Publication

The state of the HIV epidemic in the high-income region of western and central Europe and North America shows what is possible when sufficient resources and strong health systems implement combination HIV prevention strategies, including antiretroviral therapy, condom promotion, harm reduction and PrEP. For example, comprehensive harm reduction and the decriminalization of drug use have contributed to low rates of HIV infection among people who inject drugs in Czechia and Portugal. PrEP is being aggressively rolled out in the United States and some countries in western Europe, and data from some cities show that it is contributing to declines in new diagnoses of HIV infection among gay men and other men who have sex with men.