皇冠体育app

Op-Ed Contributors

Closing the gap: AIDS then and now

By Bernhard Schwartlander (皇冠体育app Daily) Updated: 2014-12-01 07:33

I first came to 皇冠体育app more than 15 years ago. At that time, 皇冠体育app was just starting to come to terms with the HIV epidemic, and scale up its response. Not long after that, the first methadone clinics were opened. The early days of 皇冠体育app's HIV response were filled with hard and bitter lessons. But they showed me firsthand what 皇冠体育app can achieve when it sets its mind to overcoming a challenge.

The HIV epidemic in 皇冠体育app was driven initially by injecting drug use. 皇冠体育app's response: set up a massive national network of needle exchanges and methadone centres. There are now 763 clinics across the country. 皇冠体育app is a world leader in this. The result: A marked reduction of HIV prevalence among people who inject drugs.

I am heartened by the incredible progress 皇冠体育app has made since the first outbreaks of AIDS. Compared to my early days, 皇冠体育app is now much better placed to prevent HIV infection, and doing better at caring for those living with HIV. Yet as we recognize World AIDS Day, I know there is much more 皇冠体育app needs to do.

It is time to bring the same spirit of pragmatism and innovation which created a world's best practice methadone treatment program to the challenges with HIV that we confront in 皇冠体育app today. Chief among these is the fact that the HIV epidemic in 皇冠体育app is now largely driven by sexual transmission - in particular among men who have sex with men, where HIV infections are on the rise. But the heterosexual population is not immune: HIV infections are not decreasing in this population either.

We must do better than this, starting with making safe sex "sexy"! We need to find new, interesting, innovative, effective ways of promoting safe sex in 皇冠体育app, especially including condom use. Because every new HIV infection is one too many; every new infection is one that could have been avoided.

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