IFARA spoke with Julio Montaner, M.D., the director of the British Columbia Centre for Excellence in HIV/AIDS, about HIV treatment advocacy and the proposed 90-90-90 HIV strategy. Now that the 15 by 2015 campaign's health care targets are almost upon us, advocates have proposed that the United Nations adopt new goals: By 2020, 90% of HIV-affected people globally should have been tested, 90% of those infected should be receiving the best possible, sustained treatment, and 90% of those on treatment should be long-term virally suppressed. These targets are achievable and have already been endorsed by the ministers of health of South Africa and Brazil, two very populous countries highly affected by the HIV epidemic, Montaner stated.
According to Montaner, HIV should be managed globally based on viral load, not T cells. Viral load can be tested much more economically than can CD4 cell counts, and the price of viral load testing may drop even below the current US$35/year. Montaner said he "dream[s] of the day when the HIV-infected have a test at home like diabetics do today." He also hoped that the legacy of the late, former president of the International AIDS Society, Joep Lange, who was involved in developing the 90-90-90 strategy, could be built upon by adopting and implementing these goals.
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The video above has been posted on TheBodyPRO.com with permission from our partners at the International Foundation for Alternative Research in AIDS (IFARA). Visit IFARA's website or YouTube channel to watch more video interviews from the conference, as well as earlier meetings.