Goa to Munich: Growing call for 100-100-100 to end TB and end AIDS before 2030
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Shobha Shukla, Bobby Ramakant–CNS
Over 1500 people from 73 countries are unequivocally demanding that all people with HIV or TB must have access to full cascade of standard health services and social support in people-centred, rights-based and gender transfor- mative ways. Unless best of WHO recommended prevention, diagnostics, treatment, care and support reaches everyone in need globally, we cannot end TB or AIDS.
Call for 100-100-100 to end TB and end AIDS by 2030 or earlier
This call for 100-100-100 was given at the AIDS 2024 (25th International AIDS Conference, Munich, Germany) Affiliated Independent Event organised on 4th of July 2024 in a special session where Goa Declaration was launched (read about Goa Declaration below). Goa Declaration calls for accelerated response to meet SDG target of #endTB, we must find all TB, treat all TB, and prevent all TB through people- centred and rights-based approaches.
Leave no one behind mantra
If we are to end AIDS, we must ensure that along with 100-100-100 (100% of people with HIV knows their status, 100% of people with HIV are on lifesaving antiretroviral therapy, and 100% of them are virally suppressed), we also have to ensure that no one suffers or dies of TB. According to WHO, “people living with HIV who have an undetectable viral load using any WHO-approved test and continue taking medication as prescribed have 'zero risk' of transmitting HIV to their sexual partner(s).” Undetectable equals untransmittable (#Uequals-U) must become a reality for everyone with HIV.
We must ensure that 100% people with HIV know their TB status (on an ongoing basis), 100% of those with active TB disease are treated with medicines that work on them, and 100% of them are using a full range of appropriate combination prevention options to stop further spread of TB and HIV infections.
Also, 100% of those people with HIV who do not have active TB disease, must be offered TB preventive therapy (to reduce the risk of latent TB to convert into active disease).
Treatment is also prevention (in case of both TB and HIV) as it stops the spread of infection soon after initiation of treatment with effective medicines. Latest HIV and TB treatment regimens and prevention op- tions must be accessible to all.
Additionally, we must advance stronger action towards #endHunger, #endTobacco, #endAlcohol, #preventDiabetes, #NCDs, and other risk factors associated with TB.
People-centred, rights-based and gender transformative approaches remain the bedrock to advance health programmes – including those for TB and HIV. Zero catastrophic cost, zero HIV and TB stigma (and self-stigma) and discrimination must be a reality for all.
This 14-hour hybrid AIDS 2024 Affiliated Independent Event was jointly co-hosted by 35 organisations worldwide and engaged over 1400 people from 73 countries. Co-hosts included: AVAC, UNAIDS Asia Pacific, International Community of Women Living with HIV (ICW), Global Network of People living with HIV (GNP Plus), Y+ Global, Y-PEER Asia Pacific, Society for AIDS in Africa (SAA – official secretariat of International Conference on AIDS and STIs in Africa - ICASA), APCOM, Zimbabwe National Network of People living with HIV (ZNNP+), Prevention Access Campaign, National Coalition of People living with HIV in India (NCPI Plus), AIDS Society of India (ASI), Ivorian Network of People living with HIV (RIP+ in Cote d'Ivoire), Cheyutha, Botswana Network on Ethics, Law and HIV/AIDS (BONELA), National Empowerment Network of People living with HIV/AIDS in Kenya (NEPHAK), MPLUS Foundation Thailand, KHANA (Khmer HIV/AIDS NGOs Alliance) Cambodia, Americas TB Coalition, TB People (Global), TB People (Nepal), TB People (Zimbabwe), TB People (India), TB People (Botswana), Humana People to People India, Rekat Peduli Foundation Indonesia, Pahal Foundation, People’s Health Organisation (PHO), Health TV Online Nepal, Asia Pacific Cities Alliance for Health and Development (APCAT), Asia Pacific Media Alliance for Health and Development (APCAT Media), Union South East Asia Trust (USEA Trust), Global AMR Media Alliance (GAMA), and CNS.
Goa Declaration
To meet SDG target of #endTB, we must find all TB, treat all TB, and prevent all TB through people-centred and rights-based approaches
Goa declaration has been endorsed by 107 people from the following 38 countries worldwide (as of 13 July 2024): Bangladesh, Benin, Burkina Faso, Cameroon, Democratic Republic of the Congo (DRC), Congo, Eritrea, Ethiopia, Ghana, India, Cote d’Ivoire, Jordan, Kenya, Kyrgyzstan, Malawi, Myanmar, Nepal, Nigeria, Peru, Philippines, South Africa, Sri Lanka, Tanzania, Chad, Togo, Uganda (To be contd)
Over 1500 people from 73 countries are unequivocally demanding that all people with HIV or TB must have access to full cascade of standard health services and social support in people-centred, rights-based and gender transfor- mative ways. Unless best of WHO recommended prevention, diagnostics, treatment, care and support reaches everyone in need globally, we cannot end TB or AIDS.
