我国实现艾滋病防治策略三个90%的进展与挑战

The progress and challenges of promoting HIV/AIDS 90-90-90 strategies in China

诊断90%、治疗90%和有效90%是联合国艾滋病规划署确定全球终结艾滋病流行的三个90%防治策略。该策略以传染源为核心,通过发现和治疗感染者,"消灭"传染源,控制艾滋病流行。到2015年底,我国这三项目标已经分别达到68%、67%和91%。今年,治疗标准调整为对所有感染者提供治疗,为实现治疗90%目标提供了政策保障。诊断90%则成为实现三个90%策略目标最重要和最难的。该防治策略与针对易感人群的防治措施互补,联合使用才能更好地控制艾滋病流行。

Having 90% of people living with HIV being diagnosed, 90% of diagnosed receiving antiretroviral therapy, and 90% of those on treatment achieving viral suppression are strategies proposed by UNAIDS for ending global AIDS epidemic. The strategies focus on reservoir. It controls HIV spreading by reducing infectiousness of HIV infected individuals via treatment. By the end of 2015, China reached the targets of 68%, 67% and 91% respectively. Revising criteria for treating all HIV infected this year makes 90% treatment target promising. Diagnosing 90% of people living with HIV is the most important and the most difficult target. The strategies are complementary with strategies targeting susceptible individuals. Therefore, they should be used jointly for effectively controlling HIV transmission.