Molecular Medicine Laboratory, Hospital Clínico Universidad de Chile, Independencia, Santiago, Chile.
Medicine (Baltimore). 2024 Jul 26;103(30):e38288. doi: 10.1097/MD.0000000000038288.
Chile is contending with the highest rates of new human immunodeficiency virus (HIV) cases in both Latin America and globally, despite substantial ongoing investments in treatment. This comprehensive study, derived from PUBMED and Google searches, ANID data, and various organizational reports, highlights key areas for improvement. Over the past decade, Chile's annual infection rate has risen, signaling an urgent need for detailed analysis and effective solutions. The study includes 44 references, comprising 32 scientific articles and 12 reports from entities like the WHO and the Pan American Health Organization. Data was meticulously collected through diverse means, such as scientific congresses, meetings with authorities, and direct data requests. Fourteen critical points are identified for addressing the HIV epidemic in Chile, spanning from legislative reforms to enhanced prevention campaigns. Key recommendations include universal diagnosis, decentralized healthcare, the availability of self-tests, and a focus on mental health and the impact of migration. Despite Chile's strong economic indicators, factors such as inadequate sexual education, outdated legislation, and centralized diagnostic processes contribute to the persistent increase in new cases. The study underscores the pressing need for enhanced investment in prevention policies. Chile faces significant challenges in meeting the 90/90/90 targets, yet there is optimism in aiming for the 95/95/95 strategy by 2030. Achieving success requires a global commitment, an emphasis on prevention, and collaborative efforts among authorities, healthcare providers, and patients. Overcoming these identified barriers is essential for Chile to reach its ambitious goal and ultimately end the HIV epidemic.
智利正在与拉丁美洲和全球范围内新的人类免疫缺陷病毒(HIV)病例率最高作斗争,尽管在治疗方面投入了大量资金。这项全面的研究源自 PUBMED 和谷歌搜索、ANID 数据以及各种组织报告,强调了需要改进的关键领域。在过去的十年中,智利的年感染率一直在上升,这表明需要对其进行详细的分析和采取有效的解决方案。研究包括 44 个参考文献,其中 32 个是科学文章,12 个是来自世界卫生组织和泛美卫生组织等实体的报告。通过各种方式,如科学大会、与当局的会议以及直接数据请求,精心收集了数据。该研究确定了 14 个关键要点,以解决智利的 HIV 疫情,从立法改革到加强预防运动。关键建议包括普遍诊断、分散式医疗保健、自我检测的可用性,以及关注心理健康和移民的影响。尽管智利拥有强劲的经济指标,但一些因素,如性教育不足、过时的立法和集中的诊断流程,导致新病例持续增加。该研究强调了加强预防政策投资的迫切需要。智利在实现 90/90/90 目标方面面临重大挑战,但仍有信心在 2030 年实现 95/95/95 的战略目标。要取得成功,需要全球承诺、重视预防以及当局、医疗保健提供者和患者之间的合作努力。克服这些已确定的障碍对于智利实现其雄心勃勃的目标并最终结束 HIV 疫情至关重要。