Mark Nelson
MA, MBBS, FRCP
Chelsea and Westminster Hospital / Imperial College Medical School, United Kingdom
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The Asian Stigma & Discrimination Forum took place on 14 October 2020. It was a very successful edition with impressive talks and important lively discussions. The other two forums in 2020 were the Latin American Stigma & Discrimination Forum and the African Stigma & Discrimination Forum
As shown by the significant and increasing reports of cities and countries achieving the 90-90-90 targets and beyond for the majority, HIV is now a treatable infection. In the past few years, there have been advances not only in the efficacy of medication but as importantly, improvements in their toxicity profile and ease of administration, leading to greater adherence overall resulting in positive long term results.
However, large groups of individuals either still remain undiagnosed, or are diagnosed but do not seek care. Indeed, undiagnosed individuals form the greatest gap in our 90-90-90 targets. For there to be further improvements in our cascades of care, it is essential that these groups are targeted.
But why does this happen? Undoubtedly, this issue has much to do with fear. Particularly the fear of testing, receiving a positive diagnosis and attending an HIV center, and the subsequent discrimination which either does or is perceived to occur. Such fears result in unnecessary morbidity and mortality, particularly due to late diagnosis, along with an increased risk of transmission within the population.
Change is coming! We are, however, striving to make a change and there are success stories! Come and hear how you can challenge and be part of the solution to stigma and discrimination. Listen to stories of both success and failure from our experienced faculty. The triumph of HIV treatment can only truly begin when we can succeed in improving testing and linkage to care. We are all beholden to take part in this challenge.
MA, MBBS, FRCP
Chelsea and Westminster Hospital / Imperial College Medical School, United Kingdom
In my capacity as the local chair, it is my great pleasure to welcome you to the Asian Stigma & Discrimination Forum 2020!
Stigma is undermining every single effort each of us is making towards the goal of ending the HIV epidemic in this region. Learning how to recognize stigma and discrimination, discussing what works and what does not work to address them, and sharing how to scale-up best practices in the Asia-Pacific are crucial for all of us. Challenges need to be recognized and a concerted effort is needed now.
Looking forward to seeing you online.
MD, PhD
Institute of HIV Research and Innovation in Bangkok, Thailand
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