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Abstract

It is well-documented that early HIV diagnosis and linkage to care reduces morbidity and mortality as well as HIV transmission. We estimated the median time from HIV infection to diagnosis in the European Union/European Economic Area (EU/EEA) at 2.9 years in 2016, with regional variation. Despite evidence of a decline in the number of people living with undiagnosed HIV in the EU/EEA, many remain undiagnosed, including 33% with more advanced HIV infection (CD4 < 350 cells/mm3).

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/content/10.2807/1560-7917.ES.2017.22.48.17-00771
2017-11-30
2024-12-20
/content/10.2807/1560-7917.ES.2017.22.48.17-00771
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References

  1. European Centre for Disease Prevention and Control (ECDC)/World Health Organization (WHO) Regional Office for Europe. HIV/AIDS Surveillance 2017, 2016 data. Stockholm: ECDC; 28 Nov 2017. Available from: https://ecdc.europa.eu/sites/portal/files/documents/20171127-Annual_HIV_Report_Cover%2BInner.pdf
  2. Pharris A, Quinten C, Noori T, Amato-Gauci AJ, van Sighem AECDC HIV/AIDS Surveillance and Dublin Declaration Monitoring Networks. Estimating HIV incidence and number of undiagnosed individuals living with HIV in the European Union/European Economic Area, 2015. Euro Surveill. 2016;21(48):30417.  https://doi.org/10.2807/1560-7917.ES.2016.21.48.30417  PMID: 27934585 
  3. United Nations Statistics Division. Standard Country or Area Codes for Statistical Use. In: M, No. 49/Rev.4. Edited by United Nations Statistics Division. New York, NY; 1999.
  4. US Centers for Disease Control and Prevention. 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. MMWR Recomm Rep. 1992;41(RR-17):1-19. PMID: 1361652 
  5. van Sighem A, Nakagawa F, De Angelis D, Quinten C, Bezemer D, de Coul EO, et al. Estimating HIV Incidence, Time to Diagnosis, and the Undiagnosed HIV Epidemic Using Routine Surveillance Data. Epidemiology. 2015;26(5):653-60.  https://doi.org/10.1097/EDE.0000000000000324  PMID: 26214334 
  6. European Centre for Disease Prevention and Control (ECDC). HIV Modelling Tool. Stockholm: ECDC; 2015. [Accessed 28 Nov 2017]. Available from: https://ecdc.europa.eu/en/publications-data/hiv-modelling-tool
  7. Brown AE, Mohammed H, Ogaz D, Kirwan PD, Yung M, Nash SG, et al. Fall in new HIV diagnoses among men who have sex with men (MSM) at selected London sexual health clinics since early 2015: testing or treatment or pre-exposure prophylaxis (PrEP)? Euro Surveill. 2017;22(25):30553.  https://doi.org/10.2807/1560-7917.ES.2017.22.25.30553  PMID: 28662762 
  8. Public Health England (PHE). HIV Testing in England: 2017 report. London: PHE; 2017. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/659078/HIV_testing_in_England_report_2017.pdf
  9. National Institute for Public Health and Environment (RIVM). Sexually transmitted infections including HIV, in the Netherlands 2016. Bilthoven: RIVM; 2017. Available from: http://www.rivm.nl/dsresource?objectid=7b76e243-ca01-40d2-b50d-af67c2a0b83f&type=pdf&disposition=inline
  10. Sasse A, Deblond J, Jamine D, Ost C, Van Beckhoven D. Epidemiologie van AIDS en HIV-infectie in Belgie. [Epidemiology of AIDS and HIV infection in Belgium].Edited by (WIV-ISP) WIV. Brussels; 2016. Dutch. Available from: https://www.wiv-isp.be/sites/www.wiv-isp.be/files/jaarrapport_hiv_aids_2016_web.pdf
  11. Sasse A. Letter to the editor: New metrics to monitor progress towards global HIV targets: using the estimated number of undiagnosed HIV-infected individuals as denominator. Euro Surveill. 2016;21(50):pii=30424. https://doi.org/10.2807/1560-7917.ES.2016.21.50.30424
  12. The Joint United Nations Programme on HIV/AIDS (UNAIDS). 90-90-90: An ambitious treatment target to help end the AIDS epidemic. Geneva: UNAIDS; 2014. Available from: http://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf
  13. Lundgren JD, Babiker AG, Gordin F, Emery S, Grund B, Sharma S, et al. Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection. N Engl J Med. 2015;373(9):795-807.  https://doi.org/10.1056/NEJMoa1506816  PMID: 26192873 
  14. Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493-505.  https://doi.org/10.1056/NEJMoa1105243  PMID: 21767103 
  15. Vriend HJ, Stolte IG, Heijne JC, Heijman T, De Vries HJ, Geskus RB, et al. Repeated STI and HIV testing among HIV-negative men who have sex with men attending a large STI clinic in Amsterdam: a longitudinal study. Sex Transm Infect. 2015;91(4):294-9.  https://doi.org/10.1136/sextrans-2014-051786  PMID: 25504922 
  16. Joore IK, Arts DL, Kruijer MJ, Moll van Charante EP, Geerlings SE, Prins JM, et al. HIV indicator condition-guided testing to reduce the number of undiagnosed patients and prevent late presentation in a high-prevalence area: a case-control study in primary care. Sex Transm Infect. 2015;91(7):467-72.  https://doi.org/10.1136/sextrans-2015-052073  PMID: 26126531 
  17. Ferrer L, Loureiro E, Meulbroek M, Folch C, Perez F, Esteve A, et al. High HIV incidence among men who have sex with men attending a community-based voluntary counselling and testing service in Barcelona, Spain: results from the ITACA cohort. Sex Transm Infect. 2016;92(1):70-5.  https://doi.org/10.1136/sextrans-2015-052042  PMID: 26136507 
Reduction in undiagnosed HIV infection in the European Union/European Economic Area, 2012 to 2016
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Ard+van+Sighem&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van Sighem Ard</a>, <a href="/search?value1=Anastasia+Pharris&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pharris Anastasia</a>, <a href="/search?value1=Chantal+Quinten&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Quinten Chantal</a>, <a href="/search?value1=Teymur+Noori&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Noori Teymur</a>, <a href="/search?value1=Andrew+J+Amato-Gauci&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Amato-Gauci Andrew J</a>, <a href="/search?value1=the+ECDC+HIV%2FAIDS+Surveillance+and+Dublin+Declaration+Monitoring+Networks&option1=author&noRedirect=true" class="nonDisambigAuthorLink">the ECDC HIV/AIDS Surveillance and Dublin Declaration Monitoring Networks</a></span>. Reduction in undiagnosed HIV infection in the European Union/European Economic Area, 2012 to 2016. <a href="/content/ecdc">Euro Surveill.</a> 2017;22(48):pii=17-00771. <a href="https://doi.org/10.2807/1560-7917.ES.2017.22.48.17-00771" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2017.22.48.17-00771</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 17 Nov 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 29 Nov 2017 </span> </p>
/content/10.2807/1560-7917.ES.2017.22.48.17-00771
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