Amsterdam's H-TEAM initiative has achieved a significant reduction in HIV infections from 2010 to 2022 using a city-centered approach. By combining treatments, including testing, pre-exposure prophylaxis, and stakeholder collaboration, the city has surpassed the UNAIDS 95-95-95 target and is on track to potentially eliminate HIV entirely in the near future.
By Pooja Toshniwal PahariaOct 9 2023Reviewed by Susha Cheriyedath, M.Sc. In a rapid communication report published in the journal Eurosurveillance, researchers described the role of the Human Immunodeficiency Virus Transmission Elimination Amsterdam initiative in reducing the incidence of HIV infections in Amsterdam between 2010 and 2022.
About the rapid communication In the current rapid communication, researchers described the H-TEAM approach that contributed to the remarkable decrease in HIV infections in Amsterdam from 2010 to 2022. In 2010, 300 individuals received an HIV infection diagnosis in Amsterdam, with 78% being males who had sex with males . Standard HIV care and prevention measures led to a persistent drop in the yearly HIV incidence after 2010. However, the count of newly acquired infections by the virus was lower than that of new diagnoses.
Annual number of observed HIV diagnoses and estimated newly acquired HIV infections, Amsterdam, 1 October 2013: Source for the calculations: European Centre for Disease Prevention and Control HIV Modelling Platform. Red dashed line: number of diagnoses after adjusting for the delay in notification to SHM; blue zone: uncertainty around the estimate; blue dashed line: estimates in 2020 and later, which are still uncertain, as these are sensitive to the observed number of diagnoses in those years.
The strategy used symptom recognition scores, adapted to fit AHI patient characteristics, obtained through point-of-care human immunodeficiency virus ribonucleic acid tests and the website’s symptom checker tool. This strategy significantly reduced the duration between the diagnosis of acute HIV infections and suppression of viral load, leading to its adaptation in clinical care at sexual health centers in 2019 in Amsterdam.
Belgique Dernières Nouvelles, Belgique Actualités
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