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AIDS Between Science and Politics$
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Peter Piot

Print publication date: 2015

Print ISBN-13: 9780231166263

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231166263.001.0001

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The Long-Term View

The Long-Term View

(p.160) 9 The Long-Term View
AIDS Between Science and Politics

Peter Piot

, Laurence Garey
Columbia University Press

This chapter argues that along with intensifying current efforts to decrease mortality from HIV and reduce its spread to low endemic levels, AIDS programs and societies at large should shift the current paradigm of an emergency response to a long-term sustained effort. A long-term approach to the HIV epidemic places reinvigorated prevention beside universal access to antiretroviral therapy at its core. This will be essential to bring the current HIV pandemic down to low endemic levels over the next few decades in all populations concerned. This renewed effort in HIV prevention will require a strategic repositioning of national and international AIDS programs with a resolute adoption of combination prevention. Above all, relevant and effective combinations of interventions should be tailored to the needs of the various micro-epidemics.

Keywords:   AIDS programs, HIV prevention, HIV emergency response, long-term strategy, prevention strategy, HIV combination prevention, HIV interventions, antiretroviral therapy

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