Table 1.
Comparison of Estimated Key Epidemiologic Measures of the Human Immunodeficiency Virus Epidemic, Compared With the Joint United Nations Programme on HIV and AIDS 2020 Benchmarks, United States and Globally
| Measurement | Calculation | UNAIDS Benchmark | Current US (2016–2017) a | Current Global (2016–2017) b |
|---|---|---|---|---|
| Measures of Disease Burden and Treatment | ||||
| PLWH | No. of known PLWH | 991,447c | 36,900,000 | |
| No. of estimated PLWH (including those not diagnosed) | 1,122,900c | |||
| Using Antiretroviral Therapy | ||||
| PLWH | No. of PLWH currently on treatment | 700,000 | 21,700,000 | |
| % PLWH accessing ART | % of PLWH currently on treatment | 62% | 59% | |
| UNAIDS Goals Related a,d | ||||
| Know HIV serostatus | % PLWH who know status | 90% | 86% | 75% |
| On treatment | % on treatment among diagnosed with HIV | 90% | 72% | 79% |
| % on treatment among all PLWH | 59% | |||
| Virally suppressed | % virally suppressed among those on therapy | 90% | 85%a | 81% |
| % virally suppressed among all PLWH | 60%a | 47% | ||
| Measures of Epidemic Spread and Future Disease Burden | ||||
| New HIV infections | No. of new HIV cases per year | 38,281c | 1,800,000 | |
| HIV incidence rate | No. of new HIV cases per 1,000 population per year | To be set locally | 0.12c | 0.3e |
| HIV incidence reduction (2010–2016) | Percentage reduction in number of new HIV cases | 75% by 2020 | 8–11%f | 12%e |
| Incidence:prevalence ratio | (No. of new HIV cases per year)/(No. of PLWH aged ≥15 years in same pop), × 100 | 0.03 | 0.04g | 0.05 |
| Measures of Care Delivery and Mortality | ||||
| Incidence:mortality ratio | (No. of new HIV cases per year)/(No. of PLWH aged ≥15 years who die per year), × 100 | 1.0 | 3.0h | 1.7e |
| Mortality rate | No. of deaths per 1,000 people diagnosed with HIV per year | 0.05c | ||
| AIDS-related mortality rate | No. of AIDS-related deaths per 1,000 population per year | To be set locally | 25.5 | |
| AIDS-related mortality reduction (2010–2016) | Percentage reduction in AIDS-related deaths | 75% by 2020 | 18%a,i | 32%d |
Abbreviations: AIDS, acquired immune deficiency syndrome; ART, antiretroviral therapy; HIV, human immunodeficiency virus; PLWH, people living with human immunodeficiency virus; UNAIDS, Joint United Nations Programme on HIV and AIDS.
a Centers for Disease Control and Prevention (34).
b UNAIDS (71).
c Centers for Disease Control and Prevention (72).
d UNAIDS (73).
e Ghys et al. (74).
f Bonacci and Holtgrave (75).
g Centers for Disease Control and Prevention (76).
h Centers for Disease Control and Prevention (77).
i Percentage reported here for the US mortality reduction is the reduction in the overall death rate 2010–2015 among persons with diagnosed HIV infection, not the reduction in AIDS-related deaths.