佛罗里达州迈阿密市在实现新增艾滋病毒感染“归零”方面的进展与挑战。
Progress and Challenges in "Getting to Zero" New HIV Infections in Miami, Florida.
作者信息
Escudero Daniel Javier, Bennett Brady, Suarez Sarah, Darrow William Ward, Mayer Kenneth Hugh, Seage George Richard
机构信息
1 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
2 The Health Council of South Florida, Miami, FL, USAs.
出版信息
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219852122. doi: 10.1177/2325958219852122.
OBJECTIVES
Miami has the highest rate of new HIV diagnoses in the United States. We examined the early successes and challenges in fulfilling recommendations made by the Miami-Dade County HIV/AIDS Getting to Zero Task Force, formed by local experts in 2016.
METHODS
We used a host of surveillance data, published empirical studies, public reports, and unpublished data from partners of the Task Force to evaluate progress and challenges in meeting the recommendations.
RESULTS
Improvements in prevention and care included routinized HIV testing in emergency departments, moving the linkage-to-care benchmark from 90 to 30 days, increased viral suppression, and awareness of pre-exposure prophylaxis. However, treatment enrollment, viral suppression, and pre-exposure prophylaxis uptake remained low.
CONCLUSIONS
Recommendations from the Task Force provide excellent guidance for implementing evidence-based HIV prevention in Miami, yet success in achieving the recommendations will require continued or increased support in many public health sectors in South Florida.
目标
迈阿密的新增艾滋病毒诊断率在美国最高。我们考察了迈阿密-戴德县艾滋病毒/艾滋病“归零”特别工作组（由当地专家于2016年组建）在落实其建议方面取得的早期成效与面临的挑战。
方法
我们运用了一系列监测数据、已发表的实证研究、公开报告以及特别工作组合作伙伴的未发表数据，以评估在落实这些建议方面取得的进展和面临的挑战。
结果
预防和护理方面的改善包括在急诊科开展常规艾滋病毒检测、将护理衔接基准从90天缩短至30天、提高病毒抑制率以及提高暴露前预防的知晓率。然而，治疗登记、病毒抑制以及暴露前预防的采用率仍然较低。
结论
特别工作组的建议为在迈阿密实施循证艾滋病毒预防提供了出色的指导，但要成功落实这些建议，南佛罗里达州的许多公共卫生部门仍需持续或增加支持。
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