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Challenges and Future Directions

  • Zunyou WuEmail author
  • Roger Detels
  • Jennifer M. McGoogan
Chapter

Abstract

China has made remarkable achievements in advancing its HIV/AIDS prevention and treatment programs. Infrastructure for surveillance, laboratory testing, voluntary counseling and testing, outreach, intervention, and harm reduction for key populations, and antiretroviral therapy (ART) services for people diagnosed with HIV have been well developed. Meaningful reductions in HIV transmission have been observed among people who inject drugs, serodiscordant couples, and children of mothers living with HIV. The “Four Frees and One Care” policy has facilitated large numbers of people being tested for HIV and a high proportion of people living with HIV (PLWH) being diagnosed. Moreover, a large number of people diagnosed with HIV have received free ART. The case-fatality rate of PLWH has dropped by over 70% in the past 30 years. However, the HIV/AIDS epidemic is not yet under control. The epidemic has shifted almost exclusively to expansion via sexual transmission. The number of newly-diagnosed HIV cases continues to increase and the number of deaths among PLWH has remained unacceptably high. To take control of the HIV/AIDS epidemic, China faces tremendous challenges and needs to develop new strategies.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Zunyou Wu
    • 1
    Email author
  • Roger Detels
    • 2
  • Jennifer M. McGoogan
    • 1
  1. 1.NCAIDSChina CDCBeijingChina
  2. 2.Fielding School of Public HealthUniversity of CaliforniaLos AngelesUSA

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