[Comment] Africa and AIDS: still much work to be done

That we missed the UNAIDS 2020 HIV targets is now well known. UNAIDS
Seizing the moment: global AIDS Update 2020. The COVID-19 pandemic has most likely further derailed our efforts and additionally put the attainment of the 2030 goals at risk. Hogan AB Jewell BL Sherrard-Smith E et al. Potential impact of the COVID-19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: a modelling study.

Lancet Glob Health. 2020; 8: e1132-e1141

This setback is particularly so for Africa, which has in the past three decades borne the brunt of the HIV epidemic. Gona PN Gona CM Ballout S et al. Burden and changes in HIV/AIDS morbidity and mortality in Southern Africa Development Community Countries, 1990–2017.

BMC Public Health. 2020; 20: 867

In The Lancet HIV, The Local Burden of Disease HIV Collaborators' modelling study Local Burden of Disease HIV Collaborators
Subnational mapping of HIV incidence and mortality among individuals aged 15–49 years in sub-Saharan Africa, 2000–18: a modelling study.

Lancet HIV. 2021; 8: e363-e375

gives us a picture of two key parameters, HIV incidence and AIDS mortality, across 44 countries in sub-Saharan Africa, not only at a national level but also at a provincial and district level.

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