ASHM Special Session
Edwina Wright
WorldAIDS 2014
Melbourne, Australia
Picture credits provided at end of talk

• Recipient of unrestricted funding for research from Gilead, Abbott, Janssen, Boeringher
Ingelheim
• Payments received for lectures for ViiV and consultancy for ViiV, Gilead, MSD and Abbott: used for research purposes only

23,500,000 people, 26% born overseas 1
Internet use by age 1
98%
National Public Private
Partnership Policy
1. Australia Bureau of Statistics

Strategies to reduce HIV
by 30-96%
Available in Australia
QPrEP
PRELUDE
HIV
CURE?

≈ 1 in 1,000 Australians are HIV+ in 2014
23,100 living with diagnosed HIV
MSM: 8-10%
PWID: 1-2%
Sex workers: <0.1%
ATSI: 0.15%
Newly diagnosed HIV infections in Australia by year
2500
2000
1,236 in 2013
1500
1000
500
0
1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012
Year All data from Kirby 2014 Report: Source: State/Territory health authorities
HIV diagnoses

≈ 1 in 1,000 Australians are HIV+ in 2014
23,100 living with diagnosed HIV
MSM: 8-10%
PWID: 1-2%
Sex workers: <0.1%
ATSI: 0.15%
HIV diagnoses in the Australian born population by
Aboriginal and Torres Strait Islander status, sex and year
Adapted from Kirby 2014 Report: Source:
State/Territory health authorities

Estimated HIV care and treatment cascade in
Australia
35000
120%
30000
100%
25000
80%
20000
60%
15000
40%
10000
20%
5000
0
Living with
HIV
Diagnosed Linked to care
Retained in care
Receiving
ART
Suppressed virus
0%
Adapted from: Kirby Institute 2014 Report

All Australian States and Territories have signed a pledge to end HIV transmissions by 2020
We are at a crossroad where Australia has the opportunity to achieve this 2020 Legacy Goal

ASHM and ending HIV transmissions by 2020 in Australia
Policy & Practice & Partnerships
• HIV, BBV, STI National Strategies
• HIV testing policies and testing portal
• HIV Point of Care testing policies and training
• Guidance HIV Management in Australia
• Access to early ARV treatment: PBAC
• National HIV Treatment as Prevention workshops and seminars
• Partnerships with community, researchers, government, regulators, private sector
ASHM works to facilitate similar outcomes at regional and international levels

Australia Ending HIV
Transmissions by 2020 and Working with Others
The Science of HIV Treatment & Prevention is at its highest tide ever & Australia has all the scientific tools available
• Never has the time been better to consider ending
HIV transmission in Australia and choose the right path to optimise this opportunity
Australian is a good international citizen
• Bilateral, regional, multilateral HIV Programs
• We can and will contemporaneously share our knowledge, experience and successes with others as we move towards our 2020 Legacy Goal

1,000 people : http://www.psychguides.com/interact/am-i-ugly/ outline of man: http://pixabay.com/en/outline-people-man-silhouette-37469/
Aboriginal Australia map: http://www.mappery.com/map-of/Australia-Aboriginal-Tribes-Map
Ballot box: http://www.abc.net.au/news/2014-06-05/earl-modern-voting/5500502
Medicare card: www.dryes.com.au
PBS: http://www.pbs.gov.au/pbs/home
NHMRC: www.nhmrc.gov.au
ARC: www.arc.gov.au
Amrep: www.med.monash.edu
Kirby Institute: www.Kirby.unsw.edu.au
CSRH: www.csrh.arts.unsw.edu.au
Arcshs: http://www.latrobe.edu.au/arcshs
Internet use Australia http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/8146.0Chapter32012-13
Homebased testing : www.rebeccagawthorne.com.au
AIDS 2014 legacy : http://gaynewsnetwork.com.au/
Crossroads: http://www.australiantraveller.com/ alere determine combo: http://www.alere.co.uk/sexual-health/articles/alere-determinetm-hiv-combo-customer-training-239/text.htm
PrEP ribbonhttp://www.google.com.au/search?
PEPimage http://www.google.com.au/search?
End HIVhttp://www.baywindows.com/FENWAY-HEALTH-COMMENDS-FDA-ON-APPROVAL-OF-FTC-TDF-AS-PRE-EXPOSURE-PROPHYLAXIS-FOR-HIV-PRE
Tasp graphic: http://www.google.com.au/search?
Pronto: http://pronto.org.au/
Microbicide: www.caprisa.org
needle exchange http://www.canberratimes.com.au/act-news/needle-exchanges-can-curb-hep-c-20130116-2cu46.html
sex positionshttp://www.betterworldbooks.com/position-sex-card-deck-id-1592333192.aspx
IVF: http://www.google.com.au/search
Vaccine: http://www.google.com.au/search?