Sweden reaches 90-90-90 Fast Track targets

14 September 2016

Sweden has become the first country to achieve the UNAIDS 90-90-90 Fast Track targets, according to research published in HIV Medicine and reported in NAM Aidsmap today.

Launched in 2014 – the UNAIDS Fast Track strategy sets the roadmap to end AIDS as a major public health threat by 2030. By 2020, its targets calls for 90% of people to know their HIV status, 90% of those who know their status to be on treatment, and 90% of those on treatment to be virally suppressed. By 2030, these targets increase to 95-95-95.

This matches the pathway by which a person is tested, linked and retained in HIV care, and initiates and adheres to antiretroviral treatment.

According to data collected by the Swedish government, in 2015, 90% of all people living with HIV were diagnosed and 97% of them were linked to and retained in care. By the end of 2015, 95% of all people diagnosed with HIV were on treatment, and 95% of those individuals had a viral load of below 50 copies/m (98% had a viral load below 200 copies/m).

With a small epidemic, a robust and efficient health system emphasising patient follow-up and retention in care, and free HIV access to antiretroviral treatment, Sweden was well set up to achieve the Fast Track goal.

While the news from Sweden is very positive, it will be progress from countries with a higher HIV burden and more resource-constraints that show whether we really can end AIDS as a public health threat by 2030. Many look to Botswana as the high prevalence country most on-track to achieve the Fast Track goal.