Institute of Tropical Medicine, Antwerp, Belgium.
AIDS. 2012 Jun 19;26(10):1223-9. doi: 10.1097/QAD.0b013e32835462b8.
HIV spread has reached a turning point following decades of increasing and sustained incidence. An effective vaccine has not been developed, but critical breakthroughs with prevention based on antiretroviral treatment are promising. The new prevention technologies will have to be combined with condoms and incorporated into the mixes of combination prevention approaches that are tailored to the local epidemic and context. To address the implementation gap, more political will and leadership will be needed to overcome the socio-cultural, legal or religious barriers to prevention. We have learned that the generation of demand for HIV prevention is not easy, as for health promotion in general. Despite optimism about treatment as prevention, many western countries are facing an increase in new HIV cases, and HIV is no longer a collective concern. If we manage to find common ground on combination prevention, customize approaches to people's needs and exercise technical and political leadership, our decade may see the beginning of the end of the epidemic.
HIV 的传播在经历了几十年的持续增长后，已经达到了一个转折点。虽然尚未研发出有效的疫苗，但基于抗逆转录病毒治疗的预防手段取得了关键突破，前景看好。新的预防技术将必须与避孕套相结合，并纳入针对当地流行情况和具体情况而量身定制的综合预防方法中。为了解决实施差距问题，需要更多的政治意愿和领导力，以克服预防工作面临的社会文化、法律或宗教障碍。我们了解到，与健康促进一样，艾滋病毒预防的需求也不容易产生。尽管对治疗即预防持乐观态度，但许多西方国家的新艾滋病毒感染病例正在增加，艾滋病毒不再是一个集体关注的问题。如果我们能够在综合预防方面找到共同点，根据人们的需求定制方法，并发挥技术和政治领导力，那么我们的十年可能会看到艾滋病疫情开始结束。
