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AIDS Res Hum Retroviruses. 2018 Jul;34(7):561-569. doi: 10.1089/AID.2017.0310. Epub 2018 Jun 5.

Shifting the HIV Paradigm from Care to Cure: Proceedings from the Caribbean Expert Summit in Barbados, August 2017.

Author information

1
1 Edmund Cohen Laboratory for Vascular Research, George Alleyne Chronic Disease Research Centre, The University of the West Indies , Bridgetown, Barbados .
2
2 Office of the Deputy Principal, The University of the West Indies - Cave Hill Campus , Bridgetown, Barbados .
3
3 Division of Haematopathology, Faculty of Medicine, Tygerberg Academic Hospital, Stellenbosch University , Cape Town, South Africa .
4
4 Department of Medicine, University Hospital of the West Indies , Mona, Jamaica .
5
5 Office of the UN Secretary General , United Nations, New York, New York.
6
6 Department of Immunology, University College Medical School, University College , London, United Kingdom .
7
7 Groupe Haïtien Etude pour le Sarcome de Kaposi et les Infections Opportunistes (GHESKIO) , Port-au-Prince, Haiti .
8
8 Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University , Baltimore, Maryland.
9
9 National Heart, Lung, and Blood Institute, National Institutes of Health , Bethesda, Maryland.
10
10 UNAIDS Latin American and Caribbean Regional Support Team , Panama City, Panama .
11
11 Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California , Los Angeles, California.
12
12 Dutch Association of PLHIV , Amsterdam, the Netherlands .
13
13 Division of Global HIV and TB, Centers for Disease Control and Prevention , Atlanta, Georgia .
14
14 National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland.
15
15 Department of Neurology, University of North Carolina , Chapel Hill, North Carolina.
16
16 Clinique médicale l'Actuel , Montreal, Canada .
17
17 Department of Viroscience, Erasmus Medical Centre , Rotterdam, the Netherlands .
18
18 Yale School of Public Health , New Haven, Connecticut.
19
19 Caribbean Med Labs Foundation , Port of Spain , Trinidad.

Abstract

The CCAS EXPERT SUMMIT convened an array of international experts in Barbados on August 27-31, 2017 under the theme "From Care to Cure-Shifting the HIV Paradigm." The Caribbean Cytometry & Analytical Society (CCAS) partnered with the Joint United Nations Programme on HIV/AIDS (UNAIDS) to deliver a program that reviewed the advances in antiretroviral therapy and the public health benefits accruing from treatment as prevention. Particular emphasis was placed on reexamining stigma and discrimination through a critical appraisal of whether public health messaging and advocacy had kept pace with the advances in medicine. Persistent fear of HIV driving discriminatory behavior was widely reported in different regions and sectors, including the healthcare profession itself; continued fear of the disease was starkly misaligned with the successes of new medical treatments and progress toward the UNAIDS 90-90-90 targets. The summit therefore adopted the mantra "Test-Treat-Defeat" to help engage with the public in a spirit of optimism aimed at creating a more conducive environment for persons to be tested and treated and, thereby, help reduce HIV disease and stigma at the individual and community levels.

KEYWORDS:

HIV; cure; monitoring; prevention; stigma; treatment

PMID:
29732897
PMCID:
PMC6053839
DOI:
10.1089/AID.2017.0310
[Indexed for MEDLINE]
Free PMC Article

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