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| Aids epidemic under control by 2030 'is possible' | |
| (about 1 hour later) | |
| There is a chance the Aids epidemic can be brought under control by 2030, according to a report by the United Nations Aids agency. | There is a chance the Aids epidemic can be brought under control by 2030, according to a report by the United Nations Aids agency. |
| It said the number of new HIV infections and deaths from Aids were both falling. | It said the number of new HIV infections and deaths from Aids were both falling. |
| However, it called for far more international effort as the "current pace cannot end the epidemic". | However, it called for far more international effort as the "current pace cannot end the epidemic". |
| And charity Medecins Sans Frontieres warned most of those in need of HIV drugs still had no access to them. | And charity Medecins Sans Frontieres warned most of those in need of HIV drugs still had no access to them. |
| The report showed that 35 million people around the world were living with HIV. | The report showed that 35 million people around the world were living with HIV. |
| There were 2.1 million new cases in 2013 - 38% less than the 3.4 million figure in 2001. | There were 2.1 million new cases in 2013 - 38% less than the 3.4 million figure in 2001. |
| Aids-related deaths have fallen by a fifth in the past three years, standing at 1.5 million a year. South Africa and Ethiopia have particularly improved. | Aids-related deaths have fallen by a fifth in the past three years, standing at 1.5 million a year. South Africa and Ethiopia have particularly improved. |
| Many factors contribute to the improving picture, including increased access to drugs. There has even been a doubling in the number of men opting for circumcision to reduce the risk of spreading or contracting HIV. | Many factors contribute to the improving picture, including increased access to drugs. There has even been a doubling in the number of men opting for circumcision to reduce the risk of spreading or contracting HIV. |
| Warning | Warning |
| While some things are improving, the picture is far from rosy. | While some things are improving, the picture is far from rosy. |
| Fewer than four in 10 people with HIV are getting life-saving antiretroviral therapy. | Fewer than four in 10 people with HIV are getting life-saving antiretroviral therapy. |
| And just 15 countries account for three-quarters of all new HIV infections. | And just 15 countries account for three-quarters of all new HIV infections. |
| The report said: "There have been more achievements in the past five years than in the preceding 23 years. | The report said: "There have been more achievements in the past five years than in the preceding 23 years. |
| "There is evidence about what works and where the obstacles remain, more than ever before, there is hope that ending Aids is possible. | "There is evidence about what works and where the obstacles remain, more than ever before, there is hope that ending Aids is possible. |
| "However, a business-as-usual approach or simply sustaining the Aids response at its current pace cannot end the epidemic." | "However, a business-as-usual approach or simply sustaining the Aids response at its current pace cannot end the epidemic." |
| Michel Sidibe, the executive director of UNAids, added: "If we accelerate all HIV scale-up by 2020, we will be on track to end the epidemic by 2030, if not, we risk significantly increasing the time it would take - adding a decade, if not more." | Michel Sidibe, the executive director of UNAids, added: "If we accelerate all HIV scale-up by 2020, we will be on track to end the epidemic by 2030, if not, we risk significantly increasing the time it would take - adding a decade, if not more." |
| Analysis | Analysis |
| Drugs have been a miracle in reducing deaths from Aids. | Drugs have been a miracle in reducing deaths from Aids. |
| Normally it takes about 10 years for Aids - acquired immune deficiency syndrome - to develop. | Normally it takes about 10 years for Aids - acquired immune deficiency syndrome - to develop. |
| "Opportunistic infections" that a healthy immune system could fight off then become deadly. | "Opportunistic infections" that a healthy immune system could fight off then become deadly. |
| But patients taking antiretroviral drugs can keep their HIV infection under control and have a near-normal life expectancy. | But patients taking antiretroviral drugs can keep their HIV infection under control and have a near-normal life expectancy. |
| The tools are there, but too often they are beyond the reach of people who need them. | The tools are there, but too often they are beyond the reach of people who need them. |
| Some 54% of people living with HIV do not know they are infected and 63% are not getting antiretroviral therapy. | |
| Diagnosing and treating the missing millions - often in sub-Saharan Africa - would significantly reduce the 1.5 million Aids-related deaths each year. | Diagnosing and treating the missing millions - often in sub-Saharan Africa - would significantly reduce the 1.5 million Aids-related deaths each year. |
| BBC News: Is HIV still a death sentence in the West? | BBC News: Is HIV still a death sentence in the West? |
| Dr Jennifer Cohn, the medical director for Medecins Sans Frontieres' access campaign, said: "Providing life-saving HIV treatment to nearly 12 million people in the developing world is a significant achievement, but more than half of people in need still do not have access." | Dr Jennifer Cohn, the medical director for Medecins Sans Frontieres' access campaign, said: "Providing life-saving HIV treatment to nearly 12 million people in the developing world is a significant achievement, but more than half of people in need still do not have access." |
| In Nigeria, 80% of people do not have access to treatment. | In Nigeria, 80% of people do not have access to treatment. |
| Dr Cohn added: "We need to make sure no-one is left behind - and yet, in many of the countries where MSF works we're seeing low rates of treatment coverage, especially in areas of low HIV prevalence and areas of conflict. | Dr Cohn added: "We need to make sure no-one is left behind - and yet, in many of the countries where MSF works we're seeing low rates of treatment coverage, especially in areas of low HIV prevalence and areas of conflict. |
| "In some countries, people are being started on treatment too late to save their lives, and pregnant women aren't getting the early support they need." | "In some countries, people are being started on treatment too late to save their lives, and pregnant women aren't getting the early support they need." |
| Marcus Low from South African campaign group Treatment Action Campaign told the BBC's Focus on Africa programme: | Marcus Low from South African campaign group Treatment Action Campaign told the BBC's Focus on Africa programme: |
| "It is still a crisis in South Africa - we still have about 1,000 new infections every day. | "It is still a crisis in South Africa - we still have about 1,000 new infections every day. |
| "On the treatment side, we have done well and people are living longer. | "On the treatment side, we have done well and people are living longer. |
| "But we must do more to prevent new infections." | "But we must do more to prevent new infections." |