GENEVA, 11 October 2015—On International Day of the Girl Child, UNAIDS is calling for the end to gender inequalities and the protection of the human rights of young women and girls everywhere. When young women and girls are empowered and have the freedom to make life-defining choices, it not only changes the course of their own lives but also those of their families, communities and societies.   

“Ending the AIDS epidemic is dependent on social justice, which demands equity in education, employment and health for both girls and boys,” said UNAIDS Executive Director Michel Sidibé. “The newly adopted Sustainable Development Goals provide us with our greatest opportunity yet to do things differently for this generation. We must make the conscious decision to empower young women and girls to take control of their own health choices.”

Although there has been some progress in terms of gender parity in education and political representation, many challenges remain. Every day, around 41 000 girls are married before they reach the age of 18. Complications linked to pregnancy and childbirth remain the second leading cause of death among adolescent girls aged 15–19, and it has been estimated that around 120 million girls worldwide have experienced rape or other forced sexual acts at some point in their lives.   

Gender-based violence and a lack of control over decisions affecting their own lives, including over key aspects of sexuality and reproduction, increase the risk of HIV infection among adolescent girls and young women. Around 350 000 adolescent girls and young women were newly infected with HIV in 2014. A study in South Africa found that young women who experienced intimate partner violence were 50% more likely to have acquired HIV than women who had not experienced violence.

The reasons for gender inequalities are intricately woven into the sociocultural, economic and political fabric of our societies and they stack the odds against girls from birth. Multisectoral responses are required to ensure equal access to education, including age-appropriate comprehensive sexuality education, and to bolster social protection programmes. Also needed are integrated age-appropriate sexual and reproductive health services and the expansion of programmes to address gender-based violence. Innovative partnerships, such as Together for Girls, All In and DREAMS, will be crucial to highlight and respond to the specific needs of young women and girls.

Seizing the historic opportunity of the new Sustainable Development Goals, the global community must commit to policies and actions that protect, support and empower young women and girls. This is what will redefine the role of young women and girls, strengthening the AIDS response and making possible the end of the AIDS epidemic 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.

New guidelines are a major step towards achieving UNAIDS Fast-Track Targets

GENEVA, 30 September 2015—UNAIDS today welcomed the release by the World Health Organization (WHO) of new guidelines on the use of antiretroviral medicines as a significant step towards improving the lives of people living with HIV and reducing the transmission of the virus.

The guidelines recommend that antiretroviral medicines be prescribed to people as soon as possible after their HIV diagnosis regardless of their CD4 count (CD4 is a measure of immune system health).The guidelines also recommend that people at higher risk of HIV infection be given access to pre-exposure prophylaxis (PrEP) as part of a combined HIV prevention strategy.

“These new guidelines and recommendations are a highly significant moment in the AIDS response,” said Michel Sidibé, Executive Director of UNAIDS. “The medicines and scientific tools now at our disposal provide us with a real opportunity to save millions of lives over the coming years and to end the AIDS epidemic by 2030.”

The WHO guidelines, produced with the support of UNAIDS, are being released following the increased weight of research evidence that has emerged over the past 12 months. This included data from the international randomized clinical trials Temprano and START (Strategic Timing of Antiretroviral Treatment), which found compelling evidence of the benefits of immediately starting antiretroviral therapy. The data from Temprano and START followed a series of research findings over several years demonstrating the health benefits of starting HIV treatment earlier.

Several research studies among groups at higher risk of HIV infection have also indicated the significant efficacy of PrEP in reducing new HIV infections. The new guidelines recommend that PrEP be offered to anybody at substantial risk of HIV exposure.            

The guidelines will also help reinforce the UNAIDS Fast-Track approach, which encompasses a set of targets to be reached by 2020. The targets include 90% of all people living with HIV knowing their HIV status, 90% of people who know their HIV-positive status having access to treatment and 90% of people on treatment having suppressed viral loads. They also include reducing new HIV infections by 75% and achieving zero discrimination.

“We are at a crossroads in the response to AIDS,” said Mr Sidibé. “We know what works – now we need to put people first and fully respect their right to health.”

UNAIDS reaffirms the importance of respecting a person’s right to know their HIV status and to decide whether and when to begin antiretroviral therapy. HIV prevention and treatment decisions must be well-informed and voluntary. Wider and more equitable delivery of antiretroviral therapy and PrEP will require increased efforts to address the social and legal barriers that inhibit access to health services for people living with HIV and for marginalized populations at higher risk of infection.

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.

