The HIV Epidemic in Latin America: Accomplishments and Challenges on Treatment and Prevention

Overview

Journal Curr Opin HIV AIDS

Specialty Infectious Diseases

Date 2019 Jun 21

PMID 31219888

Citations 41

Authors

Paula M Luz

Valdilea G Veloso

Beatriz Grinsztejn

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: To describe how countries in Latin America and the Caribbean are (or are not) meeting 2016 WHO guidelines on the use of antiretroviral drugs for treating and preventing HIV infection, that is, their progress on the adoption of 'Treat All' and of preexposure prophylaxis (PrEP) as an additional prevention tool for people at substantial risk of HIV infection.

Recent Findings: The HIV epidemic in the region continues largely concentrated in vulnerable populations with MSM and transgender women (TGW) suffering the highest burden. On treatment, the challenges of late initiation as well as suboptimal adherence persist. On prevention, recent studies on PrEP willingness in key populations show promising results, meanwhile PrEP implementation projects as well as actual PrEP adoption by national health systems is expanding. A glimpse of real-world PrEP uptake is shown through Brazil's first-year experience of offering PrEP in multiple cities in all regions of the country.

Summary: In conclusion, accomplishments have been made though challenges for fully addressing the HIV epidemic persist. The impact of both treatment and PrEP will be limited by the availability and prompt use of all services, including HIV testing.

Citing Articles

Updates on HIV Pre-exposure Prophylaxis in Latin America: Available Drugs and Implementation Status.

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The rising tide of HIV among young men who have sex with men in Brazil: insights from the Conectad@s study.

Jalil C, Jalil E, Hoagland B, Cardoso S, Scarparo R, Coutinho C Lancet Reg Health Am. 2024; 36:100798.

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Challenges in Palliative Care in Latin America: A Narrative Review.

Pergolizzi Jr J, LeQuang J, Wagner M, Varrassi G Cureus. 2024; 16(5):e60698.

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Preexposure prophylaxis availability among health facilities participating in the global International epidemiology Databases to Evaluate AIDS (IeDEA) consortium.

Kebede S, Brazier E, Freeman A, Muwonge T, Choi J, de Waal R AIDS. 2023; 38(5):751-756.

PMID: 38133656 PMC: 10939841. DOI: 10.1097/QAD.0000000000003824.

A Scoping Review of Biobehavioural Interventions to Improve PrEP Continuum of Care in Latin America.

Sanchez-Mendoza V, Soriano-Ayala E, Vallejo-Medina P, Martinez O Acta Colomb Psicol. 2023; 26(2):141-154.

PMID: 38130977 PMC: 10733975. DOI: 10.14718/acp.2023.26.2.12.

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