President Trump’s plan to cease the transmission of H.I.V. in the US will concentrate on 48 counties the place about half of the recent infections happen, administration officers mentioned on Tuesday. The purpose is to scale back new infections by 75 % over five years and to “finish the H.I.V. epidemic in America” by 2030, mentioned Alex M. Azar II, the secretary of health and human providers, who coordinated growth of the formidable plan, outlined by Mr. Trump in his State of the Union address. New infections lately have remained at roughly the same degree, around 40,000 a year.
Officers have been planning an offensive against H.I.V. with the precision of a Navy campaign. They intend to deploy platoons of local healthcare staff to step up the prevention, prognosis, and therapy of infections. Mr. Azar mentioned Mr. Trump would search substantial new funds for the hassle; however, he refused to say how a lot. Dr. Robert R. Redfield, the director of the Centers for Disease Control and Prevention, mentioned the company would make an aggressive effort to diagnose infections in “scorching spot” areas.
Of the 48 counties, the highest 10 — ranked by the variety of H.I.V. diagnoses in 2016 and 2017 — are the counties that embrace Los Angeles; Miami; Houston; Chicago; Dallas; Fort Lauderdale, Fla.; Brooklyn; Atlanta; Phoenix; and the Bronx. Different targets embrace Las Vegas; Queens County and Manhattan in New York; Washington, D.C.; Detroit; Newark; Prince George’s and Montgomery Counties in Maryland; San Francisco; Baltimore; and San Juan, P.R.
One of the usages of antiretroviral medication is to cut back the quantity of H.I.V. in individuals who have been contaminated. Once they take the medication as prescribed, he mentioned, they’ll scale back virus particles within the blood to undetectable ranges, and typically they can not sexually transmit the virus to others.