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Defining control of HIV epidemics.
- Source :
-
The lancet. HIV [Lancet HIV] 2018 Nov; Vol. 5 (11), pp. e667-e670. Date of Electronic Publication: 2018 Oct 09. - Publication Year :
- 2018
-
Abstract
- Although the HIV pandemic remains a global crisis, much progress has been made in implementing programmes to treat and prevent HIV infection. To guide prioritisation of efforts, the metric by which a country can declare its HIV epidemic as controlled has become increasingly relevant. Herein, we evaluate the merits of the four control criteria proposed by UNAIDS: percentage reduction in incidence over time; ratio of incidence to mortality; ratio of incidence to prevalence; and annual incidence. Using a transmission model to generate projections of demography, incidence, and mortality, we highlight potential pitfalls associated with each of the first three criteria. A definition of control based on annual incidence would provide clarity and consistency across settings.<br /> (Copyright © 2018 Elsevier Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2352-3018
- Volume :
- 5
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- The lancet. HIV
- Publication Type :
- Academic Journal
- Accession number :
- 30314745
- Full Text :
- https://doi.org/10.1016/S2352-3018(18)30178-4