澳大利亞公佈的年度愛滋病數據:愛滋病毒之新診斷數達到七年來的


2018924日澳大利亞公佈的年度愛滋病數據:愛滋病毒之新診斷數達到七年來的最低點

資料來源:aidsmap news, Kirby Institute,  Australia’s  Global University, Monday, 24 September 2018

 

•在2017年澳大利亞有963例新的愛滋病毒感染診斷,顯示五年內下降了7%,亦達七年來新感染診斷的最低數量。同性戀和雙性戀的男性減少最多,僅在過去一年就減少了15%。
•相較之下,過去五年來,異性戀者中新診斷愛滋病毒感染的數量則增加了10%,而原住民和托雷斯海峽的島民人口中(澳洲昆士蘭省的原住民,它們與澳大利亞其他地區的原住民不同,通常會單獨提及)之愛滋病毒診斷率則幾乎仍保持了兩倍高。
2018924日,星期一,雪梨)根據雪梨新南威爾斯大學柯比研究所的一份新的報告,報導了澳大利亞的愛滋病毒的診斷數達到這七年來的最低水平。
今天在雪梨舉行的澳大利亞愛滋病毒和愛滋病大會上發表的這份報告,報導了在2017年有963例新的HIV診斷,這是自2010年以來的最低數字。研究人員認為這可歸因於越來越多的人接受愛滋病毒檢測、更多愛滋病毒感染者開始接受治療讓愛滋病病毒傳播的風險實際上趨近為零、以及預先暴露前預防(PrEP,預防愛滋病毒之藥丸)可能的結果。
「我們應該對這些結果感到非常滿意」柯比研究所監測、評估和研究計畫的負責人Rebecca Guy教授說。「雖然下跌幅度相對較小,但近年來隨著檢測率的提高和國家預防策略的強化所呈現下降的趨勢,意味著我們可以對這些的降低持審慎樂觀之態度。」
男同性戀和雙性戀男性繼續代表著澳大利亞新診斷愛滋病毒感染比例最高的族群,幾乎佔所有感染的三分之二。 「今年報告中的一些令人鼓舞的消息是,我們看到這一族群的愛滋病毒診斷減少最多,在過去一年裡的診斷中減少了15%」,蓋伊教授說。
「這種下降是個好消息,但還有很多工作要做。 PrEP提供了一個驅使將愛滋病毒降低至低水平的機會,但它需要覆蓋至所有可從中受益的每個人身上。特別是我們需要改善居住在市中心地區以外的男同性戀和雙性戀男性、海外出生的男同性戀和雙性戀男性,以及原住民或託雷斯海峽島民中的同性戀和雙性戀男子。」
2017
年報告還揭示了澳大利亞實現了聯合國愛滋病規劃署2020年全球目標的好消息。在2017年,估計澳大利亞有74%的愛滋病毒感染者其病毒載量已受到抑製或達檢測不到水準,這超過了聯合國愛滋病規劃署73%的目標。「這對澳大利亞來說是一項了不起的成就,並且彰顯出強化臨床和公共衛生各項措施以及愛滋感染者的領導能力之成效」蓋伊教授說。 

「但是,要達到203086%的目標,我們還有很長的路要走。這些也只有是在透過社區、政府、臨床和研究單位間更強化的反應和強有力的伙伴關係下才能實現。」
然而,這其中並不都是好消息。根據該報告,在2017年有四分之一的新診斷愛滋病毒感染是在異性戀者中發現,在過去五年的診斷中則增加了10%。「異性戀者此一數據很值得關心,這些人口中幾乎有一半人的診斷是延遲的,這意味著這些人已經感染愛滋病毒達四年或更長時間了。」蓋伊教授說, 「這些數據強調異性戀者當中愛滋病毒檢測的重要性」。

