1. HIV is a death sentence
HIV/AIDS is the deadliest pandemic in recent history: it has killed twice as many people as the first World War. But the progress made in a mere 30 years against the disease has been spectacular.
1. HIV is a death sentence
HIV/AIDS is the deadliest pandemic in recent history: it has killed twice as many people as the first World War. But the progress made in a mere 30 years against the disease has been spectacular. Today, someone who takes antiretroviral drugs every day has a very low risk of developing AIDS and can live a long and fulfilling life.
… BUT ALSO, UNFORTUNATELY, RIGHT FOR THOSE NOT ON ARV…
if you’re unlucky enough to live in a place with poor access to lifesaving ARV. Over 75% of the people living with HIV in West and Central Africa - 5 million people - are not on ARV treatment and therefore condemned to a slow, painful and unnecessary death. The situation is even worse for the 730,000 HIV-infected children in the region: 90% don’t have access to ARVs. Urgent action is needed to change this situation.
2. HIV mostly affects gay men
It may be the case in Western countries, but not worldwide. In fact, the face of HIV globally today is a young woman. 59% of people living with HIV in Sub-Saharan Africa are women. In South Africa, girls age 15-19 are as much as eight times more at risk of HIV infection than their male counterparts.
IT’S TRUE that men who have sex with men are disproportionally affected by the pandemic. It’s also the case for sex workers or injectable drug users. This is the reason why the United Nations’ plan to combat HIV/AIDS puts a lot of emphasis on these most-at-risk groups. But still, 45% of all children who are born with the virus come from West and Central Africa. Why? Because their mothers did not have access to treatment.
3. You cannot have a healthy baby if you’re HIV positive
A pregnant HIV+ woman on optimal ARV treatment has less than 2% risk of transmitting the virus to her baby. This is fantastic news: thanks to ARVs, the number of children born with the virus worldwide has been cut by 60% since 2000 and last year Cuba became the first country to declare that it had completely eliminated mother-to-child HIV transmission.
But again, this victory depends on the availability of ARV treatment. In West and Central Africa, only 39% of HIV positive pregnant women are on treatment. This is why the number of children born with the virus in this region is so disproportionately high: whereas West and Central Africa accounts for 17.9% of the total number of people living with HIV in the world, it records close to half of the births of HIV-infected children.
Those babies are born with a disease that could have been prevented. And it’s all the more dramatic that 90% of the HIV positive babies in this region do not have access to pediatric HIV treatment either. Without treatment, about one-third of children living with HIV will not survive past their first birthday; half of them will not celebrate their second birthday and only one in five of these children will celebrate a fifth birthday.
4. Using condoms is the only way to avoid infecting your partner or getting infected by HIV
For sure, using condoms is very effective in preventing HIV infection. But it’s not the only way.
Studies have shown that optimal treatment on ARV reduces the risk of transmitting the virus by 96% in couples in which one is HIV-positive. New drugs even allow HIV negative people to be protected against infection.
Promoting the use of condoms is an important tool against HIV, but people need a combination of prevention tools to choose from, to fit best with their situation. Offering ARV treatment for all is a key component to put the HIV/AIDS pandemic under control, and therefore, it’s a huge problem that so few people – less than 1 in 4 – have access to treatment in West and Central Africa. Without treatment for all who need it, everywhere, the chances of bringing the global pandemic under control are very slim. This is why MSF is calling for an urgent, ambitious catch up plan for countries with low coverage of ARVs.
5. The more HIV+ people in a country, the more AIDS-related deaths
South Africa has, by far, the largest number of people living with HIV (6.8 million), and AIDS still takes a staggering toll in the country with 14,000 deaths a year. But as staggering as it is, this number remains below Nigeria’s, which has half the number of HIV+ people. Can you guess why? Again, it’s simple: Nigerians have far less access to ARVs than South Africans (22% versus 45% coverage of ARV).
Similarly, Guinea recorded roughly the same number of AIDS-related deaths in 2014 (3,800) as Swaziland (3,500). But Swaziland has twice the number of people living with the virus (210,000 versus 120,000) and the highest proportion of adults living with HIV worldwide (27.7%).
In short, in places where antiretroviral treatment is not widely accessible, people suffer and die proportionally more from HIV/AIDS.
6. The less HIV+ people in a country, the easier it is to fight the disease
Logic suggests that the Dem