HIV/AIDS in the United Kingdom: Difference between revisions
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{{Short description|History and prevalence of HIV and AIDS in the UK}} |
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{{Update|new report - see talk|inaccurate=yes|date=December 2021}} |
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{{LGBT rights in the United Kingdom sidebar|aspects}} |
{{LGBT rights in the United Kingdom sidebar|aspects}} |
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'''[[ |
'''[[AIDS]]''' was first diagnosed in 1981. As of year-end 2018, 160,493 people have been diagnosed with HIV in the United Kingdom and an estimated 7,500 people are living undiagnosed with HIV.<ref name=":1">{{Cite web|url=https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/858559/HIV_in_the_UK_2019_towards_zero_HIV_transmissions_by_2030.pdf|title=HIV in the UK (2019 Report)|last=Public Health England|date=December 2019|website=gov.uk|access-date=2020-02-21}}</ref> New diagnoses are highest in gay/bisexual men, with an estimated 51% of new diagnosis reporting [[Gay sexual practices|male same-sex sexual activity]] as the probable route of infection. Between 2009 and 2018 there was a 32% reduction in new HIV diagnosis, attributed by [[Public Health England]] (PHE) to better [[Disease surveillance|surveillance]] and education.<ref name=":1" /> PHE has described an "outbreak" in Glasgow amongst [[Substance abuse|people who inject drugs]],<ref name=":1" /> and has campaigns targeting [[men who have sex with men]] in [[London]] and other major cities.<ref name=":2">{{Cite news|last=Gulland|first=Anne|url=https://www.telegraph.co.uk/global-health/science-and-disease/london-praised-role-tackling-hiv-needs-done-tackle-late-diagnosis/|title=London praised for record on HIV but more needs to be done to tackle late diagnosis|date=2019-09-09|work=The Telegraph|access-date=2020-02-21|language=en-GB|issn=0307-1235}}</ref> London was the first city in the world to reach the [[World Health Organization]] target for HIV, set at 90% of those with HIV diagnosed, 90% of those diagnosed on [[Management of HIV/AIDS|HAART]] and 90% of those on HAART undetectable.<ref name=":2" /><ref name=":3">{{Cite web|url=https://www.nat.org.uk/we-inform/HIV-statistics/UK-statistics|title=UK HIV Statistics {{!}} National AIDS Trust - NAT|website=www.nat.org.uk|access-date=2020-02-21}}</ref> The UK as a whole later achieved the same target.<ref name=":3" /> Under the [[Equality Act 2010]], it is illegal to discriminate against someone based on their HIV status in the UK.<ref name=":5" /><ref name=":6" /> |
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== Demographics == |
== Demographics == |
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In 2017, 93,385 people (64,472 men and 28,877 women) living with diagnosed HIV infection received HIV care in the UK. 42,739 of those are gay or bisexual.<ref name=":4">{{Cite news|url=https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/759408/HIV_annual_report_2018.pdf|title=Progress towards ending the HIV epidemic in the United Kingdom 2018 report )|date=2018|work=Public Health England|access-date=2019-06-25|language=en}}</ref> |
In 2017, 93,385 people (64,472 men and 28,877 women) living with diagnosed HIV infection received HIV care in the UK. 42,739 of those are gay or bisexual.<ref name=":4">{{Cite news|url=https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/759408/HIV_annual_report_2018.pdf|title=Progress towards ending the HIV epidemic in the United Kingdom 2018 report )|date=2018|work=Public Health England|access-date=2019-06-25|language=en}}</ref> |
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In 2017, the prevalence of [[HIV/AIDS|HIV]] in the [[United Kingdom]] was estimated at 101,600 (credible interval 99,300 to 106,400) with 92% (credible interval 88 to 94%) diagnosed.<ref name=":4" /> Prevalence is highest in gay/bisexual men in [[London]] with an estimated 83 (credible interval 73 to 96) per 1000 gay and bisexual men aged 15 to 74 years. HIV prevalence in this group was higher in London compared with the rest of England (134/1,000 CrI 113 to 156 and 63/1,000 CrI 53 to 76, respectively).<ref name=":4" /> However, the 2017 statistics showed a tremendous decrease in the number of newly HIV infected gay men during 2015-17. The number of newly HIV infected gay men decreased by a third in just two years.<ref>{{cite web|url=http://www.aidsmap.com/HIV-diagnoses-in-gay-men-in-the-UK-decreased-by-a-third-in-two-years/page/3333191|title=HIV diagnoses in gay men in the UK decreased by a third in two years|website=Aidsmap.com|access-date=5 March 2019}}</ref> |
In 2017, the prevalence of [[HIV/AIDS|HIV]] in the [[United Kingdom]] was estimated at 101,600 (credible interval 99,300 to 106,400) with 92% (credible interval 88 to 94%) diagnosed.<ref name=":4" /> Prevalence is highest in gay/bisexual men in [[London]] with an estimated 83 (credible interval 73 to 96) per 1000 gay and bisexual men aged 15 to 74 years. HIV prevalence in this group was higher in London compared with the rest of England (134/1,000 CrI 113 to 156 and 63/1,000 CrI 53 to 76, respectively).<ref name=":4" /> However, the 2017 statistics showed a tremendous decrease in the number of newly HIV infected gay men during 2015-17. The number of newly HIV infected gay men decreased by a third in just two years.<ref>{{cite web|url=http://www.aidsmap.com/HIV-diagnoses-in-gay-men-in-the-UK-decreased-by-a-third-in-two-years/page/3333191|title=HIV diagnoses in gay men in the UK decreased by a third in two years|website=Aidsmap.com|date=4 September 2018 |access-date=5 March 2019}}</ref> |
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2995 people were newly diagnosed during 2021 <ref>{{cite web|url=https://www.theguardian.com/society/2022/oct/22/no-new-hiv-cases-by-2030-england-hopes-to-become-first-country-in-the-world-to-defeat-virus.|access-date=22 October 2022|website=[[TheGuardian.com]] }}</ref> An estimated 42% of diagnoses were late (likely to have been living with the virus for over three years). Late diagnosis is associated with a 10-fold increase in the chance of death during the first year after diagnosis.<ref name=":0">{{Cite web|url=https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/602942/HIV_in_the_UK_report.pdf|title=HIV in the UK|date=2016-12-01|website=UK Government|publisher=Public Health England|access-date=2017-08-27}}</ref><ref>{{cite web|url=https://www.gov.uk/government/collections/hiv-surveillance-data-and-management|title=HIV: surveillance, data and management|website=Gov.uk|date=25 January 2018 |access-date=5 March 2019}}</ref> Risk groups have been identified by various organisations, including [[National Institute for Health and Care Excellence]], [[National Health Service]] and the IMPACT trial for pre-exposure prophylaxis. They are: |
