資料來源:Roger Pebody,aidsmap news; 發佈時間:201935日;財團法人台灣紅絲帶基金會編譯

Dana Ogaz2019年反轉錄病毒和伺機性感染會議(CROI 2019)演講中的圖表

今天在西雅圖,來自英國公共衛生部的Dana Ogaz2019年反轉錄病毒和伺機性感染會議(CROI 2019)的演講中,其所提供的數據顯示,在短短兩年內,於英國進入性健康診所就診的男男間性行為者當中,其愛滋新感的發生率下降了55%。


發生率在2012 – 2013年量測,然後再於2014 – 2015年和2016 – 2017年的再次測量。在第一年,發生率為1.9%(意味著每年100名男性中有2人獲得艾滋病毒),在第二個時期保持穩定在1.8%;但僅僅兩年後,發生率僅為0.8%。










55% drop in HIV incidence in gay men in England in just two years

Graph from Dana Ogaz’s presentation at CROI 2019., Roger Pebody; Published: 05 March 2019

In just two years, the incidence of new HIV infections in men who have sex with men attending English sexual health clinics fell by 55%, according to data presented by Dana Ogaz of Public Health England at the Conference on Retroviruses and Opportunistic Infections (CROI 2019) in Seattle today.

Modelling studies have previously suggested that incidence began to fall in 2012 and reports of new diagnoses have been falling since 2014. The figures presented today come from routinely collected data from gay, bisexual and other men who have sex with men (MSM) who attend the same sexual health clinic twice or more in the same year. In any given year, this is around a third of the MSM who use the clinic. However, they may not be representative of the wider population of MSM.

Incidence was measured in 2012-2013, then in 2014-2015, and again in 2016-2017. In the first year, incidence was 1.9% (meaning that two in every 100 men acquired HIV during the year), remaining stable at 1.8% in the second time period. But just two years later, incidence was only 0.8%.

A similar pattern was seen in MSM who had both had an HIV-negative test and a bacterial STI in the past year – a group at higher risk of HIV infection. Incidence fell from 3.7% to 3.4% and then to 1.6% (a 53% fall in the last two years).

Over this time period, diagnoses of sexually transmitted infections have been rising. Between 2012 and 2017, there was a 90% increase in gonorrhoea diagnoses, 80% increase in chlamydia diagnoses and 160% increase in syphilis diagnoses among gay men attending sexual health clinics.

In 2017, 12.1% of gay men attending clinics had gonorrhoea (a third had a rectal infection), 9.0% chlamydia (half had a rectal infection) and 2.7% had syphilis.

The fall in HIV diagnoses coincides with a period when increasing numbers of men accessed pre-exposure prophylaxis (PrEP), while efforts to improve testing and prompt initiation of HIV treatment continued.

Ogaz said Public Health England conducted the exercise in order to provide a baseline for monitoring infections as the country rolls out PrEP. She said that as the situation evolves, untangling the contribution of PrEP to already falling HIV incidence and increases in STI diagnoses will require careful consideration.



Ogaz D et al. Preparing for PrEP in England: prevalence and incidence of HIV and bacterial STIs.Conference on Retroviruses and Opportunistic Infections, Seattle, abstract 48, 2019.



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