Getting to Zero: What Stands in the Way?

Christopher Ervin

Aniz, Inc., Atlanta

The biggest barrier to getting to zero HIV infections globally will be the willingness to address those factors that presently put people at risk for HIV and will continue to put people at risk despite the advances in prevention and treatment. As the United States and the world experience another historic moment, come World AIDS Day there will still be economic uncertainty throughout the world that will hinder the research community's rapid development of the treatments we have envisioned, and limit the access for those living with HIV/AIDS to such treatments. These economic challenges will also affect prevention programs, so difficult decisions will be made on where to best target limited resources at the risk of causing unintended HIV incidence increases in communities left behind. Finally, we have begun to recognize housing, education, mental health/addiction treatment, and jobs are effective tools in the prevention and treatment of HIV/AIDS. However, throughout the world, we have yet to hear global leaders demonstrate sustainable commitments to provide these basic human needs to all.