HIV Prevention and Control the EU is up to the challenge

John F. RyanDirectorEuropean CommissionDG SANTE: Public health, country knowledge, crisis management

Technical Conference: Fast-tracking the end of AIDS in Europe: practical evidence-based interventionsMalta, 30-31 January 2017

HIV/AIDS: a continued epidemicThe latest epidemiological figures:

29,747 new cases reported in 2015 in the EU/EEA 810,000 people estimated to live with HIV/AIDS in the EU/EEA Overall trend has remained stable in the past decade Men having sex with men main driver behind current trends, other

modes of transmission declining Late diagnosis still an issue: 47% diagnosed late in 2015

Worrying upsurge in the epidemic in non-EU countries in the Eastern Neighbourhood

*ECDC. The status of the HIV response in the European Union/European Economic Area, 2016. Stockholm: ECDC; 2017.

85% 83% 89%

Fast-Track Targets

EU/EEA estimates*

Where are we today in the EU/EEA?

2005 Commission communication (2006-2009)

2009 Commission communication + First Action Plan 2009-2013

Second Action Plan 2014-2016

2016 Commission Communication on the Next Steps for a Sustainable European Future reaffirmed political commitment "to help Member States reach the SDG targets, in particular ending HIV/AIDS and Tuberculosis (and reducing Hepatitis)"

HIV/AIDS a decade of political action2015 Evaluation: "the Communication helped focus efforts and resources on priority regions and groups, empowered civil society, it facilitated exchange of experience and enabled funding of collaborative projects in the areas of research and public health"

The Sustainable Development Goals, Sept. 2015 Goal 3: Ensure healthy lives and promote well-being for all at all ages

Target 3.3: By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

UNAIDS Strategy 2016-2021, Oct. 2015 Specific targets, 90-90-90, etc. End the AIDS epidemic by 2030WHO, Global Health Sector Strategies 2016-2021, May 2016 Vision: Zero new HIV infections, zero HIV-related deaths and zero HIV-related

discrimination 2020 targets: 90-90-90,

Main Focus: Implementation

All EU Member States have subscribed to the international goals

The EU has set its strategic priorities and political support to reach the SDGs By mainstreaming the SDGs in European policies and current

Commission priorities By using instruments at EU disposal

Specifically on communicable diseases, the Commission is "updating and extending its work to help meet the target of ending AIDS and tuberculosis and combating hepatitis"

Chief instrument for action in the area of public health

HIV/AIDS amongst the priority areas: Over EUR 16M spent under 2nd Health Programme (2008-2013) So far over EUR 10M invested under 3rd Health Programme (2014-2020)On-going actions: New Joint Action on quality of prevention and linkage to care for HIV/AIDS,

STIs, hepatitis and tuberculosis (under preparation) Study on socio-economic impacts of EU policies (tender launched) ESTICOM Project on European Surveys and Trainings to Improve MSM

Community Health (on-going) E-DETECT TB project: Early DETECTion and integrated management of

TuBerculosis in Europe (2016-2019) HEPCARE EUROPE project: Early diagnosis and treatment of viral hepatitis

(2016-2019) HA-REACT Joint Action on HIV and Co-infection Prevention and Harm

Reduction (20185-2018)

The Health Programme

http://ec.europa.eu/chafea/health/tender-04-2016_en.htmlhttps://e-detecttb.eu/http://www.ucd.ie/medicine/hepcare/http://www.hareact.eu/en

The EU HIV/AIDS Think Tank and Civil Society Forum Established informal expert groups since 2005 Main role to advise the Commission on policy development and

concrete action where the EU can support national efforts Dialogue with civil society groups Participation of candidate and neighbouring countries Important fora for the exchange of best practice across the EU

Expansion of the Think Tank and Civil Society Forum in 2017 to align with the renewed political commitment to integrate better the three disease areas: HIV/AIDS, viral hepatitis

and tuberculosis to reinvigorate the functioning of the two bodies in implementing

best practice

Continued cooperation the EU Think Tank and Civil Society Forum

Surveillance and monitoringThe European Centre for Disease Prevention and Control main partner Epidemiological surveillance and reporting (under Decision 1082/2013) Dublin Declaration monitoring of responseThe European Monitoring Centre for Drugs and Drug Addictions Reporting on injecting drug users as one of key at-risk groups Information on links between public health and harm reductionState of Health in the EU: Health at a Glance (with OECD) Commission's main assessment of the state of health and health systems Country-specific analysis HIV-related indicators used to assess health status/outcomes, health

determinants and effectiveness and quality of care

https://ec.europa.eu/health/state/glance_en

Next steps implementing our goals

Important to focus on concrete action for changeWhere can EU-wide cooperation best contribute to national efforts?

Looking forward to technical recommendations from this conference as input for further policy activitiesWhat specific contribution can be made to:

- Testing- Prevention- Linkage to care- Quality of life- Priority at-risk groups- Monitoring and evaluation- Stigma and discrimination

Thank you!

EU Commission Public Health: https://ec.europa.eu/health/Health Policy Platform: https://webgate.ec.europa.eu/hpf/

EU_Health @ Twitter: https://twitter.com/eu_healthHIV/AIDS at the EU: https://ec.europa.eu/health/sti_prevention/hiv_aids_en

https://ec.europa.eu/health/https://webgate.ec.europa.eu/hpf/https://twitter.com/eu_healthhttps://ec.europa.eu/health/sti_prevention/hiv_aids_en

Fast-track the end of AIDS in the EU practical evidence-based interventions

Fast-track the end of AIDS in the EU

practical evidence-based interventions

HIV Prevention and Control the EU is up to the challengeHIV/AIDS: a continued epidemicWhere are we today in the EU/EEA?HIV/AIDS a decade of political actionInternational momentum buildingMain Focus: ImplementationThe Health ProgrammeContinued cooperation the EU Think Tank and Civil Society ForumSurveillance and monitoringNext steps implementing our goalsThank you!Slide Number 12