Ending the HIV Epidemic in the USA

By  Brooke Nichols  Stephen M Kissler  |  | 

Despite the scale-up of HIV prevention, testing, and treatment services, ongoing HIV transmission within the USA remains a major public health problem, with nearly 40 000 new HIV diagnoses in 2018 alone. In 2019 the US President Donald Trump announced a commitment to reduce HIV incidence in the USA by 75% by 2025, and by 90% by 2030, with the ultimate goal of ending the national HIV epidemic.The proposed increase in financial commitment was approved by the US Congress in the same year

The right mix of prevention and treatment services needed to achieve this ambitious goal is likely to vary by geographic region, given the particularities of local HIV subepidemics. Geospatial optimisation of HIV prevention and treatment packages might aid in achieving greater reductions in HIV incidence than a homogenous national programme