Reaching the “Tipping Point”: Implications for Controlling HIV

Analysis of data for 2010–2011 from nine states and the District of Columbia showed tipping point ratios from 0.6 to 2.7.

The concept of the “tipping point” — i.e., having fewer new HIV infections than individuals initiating antiretroviral therapy (ART) — is a measure of HIV control used by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) and other organizations. The “tipping point ratio” is defined as the annual number of new infections divided by the number of individuals initiating ART (or, alternatively, achieving viral suppression) within a given jurisdiction.

To determine tipping point ratios in the U.S., investigators used surveillance data from 10 jurisdictions with complete reporting of all viral load data through 2012. They focused on patients with a new HIV diagnosis in 2011 and those who newly achieved viral suppression (i.e., viral load…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Reaching the “Tipping Point”: Implications for Controlling HIV

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Reviewing Author