There is a relatively low prevalence of HIV/AIDS in New Zealand, with an estimated 2,900 people out a population of 4.51 million living with HIV/AIDS as of 2014. The rate of newly diagnosed HIV infections was stable at around 100 annually through the late 1980s and the 1990s but rose sharply from 2000 to 2005. It has since stabilised at roughly 200 new cases annually. Male-to-male sexual contact has been the largest contributor to new HIV cases in New Zealand since record began in 1985. Heterosexual contact is the second largest contributor to new cases, but unlike male-to-male contact, they are mostly acquired outside New Zealand. [1] In 2018 the New Zealand Government reported a “major reduction” in the number of people diagnosed with HIV. [2]
World AIDS Day is observed in New Zealand.[ citation needed ]
The first recorded death in New Zealand from AIDS-related conditions was in New Plymouth in April 1984. [3] [4]
In 1985, Eve van Grafhorst was ostracised in Australia since she had contracted HIV/AIDS from a transfusion of infected blood. The family moved to New Zealand where she died aged 11. By the time of her death, her plight had significantly raised the level of AIDS awareness in New Zealand.[ citation needed ]
The Ministry of Health is the government department which deals with health issues, including HIV/AIDS.
The New Zealand AIDS Foundation changed its name to the Burnett Foundation Aotearoa in 2022 after Bruce Burnett. [5] It is a registered charitable trust and has a focus on prevention of AIDS in the most at-risk group, namely men who have sex with men.
Other organisations that assist with people living with HIV include Body Positive Inc is a support and network organisation for people living with HIV in New Zealand. [6] Positive Women is a service that looks after women who are HIV positive. [7]
The INA Foundation is a Kaupapa Māori organisation that supports HIV positive people named after Immanuel and Noelle who died as infants of HIV and Apihaka who lived despite both parents being HIV. [8]
Other places that support and inform are the New Zealand Prostitutes Collective and New Zealand Family Planning sexual health clinics. [9] [10] The New Zealand Prostitutes Collective started in 1987 and in 1988 signed contract with the Ministry of Health with "a focus on HIV and Aids". [9]
The Pharmaceutical Management Agency (Pharmac) manages the national schedule of subsidised medications. As of 2014, twenty-one different antiretroviral medications were subsidised for people with confirmed HIV/AIDS or for post-exposure prophylaxis. [1]
In March 2018, New Zealand became one of the first countries in the world to publicly fund pre-exposure prophylaxis medication for those at a high risk of contracting HIV. [11]
The Aotearoa New Zealand Sex Workers' Collective (NZPC), formerly the New Zealand Prostitutes' Collective, is a New Zealand-based organisation that supports sex workers' rights and educates sex workers about minimising the risks of the job.
Prostitution in New Zealand, brothel-keeping, living off the proceeds of someone else's prostitution, and street solicitation are legal in New Zealand and have been since the Prostitution Reform Act 2003 came into effect. Coercion of sex workers is illegal. The 2003 decriminalisation of brothels, escort agencies and soliciting, and the substitution of a minimal regulatory model, created worldwide interest; New Zealand prostitution laws are now some of the most liberal in the world.
Men who have sex with men (MSM) refers to all men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spread of sexually transmitted infections such as HIV/AIDS between all sexually active males, not strictly those identifying as gay, bisexual, pansexual or various other sexualities, but also for example male prostitutes. The term is often used in medical literature and social research to describe such men as a group. It does not describe any specific kind of sexual activity, and which activities are covered by the term depends on context. An alternative term, males who have sex with males is sometimes considered more accurate in cases where those described may not be legal adults.
Post-exposure prophylaxis, also known as post-exposure prevention (PEP), is any preventive medical treatment started after exposure to a pathogen in order to prevent the infection from occurring.
Big Gay Out is an LGBTQ festival in Aotearoa/New Zealand. It has been running in Auckland, New Zealand since 2000. The event was founded by the Hero Festival, but is now organised by the Burnett Foundation Aotearoa.