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{| class="wikitable" |
{| class="wikitable" |
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|+Risk groups identified by UK health organisations |
|+Risk groups identified by UK health organisations |
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!NHS for HIV<ref>{{Cite web|url=https://www.nhs.uk/conditions/hiv-and-aids/causes/|title=HIV and AIDS - Causes|date=2017-10-23|website=nhs.uk|language=en|access-date=2020-02-21}}</ref><ref>{{Cite web|url=https://www.nhs.uk/conditions/hiv-and-aids/|title=HIV and AIDS|date=2017-10-23|website=nhs.uk|language=en|access-date=2020-02-21}}</ref> |
!NHS for HIV<ref>{{Cite web|url=https://www.nhs.uk/conditions/hiv-and-aids/causes/|title=HIV and AIDS - Causes|date=2017-10-23|website=nhs.uk|language=en|access-date=2020-02-21}}</ref><ref>{{Cite web|url=https://www.nhs.uk/conditions/hiv-and-aids/|title=HIV and AIDS|date=2017-10-23|website=nhs.uk|language=en|access-date=2020-02-21}}</ref> |
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!NICE for HIV testing<ref>{{Cite web|url=https://www.nice.org.uk/guidance/qs157/chapter/Quality-statement-4-Regular-HIV-testing|title=Quality statement 4: Regular HIV testing {{!}} HIV testing: encouraging uptake {{!}} Quality standards {{!}} NICE|website=www.nice.org.uk|access-date=2020-02-21}}</ref> |
!NICE for HIV testing<ref>{{Cite web|url=https://www.nice.org.uk/guidance/qs157/chapter/Quality-statement-4-Regular-HIV-testing|title=Quality statement 4: Regular HIV testing {{!}} HIV testing: encouraging uptake {{!}} Quality standards {{!}} NICE|website=www.nice.org.uk|date=7 September 2017 |access-date=2020-02-21}}</ref> |
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!IMPACT for PrEP access<ref>{{Cite web|url=https://www.prepimpacttrial.org.uk/can-i-take-part|title=Can I take part?|website=PrEP Impact|language=en|access-date=2020-02-21}}</ref> |
!IMPACT for PrEP access<ref>{{Cite web|url=https://www.prepimpacttrial.org.uk/can-i-take-part|title=Can I take part?|website=PrEP Impact|language=en|access-date=2020-02-21}}</ref> |
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|People who inject drugs |
|People who inject drugs |
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| colspan="2" |People who have received a blood |
| colspan="2" |People who have received a blood transfusion abroad |
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|Heterosexual with black African ethnicity |
|Heterosexual with black African ethnicity |
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|HIV-negative people with HIV-positive partners |
|HIV-negative people with HIV-positive partners |
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== Treatment and prognosis == |
== Treatment and prognosis == |
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[[File:HIV Diagnoses Yearly UK.png|thumb|450px|HIV & AIDS Diagnoses and Deaths by Year in the UK]] |
[[File:HIV Diagnoses Yearly UK.png|thumb|450px|HIV & AIDS Diagnoses and Deaths by Year in the UK]] |
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HIV treatment is available free of charge in the UK and as a result 96% of diagnosed are receiving treatment and of those 94% have a suppressed viral load making them very unlikely to pass on the infection.<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Media-centre/Press-Releases/2016/July/Effective-HIV-treatment-means-%E2%80%98zero%E2%80%99-risk-of-transmitting-virus|title=Effective HIV treatment means 'zero' risk of transmitting virus {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-27}}</ref><ref name=":0" /><ref>{{Cite web|url=http://www.tht.org.uk/sexual-health/About-HIV/Can_apos_t-Pass-It-On|title=Can't Pass It On {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-27}}</ref> In 2015, less than 1% of people living with a diagnosed HIV infection in the UK died (cause of death is uncertain and may not be HIV-related). All-cause mortality for ages 15–59 in people living with HIV was 5.7 per 1000 compared to 1.7 for the UK population as a whole.<ref name=":0" /> People newly diagnosed with HIV today can expect to have a normal life expectancy if they are diagnosed on time and on effective treatment.<ref>{{Cite news|url=https://www.bbc.co.uk/news/health-39872530|title=HIV life expectancy 'near normal' thanks to new drugs|last=Roxby|first=Philippa|date=2017-05-11|work=BBC News|access-date=2017-08-26|language=en-GB}}</ref> |
HIV treatment is available free of charge in the UK and as a result 96% of diagnosed are receiving treatment and of those 94% have a suppressed viral load making them very unlikely to pass on the infection.<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Media-centre/Press-Releases/2016/July/Effective-HIV-treatment-means-%E2%80%98zero%E2%80%99-risk-of-transmitting-virus|title=Effective HIV treatment means 'zero' risk of transmitting virus {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-27|archive-date=2017-08-27|archive-url=https://web.archive.org/web/20170827092052/http://www.tht.org.uk/our-charity/Media-centre/Press-Releases/2016/July/Effective-HIV-treatment-means-%E2%80%98zero%E2%80%99-risk-of-transmitting-virus|url-status=dead}}</ref><ref name=":0" /><ref>{{Cite web|url=http://www.tht.org.uk/sexual-health/About-HIV/Can_apos_t-Pass-It-On|title=Can't Pass It On {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-27}}</ref> In 2015, less than 1% of people living with a diagnosed HIV infection in the UK died (cause of death is uncertain and may not be HIV-related). All-cause mortality for ages 15–59 in people living with HIV was 5.7 per 1000 compared to 1.7 for the UK population as a whole.<ref name=":0" /> People newly diagnosed with HIV today can expect to have a normal life expectancy if they are diagnosed on time and on effective treatment.<ref>{{Cite news|url=https://www.bbc.co.uk/news/health-39872530|title=HIV life expectancy 'near normal' thanks to new drugs|last=Roxby|first=Philippa|date=2017-05-11|work=BBC News|access-date=2017-08-26|language=en-GB}}</ref> |
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In 2017, 39% adults seen for HIV care were 50 years of age or older.<ref name=":4"/> This is partly due to improvements to life expectancy for people living with HIV as well as increasing numbers of people acquiring HIV later in life. |
In 2017, 39% adults seen for HIV care were 50 years of age or older.<ref name=":4"/> This is partly due to improvements to life expectancy for people living with HIV as well as increasing numbers of people acquiring HIV later in life.{{cn|date=September 2022}} |
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== Pre-exposure prophylaxis == |
== Pre-exposure prophylaxis == |
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{{see also|National AIDS Trust v NHS Commissioning Board}} |
{{see also|National AIDS Trust v NHS Commissioning Board}} |