「在原住民和托雷斯海峽島民中,過去五年來愛滋病毒的診斷一直在增加中,2017年其比率幾乎是澳大利亞出生的非原住民人口的兩倍。原住民人口中沒有看到與非原住民人口中相同的下降趨勢,意味著差距可能會擴大,除非我們加大愛滋病預防工作上之努力,特別是目標重點著重於測試、治療和PrEP等針對社區的宣傳活動」,來自南澳大利亞健康與醫學研究所的James Ward副教授說。
該報告顯示,注射吸毒者和女性性工作者的愛滋病毒感染率非常低。 「澳大利亞非常幸運,在這些人群中的愛滋病毒感染率很低,而我們仍需要確保支持這些群體的健康計畫和服務是持續的,如針頭和注射器交換計畫和有效地針對性工作者的預防計畫」,蓋伊教授說。
結語

今天於2018年澳大利亞愛滋病毒和愛滋病研討會發表之柯比研究所澳大利亞愛滋病毒年度監測報告之2017年增補報告,係延續著新南威爾斯大學健康社會研究中心2018年愛滋病毒的行為趨勢之年度補充報告。關於愛滋病毒、病毒性肝炎、性傳染疾病的完整年度監測報告,則將於2018111日起在柯比研究所(Kirby Institute)網站上提供,並在奧克蘭舉行的IUSTI亞太性健康大會上正式提出。

援引利益關係者評論:

「這些數據顯示,男同性戀和雙性戀男性在預防愛滋病毒傳播方面比以往更加積極。它終將在愛滋病流行中遭受最嚴重的人群中戮穿了「自滿」的神話。這些數據也顯示了單靠科學和藥物不會終結愛滋病毒。我們需要大量的額外投資來針對某些異性戀社區和原住民以及托雷斯海峽的島民們,來傳達PrEP的好處和儘速地進行愛滋病毒檢測和治療。」

「我們還需要一致的國家政策和更加熟練的愛滋相關工作人員,以確保沒有任何人落伍掉隊。藉由重新努力、持續的溝通和投資,我們可以在對抗愛滋病毒傳播方面取得歷史性進展。」

Darryl O'Donnell- 澳大利亞愛滋機構聯合會執行長

「有效的抗反轉錄病毒治療和持續檢測不到的病毒載量是預防愛滋病毒傳播的最有效方法,但它只有當人們能夠獲得醫療照護和支持性服務,並且賦予其能力以有效管理他們的健康時才能發揮作用。這還需要做更多工作,以確保來自原住民和托雷斯海峽島民和其他文化和語言多樣化社區的愛滋病毒感染者、愛滋病毒陽性的婦女和那些無法獲得醫療照顧的人們,有更多機會進行測試和在感染的早期階段即開始進行治療。

Aaron Cogle- 澳大利亞全國愛滋感染者協會執行長

 

HIV diagnoses hit seven year low : Australia’s  annual HIV figures released today

Kirby Institute,  Australias  Global University, Monday, 24 September 2018

 

• There were 963 new HIV diagnoses in Australia in 2017, representing a 7% decline over five years, and the lowest number of new diagnoses in seven years. The reductions were greatest among gay and bisexual men, with a 15% reduction in the past year alone.

• In contrast, the number of new HIV diagnoses increased by 10% among heterosexuals over the past five years, and HIV diagnosis rates remain almost two times higher in Aboriginal and Torres Strait Islander populations.

 

(SYDNEY, Monday 24 September 2018) Australia has recorded its lowest level of HIV diagnoses in seven years, according to a new report from the Kirby Institute at UNSW Sydney.

The report, released today at the Australasian HIV & AIDS Conference in Sydney, found that there were 963 new HIV diagnoses in 2017, the lowest number since 2010. Researchers are attributing the promising results to more people getting tested for HIV, more people living with HIV starting treatment which reduces the risk of HIV transmission to effectively zero, and an increased use of preexposure prophylaxis (or PrEP, an HIV prevention pill).

“We should be very pleased with these results,” said Professor Rebecca Guy, head of the Kirby Institute’s Surveillance, Evaluation and Research Program. “Although the declines are relatively small, the downward trend over recent years, alongside increased testing rates and enhanced national prevention strategies, mean we can be cautiously optimistic about these reductions.”

