THE UNITED STATES OF AMERICA
In 2021 1.08 million people were infected with HIV in the USA out of a total population of 333 million. In 2021 there were more than 36000 new HIV diagnoses and 19982 people with HIV died. Most HIV infected people are men (76.9%). Of these 75% contracted the virus through sexual contact with another man. Although the black population makes up only 12.6% of the total they form the largest part of the HIV population. 39.6% of all HIV infected are black 24.6% are Hispanic and 28.5% are white.
Compared to most countries in Western Europe but also to several African countries a large percentage of people only reach out to health care at the AIDS stage (21%). It fits in with the general picture that the reach out to care is lower than one might expect.
Only 75% of all HIV infected people received the necessary HIV care and treatment in 2021. As a result only 66% of the entire HIV population has an undetectable status. Where the official UN target is to achieve the 90-90-90* the USA is lagging far behind.
Various reasons are given for this lower outreach by the HIV population. For example in the USA there is a national policy that each of the 50 states self-determines their policy regarding healthcare. Poverty discrimination stigmatization of the HIV community and healthcare that is sometimes difficult to reach nd therefore difficult to access are other factors hat play a role.
On the positive side the use of PrEP is increasing year after year. In 2022 more than 435000 people used this.
(Source: AIDSvu an interactive online mapping tool)
Jesus
Jesus Heberto Guillen Solis is a long-term survivor active in San Francisco’s HIV/ADS community. Jesus founded the HIV Long-Term Survivors Facebook group.
He ‘s also a member of the San Francisco HIV Planning Commission, and is a member of the board of directors of Catherine’s House, an HIV/AIDS organic farm in the Sierra Nevada where retreats are organized.
