翻譯人員: Alice Choy
全球HIV應對：研究警告因經費削減可能導致HIV防治進展倒退
根據最近發表在《柳葉刀·HIV》期刊的研究，
該研究由伯奈特研究所(Burnet Institute)與世界衛生組織 (WHO)共同進行，
顯示全球HIV應對面臨資金削減的嚴重問題。研究強調持續的經費支持，
對於繼續預防HIV感染和減低死亡至關重要。該研究分析了來自26個國家的數據，
發現國際經費減少可能導致HIV防治進展倒退，並預計2030年將有數百萬新的感染和死亡病例。
國際HIV支持的必要性
研究顯示，如果國際支持減少，到2030年可能會新增443萬到1075萬 HIV感染病例，
其中最多可達88萬例兒童感染。死亡人數也可能增加77萬到293萬人，
包括最多12萬名兒童死亡。撒哈拉以南非洲地區，HIV的影響尤為嚴重，
這個地區在愛滋病治療和預防方面取得了顯著進展，
但如果沒有持續的經費支持，這些成就將面臨風險。
停止HIV治療的後果
當停止治療時，愛滋病毒的載量會迅速上升，免疫系統也會變弱，
這不僅加速HIV演變成AIDS的過程，還會增加HIV傳播的風險。
即使治療在短期中斷後重新開始，損害也可能已經造成，導致數百萬人感染。
如果經費從HIV檢測和預防中轉移，用來維持對HIV感染者的治療，
到2030年可能會再新增170萬例感染，這進一步突顯了全球HIV的危機。
國際捐助者，例如 PEPFAR 和 The Global Fund to Fight AIDS, Tuberculosis, and Malaria，
對低收入和中等收入國家的HIV的經費支持至關重要，
自2015年以來提供了近40%的HIV相關財政支持。
這些資金對於治療、預防工作、外展項目以及對新介入措施的研究都非常重要。
沒有這些支持，過去十年的進展可能會被推翻。
經費中斷的影響：全球HIV應對
經費中斷的影響已經開始顯現，
許多國家出現人員短缺、供應鏈問題，並且獲取防治服務變得更加困難。
該研究顯示，開發創新的資金解決方案尤為重要，特別是各國主導的策略，
將HIV服務整合到更廣泛的衛生系統中。這種方法有助於確保即使全球經費優先順序發生變化，
HIV服務仍然能夠持續提供。
維持全球HIV防治工作需要持續的國際合作和投資。
各國必須共同努力，確保在HIV治療和預防方面取得的進展不會倒退。
此外，增強國家衛生系統的能力，長期管理和維持HIV服務，
對於保護弱勢族群的健康和福祉至關重要。投資於HIV應對計劃不僅是預防新感染，
更是拯救生命，特別是對於那些處於最高風險中的人群。
Global HIV response: Study warns of setbacks in HIV fight due to funding cuts
March 28, 2025
A recent study published in The Lancet HIV, conducted by the Burnet Institute and WHO, showed a critical issue regarding funding cuts on the global HIV response
This research highlights the pressing need for sustained financial support to continue progress in preventing HIV infections and deaths. The study examined data from 26 countries and found that a reduction in international funding could result in significant setbacks in the fight against HIV, with millions of additional infections and deaths projected by 2030.
The need for international HIV support
The study showed that if international support decreases, an estimated 4.43 to 10.75 million new HIV infections could occur by 2030. Among these, up to 880,000 could be children.
The death toll could also rise by 770,000 to 2.93 million, including up to 120,000 child deaths. Sub-Saharan Africa, where HIV has had a disproportionate impact, could be particularly hard hit. This region has made considerable strides in HIV treatment and prevention, but these gains are at risk without ongoing financial backing.
Consequences of stopping HIV treatment
When treatment is discontinued, HIV viral load increases rapidly, and the immune system weakens, which not only accelerates the progression to AIDS but also increases the likelihood of HIV transmission.
Even if treatment resumes after a short interruption, the damage could already be done, leading to millions more infections. If funds were diverted from HIV testing and prevention to maintain treatment for those already infected, it could result in an additional 1.7 million new infections by 2030, further showing the global HIV crisis.
International donors, including programs like PEPFAR and The Global Fund to Fight AIDS, Tuberculosis, and Malaria, have been crucial in funding HIV services in low- and middle-income countries, providing nearly 40% of all HIV-related financial support since 2015. These funds are essential not only for treatment but also for prevention efforts, outreach programs, and research into new interventions that could reduce the spread of HIV. Without this support, many of the advancements made over the past decade could be undone.
The impact of funding disruptions: The global HIV response
The impact of funding disruptions is already being felt with staffing shortages, supply chain issues, and barriers to accessing prevention and treatment services on the rise. The study shows the importance of developing innovative financing solutions, particularly country-led strategies integrating HIV services into broader health systems. This approach could help ensure that HIV services remain available, despite shifting global funding priorities.
Maintaining the global fight against HIV requires continued international collaboration and investment. Countries must work together to ensure that the progress made in HIV treatment and prevention is not reversed. Additionally, building the capacity of national health systems to manage and sustain HIV services in the long term is critical to protecting the health and well-being of vulnerable populations. Investing in HIV response programs is not just about preventing new infections; it is about saving lives, particularly among those who are most at risk.
原文連結:https://www.openaccessgovernment.org/global-hiv-response-study-warns-of-setbacks-in-hiv-fight-due-to-funding-cuts/190554/