Gay and bisexual men continue to represent the highest proportion of new HIV diagnoses in Australia, accounting for almost two-thirds of all infections. “Some encouraging news from this year’s report is that we’re seeing the greatest reductions in HIV diagnoses in this population, with a 15% decrease in diagnoses in the past year,” said Professor Guy.

“This decline is good news, but there is much more work to be done. PrEP offers every opportunity to drive down HIV to low levels, but it needs to reach all people who could benefit from it. In particular we need to improve access for gay and bisexual men living outside of inner-city areas, gay and bisexual men born overseas and Aboriginal or Torres Strait Islander gay and bisexual men.”

The 2017 report also reveals the good news that Australia has met the 2020 UNAIDS global targets. In 2017, an estimated 74% of people living with HIV in Australia had a suppressed or undetectable viral load, which just exceeds the UNAIDS target of 73%. “This is a fantastic achievement for Australia, and reflects strengthened clinical and public health initiatives, and the leadership of people living with HIV,” said Professor Guy. “However, we have a long way to go to meet the 2030 target of 86%. This will only be achieved with enhanced responses and strong partnerships between community, government, research and clinical sectors.”

However, it is not all good news. According to the report, a quarter of new HIV diagnoses in 2017 were among heterosexuals, with a 10% increase in diagnoses over the past five years. “The figures among heterosexuals are concerning. Almost half the diagnoses in this population are late, which means that the person has been living with HIV for four or more years without knowing,” said Professor Guy. “These data highlight the importance of HIV testing among heterosexuals.”

Among Aboriginal and Torres Strait Islander populations, HIV diagnoses have been increasing over the past five years, with rates almost two times higher than the Australian-born non-Indigenous population in 2017. “The fact that Aboriginal populations are not seeing the same declines as the non-Indigenous population means the gap is likely to widen, unless we increase our efforts in HIV prevention, in particular, targeted campaigns for the community focussed on testing, treatment and PrEP,” said Associate Professor James Ward from the South Australian Health and Medical Research Institute.

The report shows very low rates of HIV among people who inject drugs and female sex workers. “Australia is very fortunate to have low HIV rates among these populations, and we need to ensure that health programs and services supporting these groups, such as needle and syringe programs and effective prevention programs targeting sex workers, are sustained,” Professor Guy said.

<ENDS>

The Kirby Institute’s HIV in Australia Annual Surveillance Report Supplement 2017 was released today at the 2018 Australasian HIV & AIDS Conference alongside the Annual Report of Trends in Behaviour Supplement 2018 on HIV by UNSW’s Centre for Social Research in Health. The full Annual Surveillance Report on HIV, viral hepatitis and sexually transmissible infections will be available on the Kirby Institute website from 1 November 2018 and will be officially launched at the IUSTI Asia Pacific Sexual Health Congress in Auckland.

Stakeholder quotes:

“This data shows gay and bisexual men are more active than ever in preventing HIV transmission. It should finally puncture the myth of ‘complacency’ among those hit hardest by the HIV epidemic. This data also shows science and medicine alone will not end HIV. We need significant additional investment to communicate the benefit of PrEP, rapid HIV testing and treatment to some heterosexual communities and Aboriginal and Torres Strait Islander people.

“We also need consistent national policy and a more skilled HIV workforce, to ensure nobody is left behind. With renewed effort, consistent communication and investment we can make historic inroads against HIV transmission.”

- Darryl O’Donnell, CEO, Australian Federations of AIDS Organisations

 

“Effective antiretroviral treatment and a sustained undetectable viral load are the most effective way to prevent HIV transmission, but it only works if people have access to care and support services that empower them to proactively manage their health. More needs to be done to ensure that people with HIV from Aboriginal and Torres Strait Islander and other culturally and linguistically diverse communities, positive women and those without access to Medicare get more opportunities to test and commence treatment at earlier stages of infection.”

- Aaron Cogle, CEO, National Association of People with HIV Australia