GENEVA, 1 November 2021—On International Drug Users’ Day, UNAIDS is calling for urgent action against the criminalization of people who use drugs, for the redress of criminalization’s negative effects on HIV, viral hepatitis and other health issues, for the respect of human rights and for more funding for community-led harm reduction programmes.

“UNAIDS is committed to supporting countries in their journey towards the decriminalization of drug possession and to full-scale implementation of harm reduction programmes,” said UNAIDS Executive Director, Winnie Byanyima. “UNAIDS calls for the full involvement of communities of people who use drugs in achieving legal reform aimed at decriminalization and in the organization of harm reduction programmes at the country level. This will help us to end inequalities and end AIDS.”  

People who use and inject drugs are among the groups at highest risk of acquiring HIV but remain marginalized and often blocked from accessing health and social services. In 2020, 9% of all new HIV infections were among people who inject drugs. Outside of sub-Saharan Africa this rises to 20%. Although women represent less than 30% of the number of people who use drugs, women who use drugs are more likely to be living with HIV than their male counterparts.

Timely introduction and full-scale implementation of accessible harm reduction programmes can prevent HIV infections, as well as many cases of viral hepatitis B and C, tuberculosis and drug overdose. The United Nations system is united in promoting harm reduction services and decriminalization of personal possession of drugs, based on the evidence that harm reduction and decriminalization provide substantial public and personal health benefits and do not increase the number of people with drug dependency. Despite this position, reflected in the United Nations system common position supporting the implementation of the international drug control policy through effective inter-agency collaboration, in reality less than 1% of people who inject drugs live in countries with the United Nations-recommended levels of coverage of needles, syringes and opioid substitution therapy, and the funding gap for harm reduction in low- and middle-income countries sits at a dismal 95%.

Even where harm reduction services are available, they are not necessarily accessible. Punitive drug control laws, policies and law enforcement practices have been shown to be among the largest obstacles to health care in many countries. Criminalization of drug use and harsh punishments (such as incarceration, high fines or removal of children from their parents) discourage the uptake of HIV services, drive people underground and lead to unsafe injecting practices, and increase the risk of overdose. Women who use drugs face higher rates of conviction and incarceration than men who use drugs, contributing to the increased levels of stigma and discrimination they face in health-care settings. In effect, criminalization of drug use and possession for personal use significantly and negatively impact the realization of the right to health.

Earlier this year, United Nations Member States set bold global targets on decriminalization of drug possession for personal use and on elimination of stigma and discrimination against people who use drugs and other key populations. To reach these targets by 2025, strategic actions at the country level need to start today.

GLOBAL AIDS SOCIETAL ENABLER TARGETS 2025

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 28 October 2021—UNAIDS welcomes the agreement between the Medicines Patent Pool (MPP) and the pharmaceutical company Merck Sharp & Dohme through which the intellectual property rights over an antiviral medicine to treat mild to moderate forms of COVID-19 in adult patients are shared with interested sub-licensees on a non-exclusive and transparent basis. The new medicine, molnupiravir, is still pending regulatory approval but has obtained optimal results in clinical trials.

“This agreement is a good first step, where public health has been prioritized over profits,” said the Executive Director of UNAIDS, Winnie Byanyima. “This new treatment promises to be a valuable addition in the response to COVID-19 and access to it will be considerably widened by allowing companies from around the world to produce more affordable versions of the medicine.”

This is the first licensing agreement on a COVID-19 tool to be established within a public health perspective. It is a significant development considering the lack of medicines to treat COVID-19. The initiative will allow the entry into market of more affordable generic versions of this medicine as soon as it is granted authorization from national and/or regional health regulatory bodies or included in the World Health Organization (WHO) list for emergency use.

According to the agreement, pharmaceutical companies based anywhere in the world that are interested and qualified to manufacture generic versions of the product will be allowed to commercialize the medicine in the 105 countries included in the geographic scope of the licensing agreement. Nevertheless, recognizing that COVID-19 knows no geographic boundaries, UNAIDS expects that all countries suffering the disease burden will have access to the generic market for this product. All health technologies should be considered global public goods.

This agreement includes all sub-Saharan countries, all low-income countries, the majority of lower-middle-income countries and 20 upper-middle-income countries.

Originally established to negotiate public health-oriented licensing agreements for HIV, tuberculosis and malaria products, the MPP has been an important player in the HIV response by promoting competition within the pharmaceutical market and helping to push down the prices of essential medicines. UNAIDS and MPP are both members of the steering committee of the WHO COVID-19 Technology Access Pool (C-TAP), an initiative that calls for the voluntary sharing of technologies, knowledge, data and intellectual property rights of health products to prevent, diagnose and treat COVID-19.

