World Aids Day 2019
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WORLD AIDS DAY 2019 SUNDAY 1 DECEMBER Contents Adj A/Prof Darryl O’Donnell 2 Adj A/Prof Darryl O’Donnell the Pacific, but only 75 per cent are aware of Tim Wilson MP and Senator Louise Pratt 4 Chief Executive Officer their status. Senator the Hon Marise Payne 5 Australian Federation of AFAO welcomes the Australian Government’s AIDS Organisations recent announcement to increase its The Hon Greg Hunt MP 6 contribution to the Global Fund to Fight AIDS Tuberculosis and Malaria by ten per cent. HIV Globally in 2018 7 Australia’s profound strides against With funding from the Global Fund, AFAO Senator the Hon Penny Wong and the Hon Chris Bowen MP 8 HIV haven’t happened by chance. Our has been working on the Sustainability of HIV progress is powered by the sustained Services for Key Populations in Asia Program Senator Richard Di Natale 9 commitment and insight of those (SKPA) to stop HIV transmission and AIDS- Mr Eamonn Murphy 10 communities touched by the epidemic. related deaths by 2030. Champion Community Centres: Enabling and Mobilising Communities for This commitment brings us to an auspicious Working with community groups at risk of More Strategic HIV Services for Key Populations 12 moment. As we mark World AIDS Day 2019, HIV HIV in Asia, the goal is to build the advocacy transmission has declined to a near two decade skills that deliver a sustainable approach Mr Peter Sands 14 low, with 833 diagnoses recorded in Australia to funding. Many Asian countries are AFAO’s national PrEP campaign 15 in 2018. More frequent testing, treatment approaching middle-income status, which as prevention and the increased adoption of will reduce their eligibility for international Professor Brendan Murphy 16 PrEP are driving this drop in transmission. development funding. Professor Sharon Lewin 17 While we welcome declining transmission, there is always more work to be done. But in Asia key populations are often HIV in Australia in 2018 18 marginalised, making it difficult for them to The Hon Michael Kirby AC CMG 19 Gay and bisexual men continue to shoulder secure domestic funding for HIV prevention the burden of HIV in Australia, despite a programs. SKPA is working to avoid the trap Professor Anthony Kelleher 20 30 per cent drop in transmissions over the of middle income leading to a decline in Professor Brendan Crabb AC 21 past five years. HIV prevention work. SKPA is one example We know incredible efforts of gay men at where Australia is playing a significant Professor Carla Treloar 22 a community level have driven the uptake role in reducing HIV’s health and economic Mr Alexis Apostolellis 23 of PrEP and testing. Now we need the burden in Asia and the Pacific. HIV partnership at the heart of Australia’s HIV response for almost four decades 24 resources to replicate this community-based In 2019, Australian organisations working approach across other populations. Of huge internationally on HIV issued a consensus Professor Suzanne Fraser 26 concern to me is that we have seen no statement to help guide Australia’s international Mr Cipri Martinez 27 decline in HIV diagnoses among Aboriginal and regional leadership on HIV. We look and Torres Strait Islander populations. forward to working with our regional partners Ms Jules Kim 28 The first step is supporting communities and the Australian Government to ensure Ms Melanie Walker 29 with education on prevention and testing. Australia’s policy settings are right when it This requires cultural sensitivity and comes to regional HIV prevention and care. Ms Michelle Tobin 30 significant investment in Aboriginal and Mr Bill Bowtell AO 31 Our progress against HIV, both in Australia Torres Strait Islander health workforces. and across the region is impressive. HIV Stigma in 2018 32 We also grapple with an enduring challenge However, epidemics are dynamic, and Mr Robert Griew 34 among our near neighbours. Around six further strides are only possible with million people are living with HIV in Asia and renewed financial and political commitment. Cover photo: Lux Sophal is a 32-year-old Cambodian woman with 4 children, including her twelve month old child, Khun Sreypheap, who appears in this photograph with her. She is HIV-positive as is her 13 year-old son. 12-month-old Sreyreap has been tested once so far and is HIV-negative. She received HIV treatment, to prevent mother to child transmission, through a Global Fund funded program. 