Universal Access to HIV Care & Treatment Now | May 2011
New York, NY (May 16, 2011)—United States legislators and pharmaceutical companies should ensure universal access to HIV care and treatment now. The findings of a study released last Thursday by the National Institute of Allergy and Infectious Diseases (NIAID) that early initiation of HIV treatment nearly eliminated HIV transmission among couples with one HIV-positive partner raise some interesting policy questions. The study, based on clinical trial HPTN 052, assessed 1,753 couples in Africa, India, Southeast Asia, and the United States. Researchers found that transmission was 96.3% less likely in those couples where the partners living with HIV began anti-retroviral therapy immediately.
“These are critically important findings that have major policy implications for the fight against HIV/AIDS,” says Alison Yager, Supervising Attorney of HIV Policy at HIV Law Project. “These findings can interrupt the framework that has so often pitted prevention against treatment in the fight for scarce resources. Now treatment can be widely embraced as a primary form of prevention – and legislators and pharmaceutical companies should ensure universal access to HIV care and treatment today.”
The study underscores the importance of expanding programs which provide care and treatment to low-income individuals. But as always, it is those HIV-positive individuals and their partners who are most marginalized and vulnerable who are least likely to benefit from the progress that this finding should spur. “Ending the HIV/AIDS epidemic will not be possible until HIV policy addresses the intimate link between HIV and poverty. A change in treatment protocol is powerless without the expansion of public health care and supportive services that would connect people to care, and allow them to stay in care.”
Right now across the United States nearly 8,000 people are on waiting lists for the AIDS Drug Assistance Program (ADAP). ADAP is funded by the federal and state governments, and provides treatment for low-income individuals living with HIV/AIDS. Individuals on ADAP waiting lists will be unable to access ARV therapy until their name gets to the top of the list, no matter how sick they may be. Meanwhile, every day poor people living with HIV are unable to get to the doctor or the pharmacy because they can’t afford the transportation costs, or the childcare. HIV-positive individuals on Medicaid routinely choose between medication and food, as even the costs of their co-pays are beyond their means.
As the partisan debate about how to balance the budget rages on, people in need continue to get sick, and continue to go without proper care and without medication that is known to improve health and to prevent transmission. Legislators must prioritize access to care and treatment for all individuals living with HIV/AIDS.
“But money for medical care and treatment alone is not enough, especially for those who are living in poverty,” says Ms. Yager. “Supportive services, like subsidized housing, food programs, transportation and childcare, help people access care and are known to improve adherence to medical regimens. We now know that early treatment improves the health of individuals living with HIV/AIDS, and reduces transmission to partners. It is now up to legislators and pharmaceutical executives to commit to this fight.”
- New York Times, “Early Therapy for HIV Sharply Curbs Transmission”
- Charles Blow in the New York Times, “H.I.V. S.O.S.”
- Henry J. Kaiser Family Foundation, “Early HIV Treatment Can Reduce Transmission Risk By 96%, Study Results Show”
- Q & A about the study from the NIAID