“It is high time that similar arrangements are also made for making COVID-19 vaccines. What works for medicines should also work for vaccines and diagnostics and other life-saving technologies,” said Ms Byanyima. “I call on the Group of Twenty and other governments to ensure that patent holders are obliged to share life-saving tools and technologies equitably.”

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 25 October 2021—UNAIDS welcomes the announcement by New Zealand that it has removed all travel restrictions for people living with HIV. The recent decision by Immigration New Zealand to remove HIV from the list of medical conditions deemed likely to impose significant costs or demands on New Zealand’s health services means that the blanket ban for people living with HIV to get a resident visa has officially been removed. 

“I commend New Zealand for taking this important step and hope that it will encourage other countries to remove all travel restrictions and other policies that discriminate against people living with HIV,” said UNAIDS Executive Director, Winnie Byanyima.

Legislation, policies and practices that prohibit the movement of people living with HIV are discriminatory and frequently limit their opportunity to travel, work and study abroad. UNAIDS advocates for the right to freedom of movement and non-discrimination to end the inequalities faced by people living with HIV. There is no evidence that restrictions on the entry, stay or residence of people living with HIV protect public health.

With the removal of New Zealand’s restrictions, UNAIDS counts 46 countries, territories and areas that continue to impose some form of restriction on the entry, stay and residence of people living with HIV based on their HIV status.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 28 September 2021—UNAIDS warmly welcomes the intent of the President of the United States of America, Joe Biden, to nominate John Nkengasong as Ambassador-at-Large and Coordinator of United States Government Activities to Combat HIV/AIDS Globally at the Department of State.

One of the world’s leading pandemic experts, Mr Nkengasong is an HIV virologist with decades of experience in the global AIDS response and is the current Director of the Africa Centres for Disease Control and Prevention. He is an inspired choice to lead the United States President’s Emergency Plan for AIDS Relief (PEPFAR), the largest response in history by any nation to a single disease.

“John Nkengasong’s vast experience in combatting HIV, combined with his position as Africa’s leading disease expert fighting Ebola, COVID-19 and more, position him extremely well to guide the United States’ global contribution towards ending the AIDS pandemic,” said Winnie Byanyima, Executive Director of UNAIDS. “Today, the HIV and COVID-19 pandemics are colliding in communities throughout the world, and the threat of a resurgent AIDS pandemic is very real. We need the kind of bold thinking and commitment he has brought throughout his career.”

Previously, Mr Nkengasong was Acting Deputy Director, Center for Global Health, United States Centers for Disease Control and Prevention (CDC), and prior to that the Chief of the International Laboratory Branch, Division of Global HIV/AIDS and Tuberculosis, at the CDC. He also served as the Associate Director for Laboratory Science, Division of Global AIDS/HIV and Tuberculosis, Center for Global Health, CDC, and Co-Chair of PEPFAR’s Laboratory Technical Working Group. Mr Nkengasong has served as a member of the UNAIDS Advisory Group since 2019 and as the World Health Organization Director-General’s Special Envoy on COVID-19 Preparedness and Response since 2020.

Marking its 25th anniversary this year, UNAIDS has long partnered with PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria to advance progress towards ending AIDS as a public health threat by 2030 as part of the United Nations Sustainable Development Goals.

UNAIDS is very grateful to the Acting United States Global AIDS Coordinator and Special Representative for Global Health Diplomacy, Angeli Achrekar, and her team, who have steered PEPFAR through a year of transition between administrations, and multiple pandemics, with urgency and expertise. Ms Achrekar will continue to lead PEPFAR through Mr Nkengasong’s Senate confirmation process.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 11 August 2021—UNAIDS welcomes the announcement by Chile that it recognizes international responsibility for violating the rights of a woman living with HIV who was sterilized without her consent almost 20 years ago. The government has agreed a friendly settlement with the woman, Francisca, that includes the payment of reparations for the violation of her human rights. It has also committed to ending forced sterilization and to guaranteeing reproductive rights as human rights without discrimination.

Francisca delivered a healthy baby boy in 2002 and was then sterilized without her consent by the doctor who carried out her Caesarean section, making the decision that a woman living with HIV should not be able to have children. The friendly agreement announced this week comes after more than a decade’s litigation by the woman and her legal teams.

“This settlement is a significant moment for women around the world who have been fighting for reproductive justice for decades. Coercive sterilization of women living with HIV is a violation of women’s most fundamental human rights,” said UNAIDS Executive Director, Winnie Byanyima. “Unfortunately, this practice is still happening in many countries and efforts to stop it and bring justice to more women must be stepped up.”

This settlement comes after years of efforts before the Inter-American Commission on Human Rights (IACHR) after an earlier complaint in the Chilean justice system was unsuccessful. The case was litigated by the Chilean organization, Vivo Positivo, and the international human rights organization, Center for Reproductive Rights.