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{{Update|Pre-exposure prophylaxis|inaccurate=yes|date=May 2021}} |
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Access to [[pre-exposure prophylaxis]] ("PrEP"), using a drug which can prevent HIV infection, on the [[National Health Service]] is partially limited. It |
Access to [[pre-exposure prophylaxis]] ("PrEP"), using a drug which can prevent HIV infection, on the [[National Health Service]] is partially limited. It was available to high-risk individuals in England through the IMPACT trial, which had a cohort size of 26,000.<ref>{{Cite web|url=https://www.prepimpacttrial.org.uk/|title=PrEP {{!}} The PrEP Impact Trial|website=PrEP Impact|language=en|access-date=2020-02-21}}</ref> This was made available following the PROUD trial, a [[randomised control trial]] and a [[National AIDS Trust v NHS Service Commissioning Board|high-court battle]] in 2016.<ref>{{Cite news|url=https://www.bbc.co.uk/news/health-40814242|title=Prep: HIV 'game-changer' to reach NHS in England from September|last=Gallagher|first=James|date=2017-08-03|work=BBC News|access-date=2017-08-26|language=en-GB}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/health-36946000|title=HIV campaigners win NHS drug battle|date=2016-08-02|work=BBC News|access-date=2017-08-26|language=en-GB}}</ref> Use of PrEP in London, both as part of a trial and from private purchases, was partially credited in a drop in diagnoses among men who have sex with men, after a five-year plateau in diagnoses.<ref>{{Cite news|url=https://www.buzzfeed.com/patrickstrudwick/meet-the-man-who-stopped-thousands-of-people-becoming-hiv-po|title=Meet The Man Who Stopped Thousands Of People Becoming HIV-Positive|work=BuzzFeed|access-date=2017-08-26|language=en}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/health-40370381|title='Remarkable' drop in new HIV cases among men|date=2017-06-22|work=BBC News|access-date=2017-08-26|language=en-GB}}</ref><ref>{{Cite news|url=https://www.theguardian.com/society/2017/jun/22/fall-in-hiv-among-gay-men-could-spell-end-for-britains-epidemic-say-experts|title=Fall in HIV among gay men could spell end for Britain's epidemic, say experts|last=editor|first=Sarah Boseley Health|date=2017-06-22|work=The Guardian|access-date=2017-08-27|language=en-GB|issn=0261-3077}}</ref> |
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In [[NHS Scotland|Scotland]], [[NHS England| England]], [[NHS Wales| Wales]] and [[Health and Social Care (Northern Ireland)| Northern Ireland]] PrEP is available free on the NHS from [[sexual health clinic]]s for those deemed at high risk of acquisition.<ref name=":1" /> |
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Although it is currently unavailable more broadly for prescription by medical professionals in [[NHS England]], this option will become available in April 2020.<ref>{{Cite news|url=https://www.bbc.com/news/health-51897856|title=Preventative HIV drug to be available in England|date=2020-03-15|work=BBC News|access-date=2020-03-22|language=en-GB}}</ref> |
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| ⚫ | Sexual health specialist [[Mags Portman]] was credited in making PrEP more accessible to gay and bisexual men in the UK. In October 2018, the [[Terrence Higgins Trust]] established the Mags Portman PrEP Access Fund to provide PrEP to those in England and Northern Ireland who cannot afford it.<ref>{{cite web|url=https://www.gscene.com/news/tht-launch-access-fund-for-prep/| title=THT launch 'Access Fund' for PrEP|website=Gscene.com| date=30 October 2018| last=Ledward| first=James|access-date=12 February 2019}}</ref> The fund has a maximum size of 1,000 users and was available until the end of 2020.<ref>{{Cite web|url=https://www.tht.org.uk/our-services/online-services/mags-portman-prep-access-fund|title=The Mags Portman PrEP Access Fund {{!}} Terrence Higgins Trust|website=www.tht.org.uk|access-date=2020-02-21}}</ref> |
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In [[NHS Scotland|Scotland]] and [[NHS Wales|Wales]] PrEP is available free on the NHS from [[Sexual health clinic|sexual health clinics]] for those deemed at high risk of acquisition. In Northern Ireland, access is only available through the risk reduction scheme from the [[Belfast Health and Social Care Trust]], which can take referrals from other Northern Ireland sexual health clinics for high-risk patients, with funding guaranteed until the end of 2020.<ref name=":1" /> |
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| ⚫ | Sexual health specialist [[Mags Portman]] was credited in making PrEP more accessible to gay and bisexual men in the UK. In October 2018, the [[Terrence Higgins Trust]] established the Mags Portman PrEP Access Fund to provide PrEP to those in England and Northern Ireland who cannot afford it.<ref>{{cite web|url=https://www.gscene.com/news/tht-launch-access-fund-for-prep/| title=THT launch 'Access Fund' for PrEP|website=Gscene.com| date=30 October 2018| last=Ledward| first=James|access-date=12 February 2019}}</ref> The fund has a maximum size of 1,000 users and |
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==Timeline== |
==Timeline== |
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1979, June: a sample shows a UK transmission to a haemophiliac in the UK. |
1979, June: a sample shows a UK transmission to a haemophiliac in the UK.<ref>{{Cite web|url=http://www.penroseinquiry.org.uk/finalreport/text/354876_chapter_9.html|title=Final Report: Chapter 9 - Knowledge of the Geographical Spread and Prevalence of HIV/AIDS 1|website=www.penroseinquiry.org.uk|access-date=2020-02-21}}</ref> |
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1981, 12 December: |
1981, 12 December: [[The Lancet]] publishes a case report of a 49-year-old man who had died in [[Royal Brompton Hospital|Brompton hospital]] due to an AIDS related illness in October - the first death in the UK.<ref>{{Cite journal|last1=Bois|first1=R. M. Du|last2=Branthwaite|first2=M. A.|last3=Mikhail|first3=J. R.|last4=Batten|first4=J. C.|date=1981-12-12|journal=The Lancet|series=Originally published as Volume 2, Issue 8259|volume=318|issue=8259|pages=1339|doi=10.1016/S0140-6736(81)91353-2|pmid=6118728|title=Primary Pneumocystis Carinii and Cytomegalovirus Infections|s2cid=38202095}}</ref><ref>{{Cite news|url=https://www.independent.co.uk/life-style/health-and-families/features/the-timeline-aids-2292352.html|title=The Timeline: Aids|date=2011-06-03|newspaper=[[The Independent]]|access-date=2017-08-29|language=en-GB}}</ref> He was homosexual and a frequent visitor to the United States.<ref>{{Cite web|url=http://www.penroseinquiry.org.uk/finalreport/text/354876_chapter_9.html|title=Final Report: Chapter 9 - Knowledge of the Geographical Spread and Prevalence of HIV/AIDS 1|website=www.penroseinquiry.org.uk}}</ref> |