United Nations entities call on States to act urgently to end violence and discrimination against lesbian, gay, bisexual, transgender and intersex (LGBTI)[1] adults, adolescents and children.

All people have an equal right to live free from violence, persecution, discrimination and stigma. International human rights law establishes legal obligations on States to ensure that every person, without distinction, can enjoy these rights. While welcoming increasing efforts in many countries to protect the rights of LGBTI people, we remain seriously concerned that around the world, millions of LGBTI individuals, those perceived as LGBTI and their families face widespread human rights violations. This is cause for alarm – and action.

Failure to uphold the human rights of LGBTI people and protect them against abuses such as violence and discriminatory laws and practices, constitute serious violations of international human rights law and have a far-reaching impact on society – contributing to increased vulnerability to ill health including HIV infection, social and economic exclusion, putting strain on families and communities, and impacting negatively on economic growth, decent work and progress towards achievement of the future Sustainable Development Goals. States bear the primary duty under international law to protect everyone from discrimination and violence. These violations therefore require an urgent response by governments, parliaments, judiciaries and national human rights institutions. Community, religious and political leaders, workers’ organizations, the private sector, health providers, civil society organizations and the media also have important roles to play. Human rights are universal – cultural, religious and moral practices and beliefs and social attitudes cannot be invoked to justify human rights violations against any group, including LGBTI persons.

PROTECTING INDIVIDUALS FROM VIOLENCE

States should protect LGBTI persons from violence, torture and ill-treatment, including by:

• Investigating, prosecuting and providing remedy for acts of violence, torture and ill-treatment against LGBTI adults, adolescents and children, and those who defend their human rights;
• Strengthening efforts to prevent, monitor and report such violence;
• Incorporating homophobia and transphobia as aggravating factors in laws against hate crime and hate speech;
• Recognizing that persecution of people because they are (or are perceived to be) LGBTI may constitute a valid ground for asylum, and not returning such refugees to a place where their life or freedom might be threatened.

The United Nations and others have documented widespread physical and psychological violence against LGBTI persons in all regions - including murder, assault, kidnapping, rape, sexual violence, as well as torture and ill-treatment in institutional and other setting. LGBTI youth and lesbian, bisexual and transgender women are at particular risk of physical, psychological and sexual violence in family and community settings. LGBTI persons often face violence and discrimination when seeking refuge from persecution and in humanitarian emergencies. They may also face abuse in medical settings, including unethical and harmful so-called "therapies" to change sexual orientation, forced or coercive sterilization, forced genital and anal examinations, and unnecessary surgery and treatment on intersex children without their consent. In many countries, the response to these violations is inadequate, they are underreported and often not properly investigated and prosecuted, leading to widespread impunity and lack of justice, remedies and support for victims. Human rights defenders combatting these violations are frequently persecuted and face discriminatory restrictions on their activities.

REPEALING DISCRIMINATORY LAWS

States should respect international human rights standards, including by reviewing, repealing and establishing a moratorium on the application of:

• Laws that criminalize same-sex conduct between consenting adults;
• Laws that criminalize transgender people on the basis of their gender expression;
• Other laws used to arrest, punish or discriminate against people on the basis of their sexual orientation, gender identity or gender expression.

In 76 countries, laws still criminalize consensual same-sex relationships between adults, exposing individuals to the risk of arbitrary arrest, prosecution, imprisonment – even the death penalty, in at least five countries. Laws criminalizing cross-dressing are used to arrest and punish transgender people. Other laws are used to harass, detain, discriminate or place restrictions on the freedom of expression, association and peaceful assembly of lesbian, gay, bisexual and transgender people. These discriminatory laws contribute to perpetuating stigma and discrimination, as well as hate crime, police abuse, torture and ill-treatment, family and community violence, and negatively affect public health by impeding access to health and HIV services.

PROTECTING INDIVIDUALS FROM DISCRIMINATION

States should uphold international human rights standards on non-discrimination, including by:

• Prohibiting discrimination against LGBTI adults, adolescents and children in all contexts – including in education, employment, healthcare, housing, social protection, criminal justice and in asylum and detention settings;
• Ensuring legal recognition of the gender identity of transgender people without abusive requirements;
• Combating prejudice against LGBTI people through dialogue, public education and training;
• Ensuring that LGBTI people are consulted and participate in the design, implementation and monitoring of laws, policies and programmes that affect them, including development and humanitarian initiatives.