UNAIDS submitted an amicus brief to inform the IAHCR the standards that governments must uphold to address the HIV stigma and discrimination that impact women living with HIV. These include the obligation to respect, protect and fulfil women’s autonomy in decision making on matters related to their sexual and reproductive lives, their right to physical integrity and their right to be free from violence, including from violence by health personnel.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 8 July 2021—UNAIDS is shocked and saddened by the assassination of Jovenel Moïse, the President of Haiti, during an attack by gunmen at his private residence. It also sends its sincere hopes that the First Lady, Martine Moïse, will recover from the injuries that she sustained during the incident.

“My thoughts are with the family of President Moïse at this incredibly difficult time,” said the UNAIDS Executive Director, Winnie Byanyima. “I sincerely hope that the First Lady will recover from her injuries. She is a strong friend to UNAIDS and a staunch champion in the response to the HIV epidemic, both in Haiti and across the region.”

Ms Moïse, above left, has chaired Haiti’s Global Fund to Fight AIDS, Tuberculosis and Malaria Country Coordinating Mechanism since 2017 and is a close ally of UNAIDS. She is also a member of the Spouses of Caribbean Leaders Action Network and champions its work around the Every Woman, Every Child initiative in Haiti. Among Ms Moïse’s priorities are combatting violence against women and girls, teen pregnancy and human trafficking. She also supports the agenda to prevent and eliminate mother-to-child transmission of HIV.

In June, Ms Moïse spoke on behalf of the Caribbean Community at the United Nations General Assembly High-Level Meeting on AIDS.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 6 July 2021—UNAIDS is deeply concerned by new legislation in Hungary that includes discriminatory amendments against lesbian, gay, bisexual, transgender and intersex (LGBTI) people.

The amendments include banning the dissemination of content in schools and public service announcements deemed to “promote gender identity different from sex assigned at birth, the change of sex and homosexuality” to people under the age of 18 years. The amendments were tacked on to a popular bill to increase the criminalization of paedophilia, which was signed into law by Hungary’s President, János Áder, on 23 June 2021.

“The association of sexual orientation and gender identity with criminal acts such paedophilia is not only wrong, it is intolerable,” said Winnie Byanyima, the Executive Director of UNAIDS. “To end the AIDS epidemic, we need laws that protect, not harm, already marginalized communities.”

Criminalization and discrimination against LGBTI people hinder the availability, access and uptake of HIV prevention, testing, treatment, and care and support services. Data from UNAIDS show that knowledge of HIV status among gay men and other men who have sex with men who are living with HIV was three times higher in countries with the least repressive LGBTI laws than in countries with the most repressive LGBTI laws.

In response to a recent question on the new law, the United Nations Secretary-General, António Guterres, said, “No discrimination is acceptable in any circumstances, and any discrimination against LGBTIQ+ people is totally unacceptable in our modern societies.”

The new legislation will also present new barriers to addressing discrimination against LGBTI people in school settings. According to the United Nations Educational, Scientific and Cultural Organization’s Global Education Monitoring Report, launched last May, more than half of LGBTI students in Europe have experienced bullying in school at least once based on their sexual orientation, gender identity, gender expression or variations of sex characteristics.

The President of the European Commission, Ursula von der Leyen, called the Hungarian bill a “shame”, saying that it “clearly discriminates against people on the basis of their sexual orientation and goes against the fundamental principles of the European Union.”

In the recently adopted Political Declaration on HIV and AIDS: Ending Inequalities and Getting on Track to End AIDS by 2030, United Nations Member States committed to “urgent and transformative action to end the social, economic, racial and gender inequalities, restrictive and discriminatory laws, policies and practices, stigma and multiple and intersecting forms of discrimination, including based on HIV status, and human rights violations that perpetuate the global AIDS epidemic.”

UNAIDS will continue to advocate with legislators, other government authorities and civil society around the world to establish anti-discrimination and protective laws, to eliminate the discrimination and violence faced by LGBTI people and to advance the right to health for all people without exception.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA, 7 July 2021—UNAIDS strongly condemns the attacks on lesbian, gay, bisexual, transgender and intersex (LGBTI) activists and journalists at Tbilisi Pride’s offices and surrounding areas, which have forced the cancellation of Gay Pride events in the city. UNAIDS expresses its solidarity with all LGBTI people in Georgia.

“The shocking violence suffered by LGBTI activists and journalists in Tbilisi is completely unacceptable,” said Winnie Byanyima, Executive Director of UNAIDS. “The authorities must take urgent measures to protect the human rights of the LGBTI community, including their right to freedom of expression and assembly, and to bring those responsible for the attacks to justice.”