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It was finally revealed in November 2021, by the ITV Tonight programme that this first patient was called John Eaddie, a 49 year old guest house proprietor from Harrogate - 40 years after the first mention of a case in a medical journal.<ref>{{Cite web|url=https://www.itv.com/news/2021-11-09/solved-the-40-year-mystery-of-the-first-man-to-die-of-aids-in-britain|title=Solved: The 40-year mystery of the first man to die of AIDS in Britain|date=9 November 2021}}</ref> |
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| ⚫ | 1982, 4 July: [[Terry Higgins]] dies of an AIDS related illness - leading to the establishment of the [[Terrence Higgins Trust]].<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Our-work/Our-history/How-it-all-began|title=How It All Began|website=Terrance Higgins Trust|access-date=2016-08-29}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/uk-wales-18726184|title=Terrence Higgins' legacy, 30 years after death|last=Prior|first=Neil|date=2012-07-05|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
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Painstaking work from the ITV Tonight team matched a death certificate from 1981, which included the same details revealed in the Lancet - a 49 year old man, dying in the Royal Brompton Hospital of Pneumocystis Pneumonia.{{cn|date=September 2022}} |
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| ⚫ | 1982, 4 July: [[Terry Higgins]] dies of an AIDS related illness - leading to the establishment of the [[Terrence Higgins Trust]].<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Our-work/Our-history/How-it-all-began|title=How It All Began|website=Terrance Higgins Trust|access-date=2016-08-29|archive-date=2015-07-15|archive-url=https://web.archive.org/web/20150715071416/http://www.tht.org.uk/our-charity/Our-work/Our-history/How-it-all-began|url-status=dead}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/uk-wales-18726184|title=Terrence Higgins' legacy, 30 years after death|last=Prior|first=Neil|date=2012-07-05|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
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| ⚫ | 1983: [[Scottish AIDS Monitor]] founded to monitor and raise awareness of HIV/AIDS in Scotland.<ref>{{Cite web|last=|first=|date=|title=1980s|url=https://www.tht.org.uk/our-work/about-our-charity/our-history/1980s |
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| ⚫ | 1983: [[Scottish AIDS Monitor]] founded to monitor and raise awareness of HIV/AIDS in Scotland.<ref>{{Cite web|last=|first=|date=|title=1980s|url=https://www.tht.org.uk/our-work/about-our-charity/our-history/1980s|archive-url=|archive-date=|access-date=2 February 2021|website=Terrance Higgins Trust}}</ref> |
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1983, 25 April: [[BBC]] broadcasts "Killer in the Village" as part of its [[Horizon]] series. The documentary describes the illnesses affecting patients and looks at theories and early research into AIDS. It includes interviews with [[Linda Laubenstein]], Alvin Friedman-Kien, [[James W. Curran]], [[Michael S. Gottlieb]] and [[Bobbi Campbell]]. |
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1985: 58 AIDS-related deaths had been recorded in Britain,<ref>{{Cite web|url=https://player.bfi.org.uk/free/film/watch-aids-the-victims-1985-online|title=Watch AIDS: The Victims 1985|website=BFI|access-date=2021-01-27}}</ref> according to the current affairs series ''TV Eye'', broadcast in 1985. In October, a man with AIDS is detained under the [[Public Health (Infectious Diseases) Regulations 1985]], marking their first and only use.<ref>{{cite web |title=Public Health (Infectious Diseases) Regulations 1985 |url=https://map.europach.eu/uk/public_health_infectious_diseases |website=Europach |access-date=24 February 2021}}</ref> |
1985: 58 AIDS-related deaths had been recorded in Britain,<ref>{{Cite web|url=https://player.bfi.org.uk/free/film/watch-aids-the-victims-1985-online|title=Watch AIDS: The Victims 1985|website=BFI|access-date=2021-01-27}}</ref> according to the current affairs series ''TV Eye'', broadcast in 1985. In October, a man with AIDS is detained under the [[Public Health (Infectious Diseases) Regulations 1985]], marking their first and only use.<ref>{{cite web |title=Public Health (Infectious Diseases) Regulations 1985 |url=https://map.europach.eu/uk/public_health_infectious_diseases |website=Europach |access-date=24 February 2021}}</ref> |
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1986, 24 March: [[BBC]] broadcasts "AIDS: A Strange and Deadly Virus" as part of its [[Horizon]] series. The documentary looks at early work to identify the virus and experimental use of [[AZT]]. |
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| ⚫ | 1987, 9 April: [[Diana, Princess of Wales]], opens the [[Broderip Ward]], a dedicated ward at [[Middlesex Hospital]] for the treatment of HIV patients, and notably shakes the hands of AIDS patients without wearing gloves.<ref>{{Cite |
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| ⚫ | 1987, 9 April: [[Diana, Princess of Wales]], opens the [[Broderip Ward]], a dedicated ward at [[Middlesex Hospital]] for the treatment of HIV patients, and notably shakes the hands of AIDS patients without wearing gloves.<ref>{{Cite news|url=https://www.bbc.co.uk/news/av/magazine-39490507/how-princess-diana-changed-attitudes-to-aids|title=How Princess Diana changed attitudes to Aids|work=BBC News|access-date=2017-08-29}}</ref><ref>{{Cite news|url=http://news.bbc.co.uk/1/hi/health/5033810.stm|title=BBC NEWS {{!}} Health {{!}} Timeline: 25 years of HIV/Aids|website=News.bbc.co.uk|date=4 June 2006|access-date=2017-08-29}}</ref><ref>{{Cite news|url=https://www.telegraph.co.uk/news/2016/07/21/prince-harry-invokes-image-of-princess-diana-holding-hand-of-dyi/|title=Prince Harry invokes image of Princess Diana holding hand of dying Aids patient as he warns of HIV complacency threat|work=The Telegraph|access-date=2017-08-29|language=en-GB}}</ref> |
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1987: The UK Government launched "[[AIDS: Don't Die of Ignorance]]", a major public information campaign. A leaflet about AIDS was delivered to every household in the UK, which warned that it is impossible to tell who is infected with the virus.<ref>{{cite news|last1=Hildrew|first1=Peter|title=From the archive, 9 January 1987: TV and cinema Aids campaign launches|url=https://www.theguardian.com/theguardian/2014/jan/09/aids-hiv-advertisements-campaign-1987|newspaper=[[The Guardian]]|access-date=24 October 2014}}</ref> |
1987: The UK Government launched "[[AIDS: Don't Die of Ignorance]]", a major public information campaign. A leaflet about AIDS was delivered to every household in the UK, which warned that it is impossible to tell who is infected with the virus.<ref>{{cite news|last1=Hildrew|first1=Peter|title=From the archive, 9 January 1987: TV and cinema Aids campaign launches|url=https://www.theguardian.com/theguardian/2014/jan/09/aids-hiv-advertisements-campaign-1987|newspaper=[[The Guardian]]|access-date=24 October 2014}}</ref> |
