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New HIV diagnoses fall by a third in the UK since 2015

Data published this week on Tuesday 3 September 2019, by Public Health England (PHE) reveal that new HIV diagnoses in the UK have fallen to their lowest level since 2000. New diagnoses fell by almost a third (28%) from 6,271 in 2015 to 4,484 in 2018.

New HIV diagnoses have been declining in both gay and bisexual and heterosexual populations. The steepest falls have been seen among gay and bisexual men, where new diagnoses declined by 39% between 2015 and 2018. The biggest falls have been among gay and bisexual men who are:

white (46% decrease from 2,353 in 2015 to 1,276 in 2018)
born in the UK (46% decrease from 1,627 in 2015 to 873 in 2018)
aged 15 to 24 (47% decrease from 505 in 2015 to 269 in 2018)
living in London (50% decrease from 1,459 in 2015 to 736 in 2018)
During the same period, new diagnoses have also fallen by a quarter (24%) among people who acquired HIV through heterosexual contact.

The continued decline of HIV diagnoses is largely due to the success of combination HIV prevention over the past decade, which includes HIV testing, condom provision, the scale-up of pre-exposure prophylaxis (PrEP) and anti-retroviral therapy (ART) – drugs that keep the level of HIV in the body low and prevent the virus being passed on.

Dr Valerie Delpech, Head of HIV Surveillance at Public Health England, said:

It is thanks to the enormous testing and prevention efforts in the UK that we are seeing further declines in new HIV diagnoses, which have now reached their lowest in almost 20 years. People with HIV now benefit from effective treatments that stop the virus being passed on to sexual partners and the number of people diagnosed late is lower than ever before.

Getting tested for HIV has never been easier, with free tests available through GP surgeries, local hospitals and sexual health clinics, as well as through a self-sampling service or by using a self-testing kit. Early diagnosis means early effective treatment, which can prevent you passing on HIV.

The most common way of getting HIV in the UK is through unprotected sexual contact with a person unaware of their HIV infection. You can protect yourself from HIV through consistent and correct condom use with new and casual partners, through using PrEP, or if your partner is living with HIV, through knowing their virus is undetectable. Condom use will also stop you getting or transmitting other STIs.

The quality of HIV care and treatment continues to be excellent in the UK. In 2018, 94% of people in the UK living with diagnosed HIV HIV and accessing HIV treatment were virally suppressed and cannot pass on HIV.

Dying from HIV when diagnosed early in the UK is rare today. A person diagnosed early with HIV and on treatment now has the same life-expectancy as a person without HIV.

Despite falling rates of new diagnoses there remain challenges in ensuring that more people are diagnosed early. Almost half of people (43%) newly diagnosed with HIV in 2018 were at a late stage of infection, which increases the risk of death within a year ten-fold compared to people diagnosed promptly.

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