D.C. officials updated their plan for decreasing the spread of HIV in the city on Friday, furthering a years-long effort to end the epidemic in the District.
Building off goals set by D.C. Mayor Muriel Bowser in 2015, the new plan, D.C. Ends HIV, aims to achieve fewer than 130 yearly diagnoses by 2030. Additional, the plan contemplates 95% of people with HIV knowing their status through new testing options, 95% of people on treatment achieving suppression of the virus, and wider distribution of PrEP, a HIV-prevention medication. The city also launched a new website, DCendsHIV.org, with resources and data on the city’s HIV trends.
“This bold plan is an internal part of our effort to end the HIV epidemic in the District and continue our mission to reduce new HIV diagnoses and improve treatment and prevention programs,” said Bowser in a statement.
Bowser’s new benchmarks replace the metrics set in her “90/90/90/50” plan, which called for 90% of residents with HIV to know they have the virus by 2020, 90% of patients to receive treatment, 90% to achieve viral suppression, and decrease the number of people diagnosed each year by 50%.
The new goals come after the city saw promising trends in its HIV diagnosis and treatment numbers this past August. A D.C. Health Department report found that the District experienced a 79% drop in newly diagnosed HIV cases from 2007 to 2019, with cases linked to intravenous drug use plummeting from 150 in 2007 to only two in 2019. The dramatic reduction in cases transmitted through drug use tracks with the 2007 enactment of D.C.’s needle exchange program, which allowed qualified officials to provide clean and sterile needles and syringes to injecting drug users.
Despite finding success in combating HIV, the District’s rate of new HIV infections has continuously surpassed the national average. According to D.C. Health’s recent report, in 2018 the new infection rate was more than triple that of the U.S. — with the city’s Black males making up a disproportionate amount of D.C.’s HIV-positive individuals.
Funding for the city’s new goals comes in part from the Center for Disease Control’s “Ending the HIV Epidemic” initiative, which funnels resources and technology into jurisdictions most impacted by HIV across the country. Baltimore City, Montgomery County, Prince George’s County, and D.C. are among the 57 counties and territories receiving CDC assistance.
2020 has proved to be a challenging year for city officials looking to reach individuals in need of treatment, with the pandemic limiting options for in-person distribution of tests and medication. In June, the city launched a free, at-home HIV test that provides results in 20 minutes.
This year’s HIV surveillance data will come out sometime in 2021.
Colleen Grablick