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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

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Progress and Challenges in "Getting to Zero" New HIV Infections in Miami, Florida.

Daniel Javier Escudero¹, Brady Bennett², Sarah Suarez³

¹1 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Journal of the International Association of Providers of AIDS Care

|May 28, 2019

Summary

Miami faces challenges in reducing new HIV diagnoses despite some prevention successes. Continued public health support is crucial to implement evidence-based HIV strategies and achieve the Getting to Zero goals.

Keywords:

HIV HIV prevention implementation science

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Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays

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Area of Science:

Public Health
Epidemiology
Infectious Disease Prevention

Background:

Miami-Dade County has the highest rate of new HIV diagnoses in the U.S.
The Miami-Dade County HIV/AIDS Getting to Zero Task Force was established in 2016 by local experts.
Evaluating progress on HIV prevention recommendations is critical for public health initiatives.

Purpose of the Study:

To examine early successes and challenges in implementing recommendations from the Miami-Dade County HIV/AIDS Getting to Zero Task Force.
To assess progress towards reducing HIV diagnoses in Miami.
To identify barriers and facilitators for achieving HIV prevention goals.

Main Methods:

Utilized surveillance data, published studies, public reports, and unpublished partner data.
Evaluated progress and challenges in meeting Task Force recommendations.
Analyzed data to assess the effectiveness of HIV prevention and care strategies.

Main Results:

Improvements include routine HIV testing in emergency departments and a reduced linkage-to-care benchmark (90 to 30 days).
Increased viral suppression rates and greater awareness of pre-exposure prophylaxis (PrEP) were observed.
However, treatment enrollment, viral suppression, and PrEP uptake remain suboptimal.

Conclusions:

Task Force recommendations offer a strong framework for evidence-based HIV prevention in Miami.
Sustained or enhanced support across public health sectors in South Florida is essential for successful implementation.
Addressing low treatment enrollment and PrEP uptake is critical to further reduce HIV transmission.