Call for 100-100-100 to end TB and end AIDS by 2030 or earlier
This call for 100-100-100 was given at the AIDS 2024 (25th International AIDS Conference, Munich, Germany) Affiliated Independent Event organised on 4th of July 2024 in a special session where Goa Declaration was launched (read about Goa Declaration below). Goa Declaration calls for accelerated response to meet SDG target of #endTB, we must find all TB, treat all TB, and prevent all TB through people- centred and rights-based approaches.
Leave no one behind mantra
If we are to end AIDS, we must ensure that along with 100-100-100 (100% of people with HIV knows their status, 100% of people with HIV are on lifesaving antiretroviral therapy, and 100% of them are virally suppressed), we also have to ensure that no one suffers or dies of TB. According to WHO, “people living with HIV who have an undetectable viral load using any WHO-approved test and continue taking medication as prescribed have 'zero risk' of transmitting HIV to their sexual partner(s).” Undetectable equals untransmittable (#Uequals-U) must become a reality for everyone with HIV.
We must ensure that 100% people with HIV know their TB status (on an ongoing basis), 100% of those with active TB disease are treated with medicines that work on them, and 100% of them are using a full range of appropriate combination prevention options to stop further spread of TB and HIV infections.
Also, 100% of those people with HIV who do not have active TB disease, must be offered TB preventive therapy (to reduce the risk of latent TB to convert into active disease).
Treatment is also prevention (in case of both TB and HIV) as it stops the spread of infection soon after initiation of treatment with effective medicines. Latest HIV and TB treatment regimens and prevention op- tions must be accessible to all.
Additionally, we must advance stronger action towards #endHunger, #endTobacco, #endAlcohol, #preventDiabetes, #NCDs, and other risk factors associated with TB.
People-centred, rights-based and gender transformative approaches remain the bedrock to advance health programmes – including those for TB and HIV. Zero catastrophic cost, zero HIV and TB stigma (and self-stigma) and discrimination must be a reality for all.
This 14-hour hybrid AIDS 2024 Affiliated Independent Event was jointly co-hosted by 35 organisations worldwide and engaged over 1400 people from 73 countries. Co-hosts included: AVAC, UNAIDS Asia Pacific, International Community of Women Living with HIV (ICW), Global Network of People living with HIV (GNP Plus), Y+ Global, Y-PEER Asia Pacific, Society for AIDS in Africa (SAA – official secretariat of International Conference on AIDS and STIs in Africa - ICASA), APCOM, Zimbabwe National Network of People living with HIV (ZNNP+), Prevention Access Campaign, National Coalition of People living with HIV in India (NCPI Plus), AIDS Society of India (ASI), Ivorian Network of People living with HIV (RIP+ in Cote d'Ivoire), Cheyutha, Botswana Network on Ethics, Law and HIV/AIDS (BONELA), National Empowerment Network of People living with HIV/AIDS in Kenya (NEPHAK), MPLUS Foundation Thailand, KHANA (Khmer HIV/AIDS NGOs Alliance) Cambodia, Americas TB Coalition, TB People (Global), TB People (Nepal), TB People (Zimbabwe), TB People (India), TB People (Botswana), Humana People to People India, Rekat Peduli Foundation Indonesia, Pahal Foundation, People’s Health Organisation (PHO), Health TV Online Nepal, Asia Pacific Cities Alliance for Health and Development (APCAT), Asia Pacific Media Alliance for Health and Development (APCAT Media), Union South East Asia Trust (USEA Trust), Global AMR Media Alliance (GAMA), and CNS.
Goa Declaration
To meet SDG target of #endTB, we must find all TB, treat all TB, and prevent all TB through people-centred and rights-based approaches
Goa declaration has been endorsed by 107 people from the following 38 countries worldwide (as of 13 July 2024): Bangladesh, Benin, Burkina Faso, Cameroon, Democratic Republic of the Congo (DRC), Congo, Eritrea, Ethiopia, Ghana, India, Cote d’Ivoire, Jordan, Kenya, Kyrgyzstan, Malawi, Myanmar, Nepal, Nigeria, Peru, Philippines, South Africa, Sri Lanka, Tanzania, Chad, Togo, Uganda (To be contd)