2 Credit: Credit: Global Fund/John Rae 3 Tim Wilson MP and on HIV/AIDS, and have led the world Senator the Hon Marise Payne We are also sharing our expertise to fight in transmission control and access to the epidemic in our region. The Australian Senator Louise Pratt Minister for Foreign Affairs, treatments. We have strong community Volunteers Program continues to provide Minister for Women Chair and Deputy Chair groups that coordinate with health bodies opportunities for skilled Australians to Parliamentary Friends for Action on and government for efficacy. contribute to HIV/AIDs prevention and HIV/AIDs, Blood Borne Viruses and Today is an opportunity to reiterate our response. Our Australia Awards program But we must also continue to confront the Sexually Transmitted Infections shared commitment to ending the HIV is building the capacity of key individuals stigma associated with people living with epidemic by 2030. HIV. All Australians are entitled to live full from the region to strengthen domestic World AIDS Day is an opportunity to and happy lives. Recent UNAIDS data shows a 16% decline in responses. remember and honour those we have new infections globally since 2010. For the As Parliamentarians we have a critical role to Australia is also committed to global efforts lost, work to support those living with first time, more than half of all people living play in terms of leading the national discussion, to achieve universal health coverage - we HIV/AIDS, and to redouble our efforts to with HIV are virally suppressed, and the promoting community education and are investing with key partners such as the stop new transmissions and stigma. number of AIDS-related deaths has more advocating for effective strategies to improve World Bank and Bloomberg Philanthropies than halved since the peak in 2004. Each year new scientific advances and the health and wellbeing of all Australians. to support Indo-Pacific countries invest in treatments become available, improving But there is more to do, especially in our essential health services. The universal The purpose of the Parliamentary Friends the freedom of those living with HIV/AIDS in region. In 2018, 5.9 million people were living nature of this effort means leaving no-one for Action on HIV/AIDS, Blood Borne Viruses Australia and around the world. with HIV, there were 310,000 new infections behind. It implies a comprehensive approach and Sexually Transmitted Infections is to be and 200,000 AIDS related deaths. The to service delivery, including HIV services, We sit on the cusp of a new age of containing a strong and bipartisan advocacy group for epidemic is concentrated in key populations and strong community engagement. and treating HIV transmission. Prevention is Parliamentarians, the health community and and their sexual partners – including gay essential. With home testing kits supported those living with these conditions to educate The Australian government continues to men and other men who have sex with men, by community education campaigns we and work together to inform policy based on work to address inequalities and barriers sex workers, transgender people, people can reduce transmission rates further. science and effectiveness. to accessing prevention, diagnosis, and who inject drugs and prisoners and other The long term trend is declining thanks to treatment. Our efforts will improve access Critically, our purpose is also to make sure incarcerated people. These marginalised and these developments, alongside the listing to comprehensive sexual and reproductive communities affected by HIV, including gay disadvantaged groups make up more than of pre-exposure prophylaxis (PrEP) on the health and rights services. and bisexual men, transgender and gender three-quarters of new HIV infections. Pharmaceutical Benefits Scheme (PBS) diverse people, Aboriginal and Torres Strait Compassion, understanding, respect Australia is committed to the global fight New treatments continue to become Islander people, sex workers, people who and partnership with communities, civil against HIV/AIDS. We value the crucial available which reduce the risks of side inject drugs, people from or who travel society, and key populations are critical to role of longstanding partners, including effects. Additionally, research has opened the to high prevalence countries, people in an effective approach to eliminating HIV civil society, the Global Fund to Fight AIDS, possibility for people living with HIV to move custodial settings, and people living with and accelerating better health for all. Tuberculosis and Malaria, and UNAIDS from daily pill-based regimens to injectable HIV are heard in our Parliament. in convening the HIV/AIDS community to alternatives with month-long lifespans. On World AIDS day we pay respect to the progress the global response. But our work is far from complete. The rising work that has been done, and recommit To this end, Australia was pleased to rates of transmission amongst Aboriginal to working together so that Australia can announce a 10 per cent increase to our Global and Torres Strait Islander (ATSI) Australians continue to be a world leader in controlling Fund contribution for the sixth replenishment and amongst culturally and linguistically and reducing transmission rates, supporting those living with HIV and to look with period. Our support to Global Fund is having diverse (CALD) communities is a reminder optimism about what we can achieve in an impact in South-East Asia and the Pacific that we need targeted education campaigns.