Perhaps The Greatest Risk of HIV is Believing It's Not a Problem Anymore

In recent years, significant advancements in HIV treatment and prevention have led many to believe that HIV is no longer a pressing issue. However, this misconception poses a substantial risk to public health, particularly in areas like Broward County, Florida, where HIV remains a critical concern.

Broward County has one of the highest rates of HIV infection in the United States. Despite ongoing efforts to reduce new infections, the prevalence of HIV continues to challenge our community. The Florida Department of Health in Broward County has implemented comprehensive programs to address this issue, including routine testing, Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and community outreach. These initiatives are crucial in combating the spread of HIV, yet the belief that HIV is no longer a problem can undermine these efforts.

One of the most significant dangers of this misconception is the potential decrease in HIV testing. Routine testing is essential for early detection and treatment, which can significantly improve health outcomes and reduce transmission rates. The Department of Health emphasizes the importance of regular testing in both healthcare and non-healthcare settings. However, if individuals believe they are not at risk, they may be less likely to get tested, leading to undiagnosed and untreated cases.

Stigma associated with HIV remains a major barrier to effective prevention and treatment. In Broward County, stigma is fueled by various factors, including poverty, immigration issues, and lack of access to care. These factors contribute to the high rates of HIV and AIDS in the region. Many people still do not realize that HIV is now a manageable condition with proper adherence to care. This lack of awareness perpetuates stigma and prevents individuals from seeking the necessary testing and treatment.

The Ryan White Planning Councils play a pivotal role in addressing these challenges. They conduct needs assessments, set service priorities, and develop comprehensive plans to ensure that resources are allocated effectively to meet the needs of those living with HIV. Their efforts are instrumental in guiding the distribution of Ryan White funds, which support a wide range of services, including medical care, support services, and prevention programs.

Health Care Systems like Holy Cross Health are also at the forefront of the fight against HIV. Their Focus program is particularly noteworthy, as it involves routine opt-out HIV/STI testing for all individuals who visit the emergency department. This initiative-taking approach ensures early detection and linkage to care, significantly improving health outcomes and reducing the spread of infections.

Additionally, the implementation of PrEP (Pre-Exposure Prophylaxis) is a crucial strategy in HIV prevention. Following a negative HIV test, patients should receive a 30-day supply of PrEP and a prescription, with follow-up testing required. This approach helps mitigate HIV transmission rates and aligns with the goals of ensuring that 95% of individuals are aware of their status, 95% of those living with HIV are on antiretroviral treatment, and 95% of those are virally suppressed to promote the U=U (Undetectable = Untransmittable) message.

It's also important to recognize HIV Vaccine Awareness Day, observed annually on May 18th. This day is dedicated to acknowledging the efforts of volunteers, community members, health professionals, and scientists working together to develop a preventive HIV vaccine. It serves as a reminder of the ongoing need for research and education in the fight against HIV.

In conclusion, the belief that HIV is no longer a problem is a dangerous misconception that can hinder progress in combating the epidemic. Broward County's ongoing efforts in testing, prevention, and awareness are essential in addressing this issue. It is crucial to continue promoting HIV awareness, reducing stigma, and supporting the work of planning councils and medical agencies to ensure that HIV remains a priority in public health. By acknowledging the reality of HIV and taking proactive measures, we can work towards a healthier future for our community.

References:

Florida Department of Health in Broward. (2024). HIV/AIDS Program. Retrieved from https://broward.floridahealth.gov/programs-and-services/infectious-disease-services/hiv-aids/index.html

WUSF. (2019). Experts Say Florida’s HIV Epidemic is Fueled By Stigma, Lack of Access to Care. Retrieved from https://www.wusf.org/2019-11-29/experts-say-floridas-hiv-epidemic-is-fueled-by-stigma-lack-of-access-to-care

TargetHIV. (2025). Part A - Planning Councils. Retrieved from https://targethiv.org/library/topics/part-planning-councils

Gilead Sciences. (2024). FOCUS Blood-Borne Virus Public Health Program. Retrieved from https://www.gilead.com/responsibility/global-health-and-access/focus

HIV.gov. (2024). Pre-Exposure Prophylaxis. Retrieved from https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis

CDC. (2024). Undetectable = Untransmittable. Retrieved from https://www.cdc.gov/global-hiv-tb/php/our-approach/undetectable-untransmittable.html