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| Line 81: | Line 87: | ||
1994: Scottish Voluntary HIV and AIDS Forum ([[HIV Scotland]]) set up in Edinburgh to make policy and advocacy changes and provide support for people living with HIV in Scotland.<ref>{{Cite web|title=Our history|url=https://www.hiv.scot/our-history-1|access-date=2021-02-02|website=HIV Scotland|language=en}}</ref> |
1994: Scottish Voluntary HIV and AIDS Forum ([[HIV Scotland]]) set up in Edinburgh to make policy and advocacy changes and provide support for people living with HIV in Scotland.<ref>{{Cite web|title=Our history|url=https://www.hiv.scot/our-history-1|access-date=2021-02-02|website=HIV Scotland|language=en}}</ref> |
||
1995: Project for HIV and Aids Care and Education ([[PHACE West]]) established to provide HIV support, advice and health services for the West of Scotland.<ref>{{Cite news|last=|first=|date=1985|title=Back in the hot seat|work=Gay Scotland|issue=20|url= |
1995: Project for HIV and Aids Care and Education ([[PHACE West]]) established to provide HIV support, advice and health services for the West of Scotland.<ref>{{Cite news|last=|first=|date=1985|title=Back in the hot seat|work=Gay Scotland|issue=20|url=|access-date=}}</ref> |
||
1996: Triple combination therapy ([[Management of HIV/AIDS|HAART]]) becomes standard treatment, reducing the death rate.<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Our-work/Our-history/1990s|title=Terrence Higgins Trust in the 1990s {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-29}}</ref><ref>{{Cite news|url=https://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2017/jul/12/hiv-treatment-come-long-way-still-work|title=HIV treatment has come a long way – but there's still work to do|date=2017-07-12|work=The Guardian|access-date=2017-08-29|language=en-GB|issn=0261-3077}}</ref> |
1996: Triple combination therapy ([[Management of HIV/AIDS|HAART]]) becomes standard treatment, reducing the death rate.<ref>{{Cite web|url=http://www.tht.org.uk/our-charity/Our-work/Our-history/1990s|title=Terrence Higgins Trust in the 1990s {{!}} Terrence Higgins Trust|last=Trust|first=Terrence Higgins|website=Tht.org.uk|language=en|access-date=2017-08-29}}</ref><ref>{{Cite news|url=https://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2017/jul/12/hiv-treatment-come-long-way-still-work|title=HIV treatment has come a long way – but there's still work to do|date=2017-07-12|work=The Guardian|access-date=2017-08-29|language=en-GB|issn=0261-3077}}</ref> |
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2012: 1 October: Free HIV treatment in England extended to include non-resident overseas visitors.<ref>{{Cite web|url=https://www.gov.uk/government/publications/hiv-treatment-for-overseas-visitors-in-england-from-1-october-2012|title=HIV treatment for overseas visitors in England from 1 October 2012 |website=Gov.uk|language=en|access-date=2017-08-29}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/health-17187179|title=Free HIV treatment on NHS for foreign nationals|date=2012-02-28|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
2012: 1 October: Free HIV treatment in England extended to include non-resident overseas visitors.<ref>{{Cite web|url=https://www.gov.uk/government/publications/hiv-treatment-for-overseas-visitors-in-england-from-1-october-2012|title=HIV treatment for overseas visitors in England from 1 October 2012 |website=Gov.uk|language=en|access-date=2017-08-29}}</ref><ref>{{Cite news|url=https://www.bbc.co.uk/news/health-17187179|title=Free HIV treatment on NHS for foreign nationals|date=2012-02-28|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
||
2012, 23 November: First National HIV Testing Week.<ref>{{Cite web|url=http://www.huffingtonpost.co.uk/lisa-power/hiv-testing-week_b_2176718.html|title=Ready to Be Tested? England's First National HIV Testing Week Starts Today|website=Huff Post|language=en-GB|access-date=2017-08-29}}</ref><ref>{{Cite web|url=http://www.beyondpositive.org/2012/11/23/national-hiv-testing-week/|title=National HIV Testing Week|author=Tom Hayes|date=2012-11-23|website=Beyondpositive|access-date=2017-08-29}}</ref> |
2012, 23 November: First National HIV Testing Week.<ref>{{Cite web|url=http://www.huffingtonpost.co.uk/lisa-power/hiv-testing-week_b_2176718.html|title=Ready to Be Tested? England's First National HIV Testing Week Starts Today|website=Huff Post|date=23 November 2012|language=en-GB|access-date=2017-08-29}}</ref><ref>{{Cite web|url=http://www.beyondpositive.org/2012/11/23/national-hiv-testing-week/|title=National HIV Testing Week|author=Tom Hayes|date=2012-11-23|website=Beyondpositive|access-date=2017-08-29|archive-date=2017-08-29|archive-url=https://web.archive.org/web/20170829082113/http://www.beyondpositive.org/2012/11/23/national-hiv-testing-week/|url-status=dead}}</ref> |
||
2013, April: HIV Prevention England started a two-year campaign funded by the [[Department of Health (United Kingdom)|Department of Health]] communicating messages about HIV testing and condoms to Africans and MSM. |
2013, April: HIV Prevention England started a two-year campaign funded by the [[Department of Health (United Kingdom)|Department of Health]] communicating messages about HIV testing and condoms to Africans and MSM. |
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| Line 97: | Line 103: | ||
2015, April: First home testing kits become available, after being legalised in April 2014.<ref>{{Cite news|url=https://www.bbc.co.uk/news/health-32453192|title=HIV home test kit goes on sale in UK|last=Mundasad|first=Smitha|date=2015-04-27|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
2015, April: First home testing kits become available, after being legalised in April 2014.<ref>{{Cite news|url=https://www.bbc.co.uk/news/health-32453192|title=HIV home test kit goes on sale in UK|last=Mundasad|first=Smitha|date=2015-04-27|work=BBC News|access-date=2017-08-29|language=en-GB}}</ref> |
||
2015, 9 September: Results announced of PROUD study, testing the effectiveness of PrEP on reducing HIV infections in 544 participants.<ref>{{Cite journal| |
2015, 9 September: Results announced of PROUD study, testing the effectiveness of PrEP on reducing HIV infections in 544 participants.<ref>{{Cite journal|last1=McCormack|first1=Sheena|last2=Dunn|first2=David T.|last3=Desai|first3=Monica|last4=Dolling|first4=David I.|last5=Gafos|first5=Mitzy|last6=Gilson|first6=Richard|last7=Sullivan|first7=Ann K.|last8=Clarke|first8=Amanda|last9=Reeves|first9=Iain|date=2016-01-02|title=Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial|url= |journal=The Lancet|language=en|volume=387|issue=10013|pages=53–60|doi=10.1016/S0140-6736(15)00056-2|pmid=26364263|issn=0140-6736|pmc=4700047}}</ref><ref>{{Cite news|url=http://www.aidsmap.com/PROUD-PrEP-study-results-published/page/2998033/|title=PROUD PrEP study results published|website=Aidsmap.com|access-date=2017-08-29}}</ref> |
