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

2. HIV diagnoses, by quarter, Australia
23% decrease

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

4. HIV diagnoses by quarter and jurisdiction

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

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

7. HIV pre-exposure prophylaxis (PrEP) prescription in 2018

8. 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 These data describe PBS PrEP prescription in Australia during 2018

9. Number of people prescribed PrEP

10. Number of people prescribed PrEP by jurisdiction

11. Number of people prescribed PrEP by jurisdiction

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

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

14. 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

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

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

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

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

19. 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

20. 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