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The target of MDG 6 – halting and reversing the spread of HIV – saw 15 million people receive treatment.95 In September, the WHO launched new treatment guidelines recommending that all people living with HIV should receive antiretroviral treatment, regardless of their CD4 count, and as soon as possible after their diagnosis.96 In October, UNAIDS released their 2016-2021 strategy in line with the new Sustainable Development Goals (SDGs), that called for an acceleration in the global HIV response to reach critical HIV prevention and treatment targets and achieve zero discrimination.97 The number of people in Russia living with HIV reached one million.Newly released figures also showed 64% of all new HIV diagnoses in Europe occurred in Russia.Bush announced the creation of the United States President’s Emergency Plan For AIDS Relief (PEPFAR), a billion, five-year plan to combat AIDS, primarily in countries with a high number of HIV infections.79 In December, the WHO announced the “3 by 5” initiative to bring HIV treatment to 3 million people by 2005.80 In 2006, male circumcision was found to reduce the risk of female-to-male HIV transmission by 60%.81 Since then, the WHO and UNAIDS have emphasised that male circumcision should be considered in areas with high HIV and low male circumcision prevalence.82 In May 2007, the WHO and UNAIDS issued new guidance recommending “provider-initiated” HIV testing in healthcare settings.This aimed to widen knowledge of HIV status and greatly increase access to HIV treatment and prevention.83 In January 2010, the travel ban preventing HIV-positive people from entering the USA was lifted.84 In July, the CAPRISA 004 microbicide trial was hailed a success after results showed that the microbicide gel reduces the risk of HIV infection in women by 40%.85 Results from the i Pr Ex trial showed a reduction in HIV acquisition of 44% among men who have sex with men who took pre-exposure prophylaxis (Pr EP).86 In 2011, results from the HPTN 052 trial showed that early initiation of antiretroviral treatment reduced the risk of HIV transmission by 96% among serodiscordant couples.87 In August, the FDA approved Complera, the second all-in-one fixed dose combination tablet, expanding the treatment options available for people living with HIV.88 In July 2012, the FDA approved Pr EP for HIV-negative people to prevent the sexual transmission of HIV.89 For the first time, the majority of people eligible for treatment were receiving it (54%).90 In 2013, UNAIDS reported that AIDS-related deaths had fallen 30% since their peak in 2005.91 An estimated 35 million people were living with HIV.92 In September 2014, new UNAIDS “Fast Track” targets called for the dramatic scaling-up of HIV prevention and treatment programmes to avert 28 million new infections and end the epidemic as a public health issue by 2030.93 UNAIDS also launched the ambitious 90-90-90 targets which aim for 90% of people living with HIV to be diagnosed, 90% of those diagnosed to be accessing antiretroviral treatment and 90% of those accessing treatment to achieve viral suppression by 2020.94 In July 2015, UNAIDS announced that the Millennium Development Goal (MDG) relating to HIV and AIDS had been reached six months ahead of schedule.However, annual new diagnoses have increased among some groups.In 2017, 38,739 people received an HIV diagnosis in the US.
However, scientific advances, such as the development of antiretroviral drugs, have enabled people with access to treatment to live long and healthy lives with HIV.While sporadic cases of AIDS were documented prior to 1970, available data suggests that the current epidemic started in the mid- to late 1970s.By 1980, HIV may have already spread to five continents (North America, South America, Europe, Africa and Australia).By the end of 1996, the estimated number of people living with HIV was 23 million.67 In September 1997, the FDA approved Combivir, a combination of two antiretroviral drugs, taken as a single daily tablet, making it easier for people living with HIV to take their medication.68 UNAIDS estimated that 30 million people had HIV worldwide equating to 16,000 new infections a day.69 In 1999, the WHO announced that AIDS was the fourth biggest cause of death worldwide and number one killer in Africa.An estimated 33 million people were living with HIV and 14 million people had died from AIDS since the start of the epidemic.70 In July, UNAIDS negotiated with five pharmaceutical companies to reduce antiretroviral drug prices for developing countries.71 In September, the United Nations adopted the Millennium Development Goals which included a specific goal to reverse the spread of HIV, malaria and TB.72 In June 2001, the United Nations (UN) General Assembly called for the creation of a "global fund" to support efforts by countries and organisations to combat the spread of HIV through prevention, treatment and care including buying medication.73 After generic drug manufacturers, such as Cipla in India, began producing discounted, generic forms of HIV medicines for developing countries, several major pharmaceutical manufacturers agreed to further reduce drug prices.
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The annual number of new HIV diagnoses remained stable between 20.