On 1 December 2018, Tbilisi signed the Paris Declaration to end the AIDS epidemic by 2030, joining more than 300 municipalities in the Fast-Track cities initiative, which was initiated by the Mayor of Paris, UNAIDS, IAPAC and UN-HABITAT in 2014. The initiative commits Tbilisi to work closely with communities, including gay men and other men who have sex with men and transgender people, to foster social equality.

The new UNAIDS Global AIDS Strategy 2021–2026: End Inequalities, End AIDS is also clear that stigma and discrimination against LGBTI people violates human rights, deepens inequalities and acts as a critical barrier to ending AIDS as a public health threat by 2030. A crucial element of the strategy is to address the challenges faced by key populations (gay men and other men who have sex with men, sex workers, transgender people and people who use drugs) so that less than 10% experience stigma, discrimination and violence by 2025. The strategy calls on countries to take immediate action to reduce stigmatizing attitudes and discrimination on the basis of sexual orientation and gender identity as a critical element to ending AIDS by 2030.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.

GENEVA/LUSAKA, 18 June 2021—UNAIDS is deeply saddened by the death of the first President of Zambia, Kenneth Kaunda, and expresses its sincere condolences to his family, his friends and the country. Mr Kaunda was a strong supporter of the AIDS response and showed great leadership and courage in speaking out against HIV-related stigma and discrimination in the early days of the epidemic.

Mr Kaunda, who lost a son to AIDS in the 1980s, was one of the first members of the Champions for an AIDS-Free Generation in Africa, a distinguished group of former presidents and influential African leaders mobilizing political leadership to end AIDS as a public health threat on the continent by 2030. Mr Kaunda also dedicated time and effort to the AIDS response through his Kenneth Kaunda Children of Africa Foundation and through the Zambian Chapter of the Brothers for Life Campaign, which aimed to encourage healthier lifestyles among young men.

In 2018, UNAIDS conferred its Leadership Award on Mr Kaunda for his services to the global, regional and national AIDS response. Upon accepting the honour, he dedicated it to the people who had died of AIDS-related illnesses as well as those on the front line of fighting HIV. Mr Kaunda is also fondly remembered for performing at public events his song: We Shall Fight and Conquer AIDS.

“The sun has set on a great and good man, freedom fighter, pan-Africanist, founding parent of the Organisation of African Unity and giant of the HIV response,” said UNAIDS Executive Director, Winnie Byanyima. “He was brave, compassionate and tireless in confronting HIV-related stigma and discrimination from the early days of the epidemic and his contribution to Africa’s response will not be forgotten. We shall fight and conquer AIDS.”

GENEVA, 12 May 2021—UNAIDS strongly welcomes the report and recommendations of the Independent Panel on Pandemic Preparedness and Response. Amongst others, the panel calls for the establishment of a Global Health Threats Council with participation at the highest political level to coordinate global action against pandemics and secure agreement between governments in aligning efforts to tackle the health, social and economic challenges of major pandemics. 

“The Independent Panel's recommendations are a wake-up call for transforming health systems across the world,” said Winnie Byanyima, Executive Director of UNAIDS. “Health is a universal public good in this interconnected society—no one is safe, until everyone is safe so we must reimagine health to provide the same quality of care regardless of geography, income or social status.”

UNAIDS shares the panel’s concerns on the impact of COVID-19 in deepening inequalities within and across countries. There has been a particularly uneven burden that women have had to endure. Despite constituting almost 60% of the health workforce and front-line workers, the needs of women have not been included in most COVID-19 responses, increasing the inequality gap. 

“Like HIV, COVID-19 has exploited the fault lines of society and exposed the fragility of recent gains in public health, added Ms Byanyima. “Lessons from the AIDS response can help shape a new paradigm for global health in which people are placed at the centre, inequalities are erased and the right to health is enshrined in every part of the world. 

UNAIDS also commends the report in highlighting the urgency for vaccine equity in calling for the urgent redistribution of 1 billion vaccines from rich to limited-resource countries by September 2021 to be followed by another 1 billion doses to be redistributed during 2022. 

UNAIDS fully supports the call for G7 countries to commit to providing 60% of the US$ 19 billion required for ACT-A in 2021 for vaccines, diagnostics, therapeutics and strengthening health systems with the remainder being mobilized from others in the G20 and other higher income countries. A formula based on ability to pay should be adopted for predictable, sustainable, and equitable financing of such global public goods on an ongoing basis. 

UNAIDS stands ready to support efforts to build pandemic resilience and preparedness, specifically building on UNAIDS experience with community-led responses, activism and rights-based approaches, and in leveraging investments in the unique HIV infrastructure and networks to create resilient health systems. UNAIDS urges all partners to apply the lessons learned from the HIV response to ensure a community led, equitable and human rights-based approach to support stronger pandemic preparedness and responses to ensure health for all.

HIV and pandemic preparedness will be discussed at the UN General Assembly High-Level Meeting on HIV between 8-10 June.

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV infections, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.