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HIV/AIDS Epidemic Remains A Public Health Emergency in the U.S.
Need for Ryan White CARE Act Services Has Never Been Greater
More People Then Ever are Living With AIDS
The Centers for Disease Control and Prevention (CDC) estimated that 1.2 million Americans
were living with HIV and AIDS in 2006. The CDC also estimates that
over 437,000 people were living with AIDS, the most advanced form of HIV disease, in 2005––more
people are now living with AIDS in the U.S. than at any other time in the epidemic.
Nearly Half a Million People with HIV in the U.S. Receive No HIV Care
The CDC estimates that 250,000 to 300,000 individuals diagnosed with HIV infection still receive no
HIV-related medical treatment. Another 180,000–240,000 do not know even know they are infected,
meaning that there are at least 430,000 people with HIV in the U.S. who are not receiving
HIV-related medical care.
CDC Initiative Aims to Bring Thousands into Care
According to CDC Director Dr. Julie Gerberding, CDC’s “Advancing HIV Prevention” initiative aims “to
open up the door to [HIV] testing so that people can learn their status and get the appropriate
treatment and prevention services that they deserve and need.” Many, if not most, of the estimated
200,000 people living with HIV in the U.S. who are unaware of their HIV status that are diagnosed
with HIV under the new CDC initiative will turn to health care providers funded through the CARE Act
for their HIV-related care.
HIV/AIDS in the U.S. Increasingly Affects Communities of Color, As Well As
Economically-Depressed and Other Underserved Communities
African Americans account for up to 50 percent of new HIV infections and Latinos account for 19
percent of new infections, though they account for only approximately 12 percent and 14 percent of
the U.S. population, respectively. Hispanic and African American women account for 83 percent of new
infections among females in the U.S. Approximately one in 50 African American males and one in 160
African American females is infected with HIV.
Almost Half of All People with HIV Start Treatment Too Late
According to a recent study, 40 percent of HIV-infected people in the U.S. begin antiretroviral
treatment later than is recommended by the U.S. Public Health Service. Ryan White CARE Act programs
have been proven to maximize cost effective services. Unfortunately, many programs are now reporting
the need to limit, delay or restrict live saving treatments because of insufficient funding.
Public Programs are Key to Health Care Access
According to the Kaiser Family Foundation, one in five people––20 percent–– with HIV receiving
HIV-related care is uninsured and a total of 68 to 83 percent either rely on public-sector insurance
programs or are uninsured.
Effective Treatments and Related Care are Expensive
While new treatments have helped extend the lives of some people with HIV/AIDS, these drugs are very
expensive and difficult to take. Those taking the drugs require extensive medical monitoring and
support services. According to a recent report by the Kaiser Family Foundation, the cost of HIV
treatment and services averages $20,000 a year.
HIV/AIDS Treatment Requires Ongoing Clinical Management and Monitoring
Recent findings suggest that a significant number of people face the possibility that their HIV
infections may become more difficult to treat due to opportunistic or comorbid diseases, including
hepatitis, and resistance to anti-HIV drugs.
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