LGBTI people face widespread discrimination and exclusion in all contexts - including multiple forms of discrimination based on other factors such as sex, race, ethnicity, age, religion, poverty, migration, disability and health status. Children face bullying, discrimination or expulsion from schools on the basis of their actual or perceived sexual orientation or gender identity, or that of their parents. LGBTI youth rejected by their families experience disproportionate levels of suicide, homelessness and food insecurity. Discrimination and violence contribute to the marginalization of LGBTI people and their vulnerability to ill health including HIV infection, yet they face denial of care, discriminatory attitudes and pathologization in medical and other settings. Transgender people are frequently denied legal recognition of their preferred gender or face abusive requirements such as forced sterilization, treatment or divorce to obtain it, without which they suffer exclusion and marginalization. The exclusion of LGBTI people from the design, implementation and monitoring of laws and policies that affect them perpetuates their social and economic marginalization.

UNITED NATIONS SUPPORT

Our organizations stand ready to support and assist Member States and other stakeholders as they work to address the challenges outlined in this statement – including through constitutional, legislative and policy changes, strengthening of national institutions, and education, training and other initiatives to respect, protect, promote and fulfil the human rights of all LGBTI people.

[1] While this statement refers to lesbian, gay, bisexual, transgender and intersex people, it should also be read to refer to other people who face violence and discrimination on the basis of their actual or perceived sexual orientation, gender identity and sex characteristics, including those who may identify with other terms.

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.

Countries adopt an ambitious new development agenda that will leave no one behind

NEW YORK/GENEVA, 25 September 2015—UNAIDS has welcomed the adoption by world leaders of the new United Nations Sustainable Development Goals which set the framework for global development policy over the next 15 years. The ambitious agenda outlines 17 goals ranging from ending poverty and hunger, to achieving gender equality and combatting climate change.

“Today marks a historic opportunity for the world to unite for a healthier planet and a healthier future for all,” said Michel Sidibé, Executive Director of UNAIDS. “Commitment, action and implementation will allow for truly sustainable results for people everywhere.”

The agenda builds on the achievements of the United Nations Millennium Development Goals which were set in 2000 and included a commitment to halt and reverse the AIDS epidemic. Since then, there has been massive scale up of the response to HIV which enabled the world to not only achieve, but actually exceed the AIDS targets of Millennium Development Goal 6. UNAIDS has now set a firm course to end the AIDS epidemic by 2030 as part of the new Sustainable Development Goals.

To achieve this UNAIDS has developed a Fast-Track approach to reach a set of time-bound targets by 2020. The targets include reducing new HIV infections by 75%, ensuring 90% of all people living with HIV know their HIV status, ensuring 90% of people who know their status have access to treatment and that 90% of people on treatment have supressed viral loads, keeping them healthy and reducing the risk of transmission.

The response to HIV spans many of the 17 Sustainable Development Goals and is included under Sustainable Goal 3, to ensure healthy lives and promote well-being for all at all ages. UNAIDS looks forward to working closely with all partners to ensure a healthier, more equitable future which leaves no one behind.

“The targets set out in the Sustainable Development Goals provide us with a road map to solve some of the world’s most pressing challenges,” said Mr Sidibé. “This international framework has the potential to save millions of lives and to achieve fairer and more just outcomes for people everywhere.”

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.

Strong focus on adolescent girls and young women and on ensuring access to treatment will Fast-Track results

NEW YORK/GENEVA, 26 September 2015—UNAIDS welcomes the ambitious new targets set by the United States President’s Emergency Plan for AIDS Relief (PEPFAR) just one day after the Sustainable Development Goals were adopted by United Nations Member States at the UN headquarters in New York which include ending the AIDS epidemic by 2030.

PEPFAR has set specific targets for preventing new HIV infections among adolescent girls and young women aged 15 to 24. The targets also include ensuring access to lifesaving antiretroviral therapy for 12.9 million children, pregnant women and adults by the end of 2017.

“The United States of America’s continued commitment will be a stepping stone towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals,” said Michel Sidibé, Executive Director of UNAIDS. “Under the bold leadership of President Obama, these generous investments are and will continue to save millions of lives.”

The targets set by PEPFAR will make a significant contribution to the UNAIDS Fast-Track approach to ending the AIDS epidemic by 2030. This announcement will create momentum to achieve the 90-90-90 HIV treatment target whereby 90% of people living with HIV know their HIV status, 90% of people who know their HIV status are accessing treatment and 90% of people on treatment have suppressed viral loads.

