Reckoning with mortality: global health, HIV, and the politics of data
Fecha
2020Autor
Kavanagh, Matthew M
Katz, Ingrid T
Holmes, Charles B
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Resumen
liminating unnecessary deaths is at the core of global
health efforts, from responses to COVID-19 to HIV,
non-communicable diseases, and maternal mortality.
However, experience with HIV shows that reducing
mortality requires a more robust approach to tracking and
intervening than has been used to date. 38 million people
are living with HIV,1
a consequence of a pandemic that
spread worldwide. The multinational AIDS response grew
out of a global concern for the catastrophic loss of life,
as HIV devastated communities in highly burdened
countries. From a time when it seemed impossible for
interventions to reach people globally, today about 79% of
all people living with HIV know their status, and more than
half of all people living with HIV have achieved viral
suppression using advanced antiretroviral therapy.1
This
historic response has saved more than 11 million lives in
the past decade alone.1
However, progress against mortality has slowed considerably, and the goals set by world
leaders at the UN General Assembly in 2016—due to be
accomplished in 2020—are not likely to be achieved, even
after a change in the underlying mathematical models
in 2019 meant estimated global mortality figures were
lowered by nearly 200000 deaths. AIDS-related illness
remains the leading cause of death globally among people
aged 15–49 years.2
Although the 2019 figures for global
mortality represent a 45% decline since 2005, they are far
off-track from the globally agreed goal of fewer than
500000 HIV-related deaths by 2020 (figure).1
As global
health efforts mature, the HIV experience can provide
lessons for tackling mortality from other causes.
Palabras clave
Mortality; COVID-19; Global health; HIVEnlace al recurso
https://doi.org/10.1016/Colecciones
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