||
2016: Results of PARTNER Study show that a person living with HIV, who is on treatment and whose virus is undetectable cannot pass the virus on to anyone else. The 'U=U' campaign and Terrence Higgins Trust's 'Can't Pass It On' campaigns followed shortly after. The PARTNER Study followed other research and studies, such as the Swiss Statement, which provided similar evidence of HIV not being able to be passed on under these stated circumstances.<ref>{{Cite web |url=http://www.aidsmap.com/NAM-endorses-%20Undetectable-equals-%20Untransmittable-UU-%20consensus-statement/page/3116508/ |title= |
2016: Results of PARTNER Study show that a person living with HIV, who is on treatment and whose virus is undetectable cannot pass the virus on to anyone else. The 'U=U' campaign and Terrence Higgins Trust's 'Can't Pass It On' campaigns followed shortly after. The PARTNER Study followed other research and studies, such as the Swiss Statement, which provided similar evidence of HIV not being able to be passed on under these stated circumstances.<ref>{{Cite web |url=http://www.aidsmap.com/NAM-endorses-%20Undetectable-equals-%20Untransmittable-UU-%20consensus-statement/page/3116508/ |title=HIV & AIDS Information :: NAM endorses Undetectable equals Untransmittable (U=U) consensus statement |access-date=2018-07-17 |archive-url=https://web.archive.org/web/20180717214629/http://www.aidsmap.com/NAM-endorses-%20Undetectable-equals-%20Untransmittable-UU-%20consensus-statement/page/3116508/ |archive-date=2018-07-17 |url-status=dead }}</ref> |
||
2017, July: [[Pre-exposure prophylaxis|PrEP]] made available free on the NHS in Scotland. <ref>{{Cite web|last=National Services Scotland|first=NHS|date=February 2019|title=Implementation of HIV PrEP in Scotland: first year report|url=https://nhsnss.org/blog-news/articles/implementation-of-hiv-prep-in-scotland-first-year-report/ |
2017, July: [[Pre-exposure prophylaxis|PrEP]] made available free on the NHS in Scotland. <ref>{{Cite web|last=National Services Scotland|first=NHS|date=February 2019|title=Implementation of HIV PrEP in Scotland: first year report|url=https://nhsnss.org/blog-news/articles/implementation-of-hiv-prep-in-scotland-first-year-report/|archive-url=|archive-date=|access-date=|website=}}</ref> |
||
2017, 3 August: NHS announced trial of PrEP for 10,000 people over three years.<ref>{{cite web |url=https://www.england.nhs.uk/2017/08/nhs-england-announces-worlds-largest-single-prep-implementation-trial-to-prevent-hiv-infection/|title=NHS England » NHS England announces world's largest single PrEP implementation trial to prevent HIV infection|website=England.nhs.uk|language=en-US|access-date=2017-08-29}}</ref> |
2017, 3 August: NHS announced trial of PrEP for 10,000 people over three years.<ref>{{cite web |url=https://www.england.nhs.uk/2017/08/nhs-england-announces-worlds-largest-single-prep-implementation-trial-to-prevent-hiv-infection/|title=NHS England » NHS England announces world's largest single PrEP implementation trial to prevent HIV infection|website=England.nhs.uk|language=en-US|access-date=2017-08-29}}</ref> |
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2019, 1 January: NHS announced to increase IMPACT trial size to 26,000. |
2019, 1 January: NHS announced to increase IMPACT trial size to 26,000. |
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2019, 22 July: Independent [https://www.hivcommission.org.uk HIV Commission] to end new HIV transmissions in England by 2030 launches.<ref>{{Cite web|last=Guerra|first=Luis|date=2019-07-22|title=New independent HIV Commission to end HIV transmissions in England by 2030 launches with Government endorsement|url=https://www.hivcommission.org.uk/2019/07/22/announcement-press-release/|access-date=2020-06-18|website=HIV Commission|language=en-GB}}</ref> |
2019, 22 July: Independent [https://www.hivcommission.org.uk HIV Commission] to end new HIV transmissions in England by 2030 launches.<ref>{{Cite web|last=Guerra|first=Luis|date=2019-07-22|title=New independent HIV Commission to end HIV transmissions in England by 2030 launches with Government endorsement|url=https://www.hivcommission.org.uk/2019/07/22/announcement-press-release/|access-date=2020-06-18|website=HIV Commission|language=en-GB}}</ref> |
||
2020 |
2020, March: UK government announces PrEP will be made freely available in England from April 2020 to anyone at risk.<ref>{{Cite news|url=https://www.bbc.com/news/health-51897856|title=PrEP: Preventative HIV drug available in England from April|work=BBC News|date=March 15, 2020}}</ref> |
||
2021, 1 December: the UK [[Ministry of Defence (United Kingdom)|Ministry of Defence]] announces a commitment to ensuring being HIV+ no longer excludes anyone from joining the armed forces. Any candidates taking PrEP would be welcomed and serving armed forces personnel with HIV are recognised as fully fit.<ref>{{Cite news|url=https://www.gov.uk/government/news/armed-forces-make-major-changes-to-end-hiv-being-a-barrier-to-service#:~:text=Under%20existing%20policy%2C%20people%20with,be%20implemented%20from%20Spring%202022.|title=Armed Forces make major changes to end HIV being a barrier to service|work=gov.uk|date= December 1, 2021|access-date= May 25, 2023}}</ref> |
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2022: Accident and Emergency treatment will have opt out testing for blood bourne viruses, a pilot study identified 65 people with HIV not undergoing treatment. In 2023 it was decided to extend this to all hospital settings. <ref>{{Cite news|url=https://www.england.nhs.uk/long-read/emergency-department-opt-out-testing-for-hiv-hepatitis-b-and-hepatitis-c-the-first-100-days/|title=Emergency department opt out testing for HIV, hepatitis B and hepatitis C: The first 100 days|date= November 22, 2023|access-date= Jan 1, 2024}}</ref> |
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==See also== |
==See also== |
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{{DEFAULTSORT:HIV AIDS in the United Kingdom}} |
{{DEFAULTSORT:HIV AIDS in the United Kingdom}} |
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[[Category:HIV/AIDS in the United Kingdom| ]] |
[[Category:HIV/AIDS in the United Kingdom| ]] |
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[[Category:HIV/AIDS by country|UK]] |
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Latest revision as of 20:48, 6 December 2024
 | The factual accuracy of parts of this article (those related to new report - see talk) may be compromised due to out-of-date information. (December 2021) |
| Part of a series on |
| LGBTQ rights in the United Kingdom |
|---|
 |
| By location |
|
|
| Policy aspects |
| Legislation |
| Culture |
| Organisations |
| History |