As well as expanding access to HIV treatment, PEPFAR’s newly announced targets aim to reduce HIV incidence among adolescent girls and young women by 40% by the end of 2017 in PEPFAR focus areas across 10 countries—Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Uganda, the United Republic of Tanzania, Zambia and Zimbabwe. These 10 countries accounted for nearly half of all new HIV infections among adolescent girls and young women in 2014. The commitments also include the provision to cumulatively reach up to 13 million men with voluntary medical male circumcision for HIV prevention by the end of 2017.

UNAIDS looks forward to continuing to work closely with PEPFAR towards ending the AIDS epidemic as part of the Sustainable Development Goals.

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.

NEW YORK/GENEVA, 24 September 2015—As world leaders gather in New York to commit to the Sustainable Development Goals, including ambitious public health targets, UNAIDS has called on governments and the pharmaceutical industry to ensure that medicines remain accessible to all.

Dramatic increases in the prices of some medicines are raising concerns about their continued availability to patients as well as about the wider effects on public health.

“As world leaders commit to new public health targets as part of the Sustainable Development Goals, governments and the private sector have a responsibility to ensure that medicines remain accessible to everybody,” said UNAIDS Executive Director Michel Sidibé. “The AIDS response is proof that access to affordable and effective medicines can halt and reverse an epidemic.” 

Generic competition in the pharmaceutical industry, fostered by the use of intellectual property flexibilities, has helped make prices for life-saving medicines much more affordable over the past 15 years and allowed the massive scale-up of HIV treatment programmes. More than 15 million people are today accessing life-saving antiretroviral medicines, compared with fewer than 700 000 people in 2000.

UNAIDS has set a new 90–90–90 treatment target for 2020 with the aim of ending AIDS as a public health threat by 2030. Countries around the world are adopting the 90–90–90 treatment target, whereby 90% of people living with HIV know their HIV status, 90% of people who know their HIV status are accessing treatment and 90% of people on treatment have suppressed viral loads.

“Everyone has the right to health, no matter where they are born or who they are,” added Mr Sidibé. 

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, 17 September 2015— UNAIDS welcomes confirmation by the Government of Lithuania that it applies no restrictions on the entry, stay and residence for people living with HIV.

The announcement signals that the country aligns its HIV-related laws and policies regarding HIV-related restrictions on entry, stay and residence with international public health and human   rights standards. These include the 2011 United Nations General Assembly Political Declaration on HIV and AIDS, which specifically encourages Member States to remove any existing HIV-related travel restrictions.

With this announcement from Lithuania, UNAIDS lists 35 countries, territories and areas that still maintain laws and policies regarding HIV-related restrictions on entry, stay and residence. 

There is no evidence that HIV-related travel restrictions protect public health or prevent HIV transmission. The latest scientific evidence indicates that people living with HIV who are accessing HIV treatment can achieve an undetectable viral load, which significantly reduces the risk of HIV transmission. These restrictions also have no economic justification, as people living with HIV can lead long and productive working lives. 

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 July 2015—As the world celebrates the achievement of reaching 15 million people with HIV treatment and commits to ending the AIDS epidemic by 2030, UNAIDS reminds countries of the urgent need to ensure that new trade agreements under negotiation do not impede access to medicines.

In the 2011 Political Declaration on HIV/AIDS, adopted unanimously by the UN General Assembly, governments reiterated their commitment to the use of existing flexibilities under the Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement, specifically geared to promoting access to and trade of medicines, and to ensure that intellectual property rights provisions in trade agreements do not undermine these existing flexibilities, as confirmed by the Doha Declaration on the TRIPS Agreement and Public Health.

“The flexibilities established in the Doha Declaration and the TRIPS agreement to protect public health and provide access to medicines for all should be fully respected during the negotiation of new trade agreements,” said UNAIDS Executive Director, Michel Sidibé. “We are entering a crucial phase of the AIDS response which will decide whether we end the epidemic as a public health threat by 2030. Anything that undermines that response must be avoided.” 

Various trade agreements are currently in negotiation and concerns have been expressed that they could involve so-called ‘TRIPS-plus’ measures such as broadening patentability criteria and extending patent duration.         

Trade negotiators from 12 countries are currently working to conclude the text of the Trans-Pacific Partnership Agreement (TPP), which includes an intellectual property chapter that reportedly contains provisions going beyond what is required under the TRIPS Agreement. Such “TRIPS-plus” provisions could make generic competition more difficult and lead to higher drug prices. There is also concern that any TRIPS-plus provisions agreed in the TPP are likely to influence future trade agreements.  

