Bendingthe
Curve
An Important Milestone in
Ending the AIDS Epidemic
DecreasingnewHIVinfectionstoreducethenumberof
personslivingwithHIVinNewYorkState
forthefirsttime.
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BUILDING ON SUCCESS
NewYorkState
Thenation,
asawhole,
hasseenno
decreasein
thenumber
ofHIV
diagnoses.
 40percent
reductionoverthe
lastdecade.
 Decreasesseenin
HIVincidence
acrossallracesand
riskgroups.
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BUILDING ON SUCCESS
H
I
V
• Transmissionviablood
products– ELIMINATED.
• Mothertochildtransmission‐
ELIMINATED(perCDC’s
definition)in2013.
• Injectiondruguse‐relatedHIV
DECREASED90%since1990s.
• Tobendthecurve,a3‐point
programtoreducecontinuing
HIVtransmissionisneeded.
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Bending
the
Curve
Reductionin
newHIV
infections
•Reducefrom3,000to
750newHIVinfections
peryearby2020;
•Decreasethenumberof
NewYorkerslivingwith
HIVforthefirsttime.
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BENDING THE CURVE
3-POINT PROGRAM
1. IdentifyallpersonswithHIVwhoremainundiagnosedandlinkthemtohealthcare.
2. LinkandretainthosewithHIVinhealthcare,totreatthemwithanti‐HIVtherapyto
maximizevirussuppressionsotheyremainhealthyandpreventfurthertransmission.
3. ProvidePre‐ExposureProphylaxis(PrEP)forhighriskpersonstokeepthemHIV
negative.
DiagnosisGap:
154,000estimatedHIVinfectedpersons
132,000personsdiagnosedwithHIV
22,000undiagnosedpersonsneed
tobediagnosedandlinkedtocare.
TreatmentGap:
132,000estimatedHIVinfectedpersons
68,000virallysuppressed
64,000personscurrentlydiagnosed
needtherapytoachieveviralsuppression
TotalGap:
86,000personsneedingdiagnosisandtreatment
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BENDINGTHECURVE:
KEYPOLICIESALREADYENACTED
Identifyallpersonswith
HIVwhoremain
undiagnosedandlink
themtohealthcare.
Linkandretainallpersons
diagnosedwithHIVin
healthcaretomaximize
virussuppressionsothey
remainhealthyand
preventfurther
transmission.
2014amendmenttotheNYS HIVTestingLaw
(PHL2781)thatallowstheeliminationof
writtenconsent forHIVtestingtopromote
routinescreening.
2014amendmenttotheNYSHIVTestingLaw(PHL
2135)thatallowsforenhanceddatasharing
betweenhealthdepartmentsandcurrenthealth
careprovidersforpurposesofpatientlinkageand
retentionincare.
30%rentcaptomaintain10,000HIVinfected
personsinstablehousingresulting inincreased
retention andadherenceincare.
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Investment and Outcomes
• Medicaidhassuccessfullynegotiatedsupplemental
rebates withthreepharmaceuticalcompanies
representing70%oftheHIVmarkettoenabletheStateto
staywithintheGlobalCap.
• IncreasedHIVmedicationcostswillpayforthemselves
overtime.
• Eachinfectionavertedsavesalmost$400,000in
lifetimemedicalcosts.
• Bendingthecurvesavesthestateanadditional$317
millionby2020.
• Prevent3,420newcasesofHIV.
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BENDING THE CURVE
Cases
150,000
Total New Yorkers
living with HIV/AIDS
New HIV
infections
3,000
750
HIV/AIDS deaths
2000
2014
2020
Year
2025
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CHANGING THE
HEADLINES:
“NewYorkState,where
AIDSBegan,Bendsthe
Curveforthefirsttime”
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