Almost half of cases diagnosed at late stage, prompting call for wider access to PrEP trial

This article is more than 1 year old

This article is more than 1 year old

Diagnoses of HIV in England have fallen to their lowest level in almost two decades.

However, Public Health England (PHE) said challenges around the virus remain, with figures showing that almost half the people newly diagnosed last year were at a late stage of infection, increasing their risk of death.

Diagnoses fell by just over a quarter (28%) from 6,271 in 2015 to 4,484 in 2018, PHE said, adding that the continued decline in the virus was down to the success of preventive measures.

These include HIV testing, condom provision, more use of the pre-exposure prophylaxis (PrEP) drug – taken before sex by HIV-negative people at high risk of contracting the virus – and drugs that keep the level of HIV in the body low and prevent the virus being passed on, known as anti-retroviral therapy (ART).

The biggest falls in new diagnoses have been among gay and bisexual men, particularly those who are white, born in the UK, aged between 15 and 24 and living in London, the figures show.

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During the same period, between 2015 and 2018, diagnoses fell by 24% among people who got HIV through heterosexual contact.

Last year, 43% of people were diagnosed at a late stage of infection. Late diagnoses increase the risk of death within a year up to tenfold, compared with people diagnosed promptly, PHE said.

The public health minister, Jo Churchill, welcomed the overall drop in diagnoses, but vowed not to be complacent as the government works towards a target of having no new HIV transmissions by 2030.

She said: “I am delighted to see new figures released today which show we are well on our way to achieving our ambition of zero HIV transmissions in England by 2030, with HIV diagnoses at their lowest level since 2000.

“This decline in diagnoses is a result of our unwavering commitment to prevention which has led to more people getting tested, and has allowed people with HIV to benefit from effective treatment, stopping the virus from spreading further.

“However, I am not complacent and remain dedicated to ensuring we reach our target of zero new HIV transmissions by 2030.”

The Terrence Higgins Trust has called for wider access to the three-year PrEP trial, which recruited more than 13,000 participants by June this year and is scheduled to end next year.

Ian Green, the chief executive at the trust, said: “In light of today’s data from Public Health England, we’re urging NHS England, the Department of Health and local councils to immediately begin planning for PrEP to be given a home as part of routine sexual health services.

“Raising awareness of PrEP outside of the gay community will also go a long way in helping us to reach zero transmissions by 2030.”

The drug is almost 100% effective at preventing HIV when taken as prescribed. It involves a pill containing a combination of two anti-HIV drugs, emtricitabine and tenofovir, taken daily or around the time of sexual activity.