Generic competition in the pharmaceutical industry, as well as the use of intellectual property flexibilities, have helped make prices for life-saving drugs much more affordable and enabled the unprecedented scale up of HIV treatment programmes.

“The imperative over the next five years is to diagnose millions of people living with HIV and get them access to the life-saving medicines they need,” said Mr Sidibé, “The right to health must not be negotiated away for trade gains.”         

If the global AIDS response is to attain the 90-90-90 treatment target by 2020 – 90% of people living with HIV knowing their status, 90% of people who know their status on treatment, and 90% attaining viral suppression – HIV treatment must be accessible and scale-up must be financially sustainable.

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.

Tiny pellets make antiretroviral medicines more palatable for children

NEW YORK/GENEVA, 5 June 2015—Children affected by HIV and AIDS will benefit from the decision by the United States Food and Drug Administration to grant approval to a new antiretroviral formulation that can be mixed with food to make it easier for children living with HIV to take the life-saving medicines, UNAIDS and UNICEF said today.

“Treatment innovations such as this that replace unpleasant and bad tasting medicines are a real breakthrough, accelerating access to treatment for children and keeping our youngest healthy,” said Michel Sidibé, Executive Director of UNAIDS. “It is unacceptable that only 24% of children living with HIV have access to antiretroviral medicines.”

The oral pellets, manufactured by Indian generic medicines manufacturer CIPLA, contain an antiretroviral formulation of lopinavir and ritonavir that can be mixed into a child’s food. The treatment is heat stable and more palatable than medicines currently available, making it particularly suitable for treating very young children.

“This new formulation is a step in the right direction towards saving more lives of children living with HIV,” said Craig McClure, UNICEF’s Chief of HIV and AIDS and Associate Director, Programmes. “We expect it to greatly improve treatment access for many more children and support UNICEF’s equity focused programming aimed at reaching the most disadvantaged children throughout the world.”

HIV infection progresses rapidly in children and, in highly impacted countries, is a major contributor to child morbidity and mortality. Without treatment, one in three children who become infected with HIV will die before their first birthday. Half will die before their second birthday.

Early initiation of antiretroviral treatment in children as recommended by the World Health Organization substantially reduces the risk of death. Many countries have not been able to fully implement the WHO recommendation because of the challenge of not having a more appropriate, heat stable and palatable paediatric formulation of lopinavir/ritonavir used as part of the treatment options for children under 3 years of age.

Despite global efforts to accelerate access to HIV paediatric care and treatment, fewer than 800 000 of the 3.2 million children living with HIV worldwide had access to antiretroviral medicines in 2013.

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, 27 May 2015— UNAIDS welcomes additional evidence that starting antiretroviral therapy at a higher CD4 (a measure of immune system health) level has a positive effect on the health and well-being of people living with HIV.

“Every person living with HIV should have immediate access to life-saving antiretroviral therapy,” said Michel Sidibé, Executive Director of UNAIDS. “Delaying access to HIV treatment under any pretext is denying the right to health.”

The NIH-funded international randomized clinical trial START (Strategic Timing of Antiretroviral Treatment) has found compelling evidence that the benefits of immediately starting antiretroviral therapy outweigh the risks. Data from the study showed that the risk of AIDS, other serious illnesses or death was reduced by 53% among people who started treatment when their CD4 levels were 500 or above, compared to the group whose treatment was deferred to when their CD4 levels dropped to 350.

The START announcement follows a series of research findings over the past several years indicating the health benefits of starting HIV treatment earlier. The findings from these studies will play an important role in shaping the new treatment guidance from the World Health Organization due to be released later in 2015.

“This is a further demonstration of the importance of science and research that enables an evidence-based, people-centred response to HIV that leaves no one behind,” said Michel Sidibé, Executive Director of UNAIDS. “The findings strongly support the UNAIDS Fast-Track approach to achieving the 90-90-90 HIV treatment targets and ending the AIDS epidemic by 2030.”

UNAIDS reaffirms the importance of respecting a person’s right to know their HIV status and to decide whether and when to begin antiretroviral therapy. HIV treatment decisions must be well-informed and voluntary. Wider and more equitable delivery of antiretroviral therapy will require increased efforts to address the social and legal barriers that inhibit access to health services for people living with HIV, especially marginalized populations.

Evidence of the health benefits of earlier initiation of treatment, combined with previous findings on the impact of antiretroviral medicines on reducing HIV transmission, confirms that antiretroviral therapy is a cornerstone of efforts to save and improve lives as well as to prevent new HIV infections together with all other HIV prevention options currently available.

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.