Undetectable = Untransmittable Mariah Wilberg Communications Specialist
Undetectable=Untransmittable PLWH who get and stay undetectable have effectively no risk of transmitting HIV to their sex partners
The Evidence HPTN 052 1763 mixed status couples PARTNER 888 mixed status couples 58,000 sex acts (condom & PrEP less) Opposites Attract 358 mixed status couples 17,000 sex acts PARTNER 2 635 mixed status couples 77,000 sex acts (condom & PrEP less)
U=U and HIV Transmission U=U U U Sexual transmission Vertical transmission (pregnancy, birth, breastfeeding) Sharing syringes
U=U is a Game Changer Transforms social, sexual, & reproductive lives Dismantles HIV stigma: personal, community, clinical, & policy Encourages testing, uptake, adherence, & retention in care Provides a strong public health argument for universal access
750 ORGANIZATIONS 95 COUNTRIES 40+ LANGUAGES Argentina Armenia Australia Austria Azerbaijan Bahamas Bangladesh Belarus Belgium Bermuda Brazil Bulgaria Cameroon Canada China Colombia Côte d Ivoire Cyprus Czech Republic Denmark Democratic Republic of the Congo El Salvador England Estonia Finland France Georgia Germany Ghana Greece Guatemala Guinée Guyana Hong Kong Iceland India Indonesia Ireland Israel Italy Japan Kazakhstan Kenya Kosovo Kyrgyzstan Latvia Lebanon Liberia Macedonia Malawi Malaysia Mauritius Mexico Moldova Monaco Montenegro Nepal The Netherlands New Zealand Nigeria Northern Ireland Norway Pakistan Panama Peru The Philippines Poland Portugal Romania Russia Scotland Serbia Singapore Slovenia South Africa South Korea Spain Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Tunisia Turkey Uganda Ukraine United States Uzbekistan Venezuela Vietnam Zambia Zimbabwe Source: www.preventionaccess.org/community
U=U is the campaign credited with beginning to change public perception of HIV transmissibility.
The Messaging Prevention Access Campaign 8
National & International Agencies
Public Health Departments U.S. state health departments 1. Arizona Department of Health 2. California Department of Public Health 3. Illinois Department of Public Health 4. Michigan Department of Health & Human Services 5. Minnesota Department of Health 6. New York State Department of Health 7. Washington State Department of Health City & county public health departments 1. Champaign Urbana Public Health District 2. Chicago Department of Public Health 3. Cleveland Department of Public Health 4. Cuyahoga County Board of Health 5. Denver Public Health 6. Hennepin County Public Health 7. Houston Department of Health & Human Services 8. Jefferson County Department of Health 9. Long Beach Health & Human Services 10. Los Angeles County Commission on HIV 11. Nashville Metro Public Health Department 12. NYC Department of Health and Mental Hygiene 13. San Francisco Department of Health 14. Washington D.C. Department of Health 15. Whatcom County Health Department International City of Paris, France Victoria, Australia
U=U in Minnesota PLWH are not getting this message consistently from providers So it s up to us to take the lead and educate people about U=U Knowledge that U=U will reduce stigma for PLWH and their loved ones It can also provide incentive for PLWH get and stay in care
Bus Ad & Promotional Items
Source: UNAIDS 90 90 90 Targets
Minnesota Care Continuum, 2017
National Care Continuum, 2015 Source: Centers for Disease Control
Rates of New HIV Diagnosis, 2016
Rates of People Living with HIV, 2015 Source: AIDSVu
10/11/2018 Policy Implications 18
Comprehensive Jurisdictional Plans
None of them have been accused of transmitting HIV Kerry Thomas (ID) Used condom & undetectable No HIV transmission occurred Currently serving 30 years Robert Suttle (LA) Contentious breakup No HIV transmission occurred Served 6 months Register as sex offender 15 years Nick Rhoades (IA) Used condom & undetectable No HIV transmission occurred Sentenced to 25, released after 1 when laws changed Register as sex offender for life
Thank You! Mariah Wilberg Mariah.Wilberg@state.mn.us 651 201 5096