During his first term, President Donald J. Trump launched an initiative to end the H.I.V. epidemic in the United States by 2030, focusing on high-need jurisdictions. The plan, announced in 2019, significantly reduced new infections nationwide by 2022. However, the current administration is considering shutting down the H.I.V. prevention division of the CDC and potentially moving some programs to a different agency.
The discussions have raised concerns among public health experts about potential loss of expertise and focus on prevention efforts, particularly as other H.I.V.-related funding has been cut. Some see the possible shift as counterproductive to the progress made under the previous administration’s initiatives. Organizations have differing opinions on moving prevention programs to the Health Resources and Services Administration, with some seeing new opportunities for efficiencies, while others worry about a loss of C.D.C. involvement.
Experts emphasize the importance of maintaining a focus on prevention in high-risk populations, such as gay and bisexual men and transgender women, as the majority of new infections occur in these groups. Changes in H.I.V. programs both in the U.S. and internationally may require new partnerships and approaches to continue the work effectively. Public health organizations will need to adapt and seek new models for collaboration in order to address the ongoing H.I.V. epidemic effectively.
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