National HIV notifications Q1 2014 – Q4 2018 The Kirby Institute, UNSW Sydney

HIV diagnoses, by quarter, Australia 23% decrease

HIV diagnoses, by quarter and jurisdiction ↓ 18% ↓ 15% ↓ 26% ↓ 50%

HIV diagnoses by quarter and jurisdiction

HIV diagnoses, by quarter and exposure category 30% decrease in MSM Stable in heterosexuals

HIV diagnoses, by quarter and by place of birth Stable in overseas-born

HIV pre-exposure prophylaxis (PrEP) prescription in 2018

PrEP prescription in 2018 HIV PrEP is a one pill, once a day treatment which is highly effective in preventing HIV PrEP first became available through the Pharmaceutical Benefits Scheme (PBS) on April 1st 2018. These data describe PBS PrEP prescription in Australia during 2018

Number of people prescribed PrEP

Number of people prescribed PrEP by jurisdiction

Number of people prescribed PrEP by jurisdiction

HIV in Aboriginal and Torres Strait Islander peoples The Kirby Institute, UNSW Sydney

HIV diagnoses, by quarter and Indigenous status Source: State and territory health authorities

Data on the following slides are taken from the HIV, viral hepatitis and sexually transmissible infections in Australia: Annual surveillance report 2018 and the Aboriginal Surveillance Report on HIV, viral hepatitis and STIs 2018 https://kirby.unsw.edu.au/sites/default/files/kirby/report/KI_Annual-Surveillance-Report-2018.pdf https://kirby.unsw.edu.au/sites/default/files/kirby/report/KI_Aboriginal-Surveillance-Report-2018.pdf

HIV rates by Indigenous status Rates 1.6 times higher in 2017 Source: State and territory health authorities

Exposure category by Indigenous status Source: State and territory health authorities

HIV diagnosis rates by area of residence in Aboriginal and Torres Strait Islander people Source: State and territory health authorities

Late diagnoses by Indigenous status Source: State and territory health authorities Non-Indigenous includes all Australian-born non-Indigenous notifications

Interpretation In 2018 there has been significant reductions in HIV diagnoses at the national level There has been incredible commitment from government, healthcare, community and research sectors to eliminate HIV transmission in Australia More people are being tested for HIV than ever, people living with HIV are starting treatment earlier, and very promising uptake of pre-exposure prophylaxis among gay and bisexual men No declines in heterosexual populations, men who have sex with men born overseas, and Aboriginal and/or Torres Strait Islander people Targeted, culturally appropriate, community focussed campaigns to increase testing and treatment and PrEP are needed with a focus on increasing awareness, both within the community and among healthcare providers

Interpretation Many gay and bisexual men have embraced PrEP as a way to protect themselves and their community from HIV. For HIV elimination, PrEP coverage needs to be significantly higher Targeted health promotion and the removal of any structural barriers are required to make PrEP more accessible particularly among gay and bisexual men from culturally diverse backgrounds and in those living outside of the inner cities With expanded PrEP access, and a continued focus on testing, treatment and condom promotion, we will continue to see declines in HIV diagnoses