Tales from opposite corners of the world: Emergency department opt-out testing: A cost-effective route to earlier HIV and Hepatitis diagnosis in Australia and Germany

Emergency department opt-out testing: A cost-effective route to earlier HIV and Hepatitis diagnosis in Australia and Germany.
Australia and Germany have both made progress toward HIV and viral hepatitis elimination targets, yet a significant share of infections remains undiagnosed.
• HBV: 31% undiagnosed in Australia (3); 80% in Germany (4)
• HCV: 16% undiagnosed in Australia (5); 63% in Germany (6)
• HIV: around 8% undiagnosed in both countries (7,8)
These levels of undiagnosed infection indicate that standard blood-borne virus (BBV) testing approaches are not sufficient to meet public health goals.
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How can England achieve HIV transmission elimination?

Modelling the impact of current HIV prevention efforts on progress towards the 2030 elimination goal. In 2019, the previous UK government set the ambitious target of eliminating HIV transmission within England by 2030 with the current government affirming their commitment to the goal in their 2024 manifesto and commissioning a new HIV action plan in Read More >
Estimating the number of people who could benefit from HIV pre-exposure prophylaxis (PrEP) in England and the unmet need

In 2019, the previous government committed to eliminating HIV transmission by 2030 [1]. An action plan was developed [2] and a funding commitment made for opt-out HIV testing in hospital A&Es. However, despite the recent progress made in HIV prevention and treatment, England is not predicted to achieve the 2030 zero-transmission target under the current Read More >
Is it possible to eliminate the transmission of a virus which doesn’t have a cure or a vaccine? This is certainly the hope for HIV.

In 2019, the previous government committed to eliminating HIV transmission by 2030 [1]. An action plan was developed [2] and a funding commitment made for opt-out HIV testing in hospital A&Es. However, an analysis by UCL [3] found that we are unlikely to achieve the 2030 goal with the current prevention efforts, despite an estimated Read More >