President Donald J. Trump unveiled a bold initiative to end HIV epidemics in the United States by 2030 during his first term.
The plan, published by President Trump in 2019, surprised the advocacy group. But it was widely praised. And success.
By 2022, the plan has decreased new infections nationwide by about 10 % in 30 % of youth and young people and most other groups.
This time, the Trump administration’s position on HIV seems to be the opposite.
According to the federal officials, the Ministry of Health and Welfare is currently considering closing the HIV prevention department of the Disease Control and Prevention Center and converting some activities to other institutions.
The CDC provides funds to the main and territory for detecting and responding to HIV generation, prevention, syringe exchange, expansion test, education and awareness in the emergency room. About one of the four new HIV diagnosis is made by the agency fund.
The administration’s plan has not been confirmed yet, and the potential time is unclear.
The federal authorities, who do not have the authority to talk to the media on this issue, said, “100 % will not occur and 100 % will be discussed.”
The debate was first reported by the Wall Street Journal.
HIV prevention efforts, including most clinical trials in the world, have already been suspended as Gutting of US International Development Institutions.
Subsidies were related to transgender people with the highest risk of HIV, so some federal funds were reduced for prevention and treatment.
Also, the National Institute of Health Dozens of related studiesIncluding HIV in children; The role of the use of material; Increases the use of preventive therapy between the underprivileged, such as black women.
The first Trump administration’s HIV plan focused on helping many of these groups.
This initiative is the highest risk of contracting HIV with the aim of preventing the infection of poor black communities, homosexuals, bisexual men and transgender women.
Brett Giroir Adm, who served as Deputy Secretary of Health and Welfare in the first Trump administration. Brett Giroir said in an interview last fall, “It wasn’t his constituency.” “The president has supported it,” he said.
The states, which have focused on the initiative’s efforts, have reduced new infections by more than 20 % by 2022. “This was what we were trying to do and we did so.
The first Trump administration also implemented a government patent on preventive drugs to negotiate better transactions from manufacturers.
Jeremiah Johnson, the managing director of the advocacy group, said, “This behavior has made a real difference, but he added,” The current administration does not seem to be motivated by previous achievements. “
The administration is considering temporary plans to move some CDC prevention programs to health resources and service management bureau. The agency supports funds to the state and local health departments and community -based groups that provide HIV services, including signatures. Ryan White Program.
“HHS is following the administration’s guidelines and is carefully examining all departments to see where there is a duplicate that can be simplified to support the president’s extensive efforts to reconstruct the federal government.”
She added that the final decision was not made.
Some organizations welcomed the possibility of converting preventive programs to HRSA that can provide comprehensive HIV and maternal health services as long as CDCs continue to lead surveillance efforts and treatment guidelines.
David C. Harvey, a director of the National Union of STD, said, “Providing new funds to HRSA opens up new possibilities for the efficiency of HIV and other sexually transmitted diseases.
But other experts were deeply concerned about the potential loss of CDC participation.
Mitchell Warren of AVAC, an advocate group, said, “HRSA and their Ryan White program are great, but focus on HIV management and treatment.
“Because they are not involved in HIV prevention as a priority, the focus of CDC prevention is very important.”
Michael Ruppal, managing director of AIDS Institute, said HRSA’s officials have no expertise on how to manage and measure public health prevention.
Ruppal said, “Leadership in the CDC and all the institutional knowledge there, we need in that field. Lord needs, and the community needs it.
His organization helps Florida County, including seven of the 57 high -risk jurisdictions included in the 2019 initiative Plan HIV Services. “It seems unprecedented by his personality that this program caused this to happen to this program,” said Trump.
Some public health experts were worried about stigma and preventive research, especially NIH cutting subsidies related to some LGBTQ population. Most of the new HIV infections are one of gay, bisexual men and transgender women.
Dr. Chris Beyer of Duke Global Health Institute said, “This is where there is an infectious disease, and if you do not exist, you will not deal with the infectious diseases.
About 7 % of the NIH budget entered the HIV research, but some Republicans suggest that the funds for HIV should be proportional to the national prevalence of less than 0.4 %.
Dr. BEYRER, who works as an advisor to the HIV vaccine test network, said, “This is definitely not enough to continue the research on the vaccine and treatment we need.
Given the changes in the US and overseas HIV programs, the public health organization needs a new paradigm to continue working.
This allows the company to be associated with a company that negotiates a direct purchase contract with the state and large non -profit organizations or accompany a completely new partnership model.
Warren said, “We had to escape paralysis or distrust or shock, and we need to see what should be built in the future.”
“One of the biggest tragedies of all this is if people who do not understand science, health care, research, or foreign support are fully written.”
