Continuing PEPFAR will ensure millions of people access to prevention, care, and treatment for HIV/AIDS.
According to Dr. Diaz, the death rates were cut in the United States by the new medications by over 50 percent. “But people living with HIV in Africa did not have access to these medications, like those in the U.S.,” Dr. Diaz told me. “Death rates were skyrocketing through the 90s and into the next century, especially in sub-Saharan countries.” PEPFAR stepped in and changed that crisis.
The program proved to be very successful. “We have new data now that says that if you're undetectable, you don't transmit,” Dr. Diaz told me. She now sees HIV infection as a comorbidity like having diabetes or some other chronic illnesses. “If you take your medicine, you do the labs, follow with the doctors, stay healthy and do the tests that you need to do to screen for different things, you live a very long life, and you don't die of HIV. It's as simple as that.
Dr. Nkengasong points out that the world has been researching HIV, or working on HIV, for the last 40 years. “All we had at that time were tests,” he told me. “We tested individuals who knew that they were infected, and we saw them die, especially in sub-Saharan Africa”. Fast forward to 2002 when President Bush launched the PEPFAR. “That truly began to change the face of HIV in Africa,” Dr. Nkengasong told me. “I used to sit in my office in Cote d’Ivoire, working for the U.S. CDC.
“I really had a good impression of the PEPFAR program because that was the largest in Africa responding to the HIV pandemic,” Uche told me. “One of the things that really got me inspired was how the program helped vulnerable communities. If we did not have PEPFAR we would have had many more deaths, and lots of communities not achieving pandemic control that we want to achieve by 2030.”
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