Last year, we published several articles (see HERE) on the issue-reporting the progress and results of the global Unaids campaign to reach 90-90-90 by 2030. These articles included the coordination of many cities around the world to share experiences that took place in London (read HERE) indicating the cities that had already achieved the mentioned objectives.

HIV-positive peopleNow, Spanish medical newspaper Diario Médico has published a report on the issues addressed in a discussion forum, entitled: “Ending the epidemic: a shift in HIV policies and recommendations to improve the lives of people infected or at risk of HIV”. The forum, organized by Diario Médico and American biotech company Gilead, brought together a group of scientists with expertise in the field and addressed various aspects, especially the “medium- and long-term quality of life” of these patients.

Although the UNAIDS strategy, 90-90-90, proposed for this year 2020, appears to be practically achieved in Spain, the challenge will not stop there; instead, it is proposed that, by 2030, the target should be 95-95-95.

However, as far as HIV-positive people are concerned, there are still some 40,000 patients in Spain who do not yet have an undetectable viral load and around 20,000 infected individuals (14%) who have not yet been diagnosed, which undoubtedly constitutes a group with a high risk of contagion.

Another international goal is to reduce the number of people who become infected. In Spain in particular, the target would be to reduce this number to zero.

An additional social objective is to stress the message that, at present, AIDS is a chronic infection, with which the individual can lead a normal life, while at the same time raising public awareness of the advisability of undergoing rapid screening, in order to be able to detect positive cases as soon as possible and to start their treatment promptly.

At the discussion forum in question, a “fourth 90” target was raised: to improve the health-related quality of life of HIV patients and, above all, to make this a reality as they get older. To this end, caring for these patients individually seems to be a priority.

From a bioethical point of view, there is no doubt that the spectacular advances made in the prevention, diagnosis and treatment of HIV-positive people are very positive.