AIDS was first diagnosed in 1981. As of year-end 2018, 160,493 people have been diagnosed with HIV in the United Kingdom and an estimated 7,500 people are living undiagnosed with HIV.[1] New diagnoses are highest in gay/bisexual men, with an estimated 51% of new diagnosis reporting male same-sex sexual activity as the probable route of infection. Between 2009 and 2018 there was a 32% reduction in new HIV diagnosis, attributed by Public Health England (PHE) to better surveillance and education.[1] PHE has described an "outbreak" in Glasgow amongst people who inject drugs,[1] and has campaigns targeting men who have sex with men in London and other major cities.[2] London was the first city in the world to reach the World Health Organization target for HIV, set at 90% of those with HIV diagnosed, 90% of those diagnosed on HAART and 90% of those on HAART undetectable.[2][3] The UK as a whole later achieved the same target.[3] Under the Equality Act 2010, it is illegal to discriminate against someone based on their HIV status in the UK.[4][5]
Demographics
[edit]In 2017, 93,385 people (64,472 men and 28,877 women) living with diagnosed HIV infection received HIV care in the UK. 42,739 of those are gay or bisexual.[6]
In 2017, the prevalence of HIV in the United Kingdom was estimated at 101,600 (credible interval 99,300 to 106,400) with 92% (credible interval 88 to 94%) diagnosed.[6] Prevalence is highest in gay/bisexual men in London with an estimated 83 (credible interval 73 to 96) per 1000 gay and bisexual men aged 15 to 74 years. HIV prevalence in this group was higher in London compared with the rest of England (134/1,000 CrI 113 to 156 and 63/1,000 CrI 53 to 76, respectively).[6] However, the 2017 statistics showed a tremendous decrease in the number of newly HIV infected gay men during 2015-17. The number of newly HIV infected gay men decreased by a third in just two years.[7]
2995 people were newly diagnosed during 2021 [8] An estimated 42% of diagnoses were late (likely to have been living with the virus for over three years). Late diagnosis is associated with a 10-fold increase in the chance of death during the first year after diagnosis.[9][10] Risk groups have been identified by various organisations, including National Institute for Health and Care Excellence, National Health Service and the IMPACT trial for pre-exposure prophylaxis. They are:
| NHS for HIV[11][12] | NICE for HIV testing[13] | IMPACT for PrEP access[14] |
|---|---|---|
| From a country with high rates of HIV | Heterosexual people at risk | |
| People who share needles | People who inject drugs | |
| People who have received a blood transfusion abroad | ||
| Heterosexual with black African ethnicity | 
|
|
| Men who have sex with men | ||
| Trans women who have sex with men | Trans men and trans women | |
| People who participate in chemsex |
| |
| People diagnosed with any other STI |
| |
| Sexual contact with any other risk group | HIV-negative people with HIV-positive partners | |
Treatment and prognosis
[edit]
HIV treatment is available free of charge in the UK and as a result 96% of diagnosed are receiving treatment and of those 94% have a suppressed viral load making them very unlikely to pass on the infection.[15][9][16] In 2015, less than 1% of people living with a diagnosed HIV infection in the UK died (cause of death is uncertain and may not be HIV-related). All-cause mortality for ages 15–59 in people living with HIV was 5.7 per 1000 compared to 1.7 for the UK population as a whole.[9] People newly diagnosed with HIV today can expect to have a normal life expectancy if they are diagnosed on time and on effective treatment.[17]
In 2017, 39% adults seen for HIV care were 50 years of age or older.[6] This is partly due to improvements to life expectancy for people living with HIV as well as increasing numbers of people acquiring HIV later in life.[citation needed]
Pre-exposure prophylaxis
[edit] | The factual accuracy of parts of this article (those related to Pre-exposure prophylaxis) may be compromised due to out-of-date information. (May 2021) |
Access to pre-exposure prophylaxis ("PrEP"), using a drug which can prevent HIV infection, on the National Health Service is partially limited. It was available to high-risk individuals in England through the IMPACT trial, which had a cohort size of 26,000.[18] This was made available following the PROUD trial, a randomised control trial and a high-court battle in 2016.[19][20] Use of PrEP in London, both as part of a trial and from private purchases, was partially credited in a drop in diagnoses among men who have sex with men, after a five-year plateau in diagnoses.[21][22][23]
In Scotland, England, Wales and Northern Ireland PrEP is available free on the NHS from sexual health clinics for those deemed at high risk of acquisition.[1]
Sexual health specialist Mags Portman was credited in making PrEP more accessible to gay and bisexual men in the UK. In October 2018, the Terrence Higgins Trust established the Mags Portman PrEP Access Fund to provide PrEP to those in England and Northern Ireland who cannot afford it.[24] The fund has a maximum size of 1,000 users and was available until the end of 2020.[25]
Timeline
[edit]1979, June: a sample shows a UK transmission to a haemophiliac in the UK.[26]
1981, 12 December: The Lancet publishes a case report of a 49-year-old man who had died in Brompton hospital due to an AIDS related illness in October - the first death in the UK.[27][28] He was homosexual and a frequent visitor to the United States.[29]
It was finally revealed in November 2021, by the ITV Tonight programme that this first patient was called John Eaddie, a 49 year old guest house proprietor from Harrogate - 40 years after the first mention of a case in a medical journal.[30] Painstaking work from the ITV Tonight team matched a death certificate from 1981, which included the same details revealed in the Lancet - a 49 year old man, dying in the Royal Brompton Hospital of Pneumocystis Pneumonia.[citation needed]
1982, 4 July: Terry Higgins dies of an AIDS related illness - leading to the establishment of the Terrence Higgins Trust.[31][32]
1983: Scottish AIDS Monitor founded to monitor and raise awareness of HIV/AIDS in Scotland.[33]
1983, 25 April: BBC broadcasts "Killer in the Village" as part of its Horizon series. The documentary describes the illnesses affecting patients and looks at theories and early research into AIDS. It includes interviews with Linda Laubenstein, Alvin Friedman-Kien, James W. Curran, Michael S. Gottlieb and Bobbi Campbell.
1985: 58 AIDS-related deaths had been recorded in Britain,[34] according to the current affairs series TV Eye, broadcast in 1985. In October, a man with AIDS is detained under the Public Health (Infectious Diseases) Regulations 1985, marking their first and only use.[35]
1986, 24 March: BBC broadcasts "AIDS: A Strange and Deadly Virus" as part of its Horizon series. The documentary looks at early work to identify the virus and experimental use of AZT.
