked to

care

Retain

ed in c

are

Receivin

g ART

Suppressed v

irus

0

5000

10000

15000

20000

25000

30000

0%

20%

40%

60%

80%

100%

120%

Nu

mb

ers

of

pe

op

le

% o

f p

eo

ple

liv

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h H

IV

Adapted from: Kirby Institute 2014 Report

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

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 sectorASHM works to facilitate similar outcomes at regional and international levels

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

Australia Ending HIVTransmissions by 2020 and Working with Others

Thank You*

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-MapBallot box: http://www.abc.net.au/news/2014-06-05/earl-modern-voting/5500502Medicare card: www.dryes.com.au PBS: http://www.pbs.gov.au/pbs/homeNHMRC: www.nhmrc.gov.auARC: www.arc.gov.auAmrep: www.med.monash.eduKirby Institute: www.Kirby.unsw.edu.auCSRH: www.csrh.arts.unsw.edu.auArcshs: http://www.latrobe.edu.au/arcshsInternet use Australia http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/8146.0Chapter32012-13Homebased testing : www.rebeccagawthorne.com.auAIDS 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.htmPrEP ribbonhttp://www.google.com.au/search? PEPimage http://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-PRETasp graphic: http://www.google.com.au/search? Pronto: http://pronto.org.au/Microbicide: www.caprisa.orgneedle exchangehttp://www.canberratimes.com.au/act-news/needle-exchanges-can-curb-hep-c-20130116-2cu46.htmlsex positionshttp://www.betterworldbooks.com/position-sex-card-deck-id-1592333192.aspxIVF: http://www.google.com.au/searchVaccine: http://www.google.com.au/search?

Picture credits