Australia’s domestic HIV Strategy: 2014 and beyond Professor Chris Baggoley Chief Medical Officer Australian Government Department of Health Elise Newton Assistant Director, Department of Health AIDS 2014 Special Session Tuesday 22 July, 2014

Introduction HIV in Australia 7 th National HIV Strategy 2014 – key features - priority actions Reflections on the future

HIV in Australia people living with HIV in 2013 Prevalence - Gay community attached MSM: 8-12% - People who inject drugs: 2.1% - Female sex workers: <0.1% - Aboriginal and Torres Strait Islander: 0.15% Mother-to-child transmission rare

Newly diagnosed HIV infection in Australia

National BBV and STI Strategies

National BBV and STI Strategies Prevention Testing Management, care and support Workforce Enabling environment Surveillance, research, evaluation

7 th National HIV Strategy GOAL: Work towards the virtual elimination of HIV transmission in Australia by 2020

7 th National HIV Strategy TARGETS: –Reduce sexual transmission by 50% by 2015 –Increase treatment uptake to 90% –Sustain low rates in the Aboriginal and Torres Strait Islander population –Sustain virtual elimination amongst sex workers, people who inject drugs and MTCT –Maintain prevention programs for sex workers and people who inject drugs

PREVENTION Target - Reducing sexual transmission of HIV Risk behaviours increasing Reinvigorating cultures of safe sex practices Treatment as prevention

TESTING Target – increasing treatment uptake to 90 per cent Late diagnoses, 3.4 years between infection and diagnosis, undiagnosed HIV Increasing options - laboratory based - rapid testing - home self-testing

MANAGEMENT, CARE AND SUPPORT Linking to care and retention in care Increasing role for primary health care Support for primary care workforce Easier access to treatments in the community Eliminating stigma and discrimination

BEYOND 2014 – TOWARDS 2020 Meaningful engagement Partnerships Responsive communication Long term commitment

Thank you to all those who contributed to the development of the strategies Ministerial Advisory Committee on Blood Borne Viruses and Sexually Transmissible Infections (Chair – Prof Michael Kidd) Blood Borne Viruses and Sexually Transmissible Infections Standing Committee (Chair – Dr Kerry Chant) State and Territory government representatives Peak bodies – Australian Federation of AIDS Organisations (AFAO), National Association of People With HIV Australia (NAPWHA), Australian Injecting and Illicit Drug Users League (AIVL), Scarlet Alliance, Hepatitis Australia, Anwernekenhe National HIV Alliance (ANA) Research centres Professional organisations Clinicians Individuals