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Fast-track plan can end global AIDS threat by 2030, says UN

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A five-year, fast-track battle against HIV could end the global threat of the AIDS epidemic by 2030, the United Nations said on Tuesday, but failing to move quickly might allow the deadly virus to spring back.

UNAIDS said reaching its new fast-track targets would avert nearly 28 million new human immunodeficiency virus (HIV) infections by 2030, and effectively bring to an end the worldwide health threat it poses.

"If we invest just $3 a day for each person living with HIV for the next five years, we would break the epidemic for good," said Michel Sidibe, UNAIDS' executive director. "And we know that each dollar invested will produce a $15 return."

The HIV virus that causes AIDS is spread via blood, semen and breast milk. There is no cure for the infection, but AIDS can be kept at bay for many years in people with HIV who take cocktails of antiretroviral drugs.

In its annual update on the AIDS pandemic, which began more than 30 years ago and killed up to 40 million people worldwide, UNAIDS estimated that by June 2014 some 13.6 million people globally had access to antiretroviral medicines - a dramatic improvement on the 5 million who were getting treatment in 2010. But even that is still a way off UNAIDS' fast-track target known as 90-90-90 - aimed at having 90% of people with HIV knowing they are HIV-positive, 90% of diagnosed people on treatment, and 90% of those on treatment able to use the medication to suppress the amount of virus in their bodies to a low level.

Other targets include reducing the annual number of new HIV infections by more than 75% - to 500,000 in 2020 - and focusing major efforts in the 30 countries that together account for 89% of new HIV infections worldwide.

UNAIDS data show that in 2013, 35 million people globally were living with HIV, 2.1 million people were newly infected with the virus and some 1.5 million people died of AIDS. The vast majority of the HIV/AIDS burden is in sub-Saharan Africa.

Annual new HIV infections have fallen by 38% since 2001, and new infections among children are down by 58% over the same period. Annual AIDS deaths have fallen by 35% since a peak in 2005.

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