1987, 9 April: Diana, Princess of Wales, opens the Broderip Ward, a dedicated ward at Middlesex Hospital for the treatment of HIV patients, and notably shakes the hands of AIDS patients without wearing gloves.[36][37][38]
1987: The UK Government launched "AIDS: Don't Die of Ignorance", a major public information campaign. A leaflet about AIDS was delivered to every household in the UK, which warned that it is impossible to tell who is infected with the virus.[39]
1991, 24 November: Queen star Freddie Mercury dies of AIDS, just one day after he announced he had the condition.[40]
1994: Scottish Voluntary HIV and AIDS Forum (HIV Scotland) set up in Edinburgh to make policy and advocacy changes and provide support for people living with HIV in Scotland.[41]
1995: Project for HIV and Aids Care and Education (PHACE West) established to provide HIV support, advice and health services for the West of Scotland.[42]
1996: Triple combination therapy (HAART) becomes standard treatment, reducing the death rate.[43][44]
2003, March : The National AIDS Trust launched a campaign challenging HIV stigma.[45]
2010, 8 April: The Equality Act 2010 qualifies anyone with HIV as disabled and so gives protection against discrimination.[4][5]
2012: 1 October: Free HIV treatment in England extended to include non-resident overseas visitors.[46][47]
2012, 23 November: First National HIV Testing Week.[48][49]
2013, April: HIV Prevention England started a two-year campaign funded by the Department of Health communicating messages about HIV testing and condoms to Africans and MSM.
2015, April: First home testing kits become available, after being legalised in April 2014.[50]
2015, 9 September: Results announced of PROUD study, testing the effectiveness of PrEP on reducing HIV infections in 544 participants.[51][52]
2016: Results of PARTNER Study show that a person living with HIV, who is on treatment and whose virus is undetectable cannot pass the virus on to anyone else. The 'U=U' campaign and Terrence Higgins Trust's 'Can't Pass It On' campaigns followed shortly after. The PARTNER Study followed other research and studies, such as the Swiss Statement, which provided similar evidence of HIV not being able to be passed on under these stated circumstances.[53]
2017, July: PrEP made available free on the NHS in Scotland. [54]
2017, 3 August: NHS announced trial of PrEP for 10,000 people over three years.[55]
2019, 1 January: NHS announced to increase IMPACT trial size to 26,000.
2019, 22 July: Independent HIV Commission to end new HIV transmissions in England by 2030 launches.[56]
2020, March: UK government announces PrEP will be made freely available in England from April 2020 to anyone at risk.[57]
2021, 1 December: the UK Ministry of Defence announces a commitment to ensuring being HIV+ no longer excludes anyone from joining the armed forces. Any candidates taking PrEP would be welcomed and serving armed forces personnel with HIV are recognised as fully fit.[58]
2022: Accident and Emergency treatment will have opt out testing for blood bourne viruses, a pilot study identified 65 people with HIV not undergoing treatment. In 2023 it was decided to extend this to all hospital settings. [59]
See also
[edit]- National AIDS Trust
- Terrence Higgins Trust
- Avert
- Ensuring Positive Futures
- Tainted blood scandal (United Kingdom)
- Health in the United Kingdom
References
[edit]- ^ a b c d Public Health England (December 2019). "HIV in the UK (2019 Report)" (PDF). gov.uk. Retrieved 2020-02-21.
- ^ a b Gulland, Anne (2019-09-09). "London praised for record on HIV but more needs to be done to tackle late diagnosis". The Telegraph. ISSN 0307-1235. Retrieved 2020-02-21.
- ^ a b "UK HIV Statistics | National AIDS Trust - NAT". www.nat.org.uk. Retrieved 2020-02-21.
- ^ a b Trust, Terrence Higgins. "Equality Act 2010 | Terrence Higgins Trust". Tht.org.uk. Retrieved 2017-08-29.
- ^ a b "Equality Act 2010". Legislation.gov.uk. Expert Participation. Retrieved 2017-08-29.
{{cite web}}: CS1 maint: others (link) - ^ a b c d "Progress towards ending the HIV epidemic in the United Kingdom 2018 report )" (PDF). Public Health England. 2018. Retrieved 2019-06-25.
- ^ "HIV diagnoses in gay men in the UK decreased by a third in two years". Aidsmap.com. 4 September 2018. Retrieved 5 March 2019.
- ^ TheGuardian.com https://www.theguardian.com/society/2022/oct/22/no-new-hiv-cases-by-2030-england-hopes-to-become-first-country-in-the-world-to-defeat-virus. Retrieved 22 October 2022.
{{cite web}}: Missing or empty|title=(help) - ^ a b c "HIV in the UK" (PDF). UK Government. Public Health England. 2016-12-01. Retrieved 2017-08-27.
- ^ "HIV: surveillance, data and management". Gov.uk. 25 January 2018. Retrieved 5 March 2019.
- ^ "HIV and AIDS - Causes". nhs.uk. 2017-10-23. Retrieved 2020-02-21.
- ^ "HIV and AIDS". nhs.uk. 2017-10-23. Retrieved 2020-02-21.
- ^ "Quality statement 4: Regular HIV testing | HIV testing: encouraging uptake | Quality standards | NICE". www.nice.org.uk. 7 September 2017. Retrieved 2020-02-21.
- ^ "Can I take part?". PrEP Impact. Retrieved 2020-02-21.
- ^ Trust, Terrence Higgins. "Effective HIV treatment means 'zero' risk of transmitting virus | Terrence Higgins Trust". Tht.org.uk. Archived from the original on 2017-08-27. Retrieved 2017-08-27.
- ^ Trust, Terrence Higgins. "Can't Pass It On | Terrence Higgins Trust". Tht.org.uk. Retrieved 2017-08-27.
- ^ Roxby, Philippa (2017-05-11). "HIV life expectancy 'near normal' thanks to new drugs". BBC News. Retrieved 2017-08-26.
- ^ "PrEP | The PrEP Impact Trial". PrEP Impact. Retrieved 2020-02-21.
- ^ Gallagher, James (2017-08-03). "Prep: HIV 'game-changer' to reach NHS in England from September". BBC News. Retrieved 2017-08-26.
- ^ "HIV campaigners win NHS drug battle". BBC News. 2016-08-02. Retrieved 2017-08-26.
- ^ "Meet The Man Who Stopped Thousands Of People Becoming HIV-Positive". BuzzFeed. Retrieved 2017-08-26.
- ^ "'Remarkable' drop in new HIV cases among men". BBC News. 2017-06-22. Retrieved 2017-08-26.
- ^ editor, Sarah Boseley Health (2017-06-22). "Fall in HIV among gay men could spell end for Britain's epidemic, say experts". The Guardian. ISSN 0261-3077. Retrieved 2017-08-27.
{{cite news}}:|last=has generic name (help) - ^ Ledward, James (30 October 2018). "THT launch 'Access Fund' for PrEP". Gscene.com. Retrieved 12 February 2019.
- ^ "The Mags Portman PrEP Access Fund | Terrence Higgins Trust". www.tht.org.uk. Retrieved 2020-02-21.
- ^ "Final Report: Chapter 9 - Knowledge of the Geographical Spread and Prevalence of HIV/AIDS 1". www.penroseinquiry.org.uk. Retrieved 2020-02-21.
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