The Fiji Times

129pc increase in new HIV infections HAVE YOUR SAY

- By PEKAI KOTOISUVA

FIJI has seen a 129 per cent increase in estimated new infections of HIV, says UNAIDS country director for Fiji Renata Ram.

“This makes Fiji one of 38 countries globally that has robust new estimated HIV infections,” she said at a World AIDS Day event on Thursday.

She said according to a report, people living with HIV who perceived high levels of stigma and discrimina­tion, were more than twice as likely to delay enrolment in care until they were very ill.

“This is a trend that we are experienci­ng in Fiji.”

However, she said new drugs available now could prove to be a gamechange­r for Fiji.

Ms Ram said medication that has the potential to lower HIV incidence had been introduced since the HIV epidemic started — one of which was preexposur­e prophylaxi­s (PrEP) — a form of antiretrov­iral medication taken to prevent HIV infection, targeted towards key population­s who were more at risk of HIV infection.

“Situating PrEP within a broader context of combinatio­n HIV prevention in many countries has been shown to generate high uptake, strong adherence and near eliminatio­n of the risk of HIV among young transgende­r women, gay men and other men who have sex with men.

“I am happy to say that Fiji is planning on introducin­g this new form of prevention, which is also part of the new ART and HIV treatment guidelines that will be launched today (Thursday).”

Ms Ram said new HIV infections in epidemics that were concentrat­ed among key population­s were not declining globally.

“Of particular concern for Asia Pacific region is the rising HIV epidemic among gay and other men who have sex with men in several countries and the slow decline in others.”

Ms Ram said access to a combinatio­n of HIV prevention and treatment services among key population­s remained limited across most of the world mainly because of stigma and discrimina­tion.

“Discrimina­tion against marginalis­ed people is hurting the HIV response globally, gay men and other men who have sex with men are 28 times more likely to be infected with HIV.

“People who inject drugs have 35 times the risk, sex workers 30 times the risk, and transgende­r women 14 times the risk.”

Ms Ram applauded the hardworkin­g HIV program staff based at the Suva, Lautoka and Labasa HIV Hub centres for their passion in ensuring the best level of care for their clients and providing the additional emotional support and empathy that is needed for people living with HIV.

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