The human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. It can be managed with treatment. Without treatment it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS).
Pre-exposure prophylaxis for HIV prevention, commonly known as PrEP, is a form of medication used to prevent HIV infection, the cause of HIV/AIDS.
HIV/AIDS was first diagnosed in 1981. As of year-end 2018, 160,493 people have been diagnosed with HIV in the United Kingdom and an estimated 7,500 people are living undiagnosed with HIV. New diagnoses are highest in gay/bisexual men, with an estimated 51% of new diagnosis reporting male same-sex sexual activity as the probable route of infection. Between 2009 and 2018 there was a 32% reduction in new HIV diagnosis, attributed by Public Health England (PHE) to better surveillance and education. PHE has described an "outbreak" in Glasgow amongst people who inject drugs, and has campaigns targeting men who have sex with men in London and other major cities. London was the first city in the world to reach the World Health Organization target for HIV, set at 90% of those with HIV diagnosed, 90% of those diagnosed on HAART and 90% of those on HAART undetectable. The UK as a whole later achieved the same target. Under the Equality Act 2010, it is illegal to discriminate against someone based on their HIV status in the UK.
AIDS Foundation of Chicago is a locally based, non-profit organization that advocates for HIV/AIDS prevention as well as serves as a general resource for the HIV/AIDS community. Founded in 1985, some of their better-known accomplishments include hosting fundraisers to support the distribution of HIV/AIDS related medications in the city, funding the Open Door Health Center, and launching their “Getting to Zero” plan. Their cause seeks to increase the amount of resources available to the HIV/AIDS community as resources are too few and far between. Similar to other city organizations focused on sexual health such as Howard Brown Health, AFC makes getting access to treatment easier for all patients, decreases the stigma around treatment, and promotes the awareness and acceptance of those who live with HIV and/or AIDS.
The history of HIV/AIDS in Australia is distinctive, as Australian government bodies recognised and responded to the AIDS pandemic relatively swiftly, with the implementation of effective disease prevention and public health programs, such as needle and syringe programs (NSPs). As a result, despite significant numbers of at-risk group members contracting the virus in the early period following its discovery, Australia achieved and has maintained a low rate of HIV infection in comparison to the rest of the world.
Cases of HIV/AIDS in Peru are considered to have reached the level of a concentrated epidemic.
The healthcare system of New Zealand has undergone significant changes throughout the past several decades. From an essentially fully public system based on the Social Security Act 1938, reforms have introduced market and health insurance elements primarily since the 1980s, creating a mixed public-private system for delivering healthcare.
HIV/AIDS was first detected in Canada in 1982. In 2018, there were approximately 62,050 people living with HIV/AIDS in Canada. It was estimated that 8,300 people were living with undiagnosed HIV in 2018. Mortality has decreased due to medical advances against HIV/AIDS, especially highly active antiretroviral therapy (HAART).
The Burnett Foundation Aotearoa is New Zealand’s national HIV prevention and healthcare organisation. Its funding is derived from grants, donations and the Ministry of Health.
Discrimination against people with HIV/AIDS or serophobia is the prejudice, fear, rejection, and stigmatization of people with HIV/AIDS. Marginalized, at-risk groups such as members of the LGBTQ+ community, intravenous drug users, and sex workers are most vulnerable to facing HIV/AIDS discrimination. The consequences of societal stigma against PLHIV are quite severe, as HIV/AIDS discrimination actively hinders access to HIV/AIDS screening and care around the world. Moreover, these negative stigmas become used against members of the LGBTQ+ community in the form of stereotypes held by physicians.
The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome Act, 2017, often shortened to the HIV/AIDS Prevention Act, is an act of the Parliament of India that provides for controlling and preventing of HIV/AIDS and securing the rights of individuals diagnosed with HIV/AIDS. The bill for the act was introduced in the Rajya Sabha on 11 February 2014 and was referred to a Standing Committee on 24 February 2014, which submitted its report on 29 April 2015. After few amendments to the original 2014 bill, it was passed by the Rajya Sabh on 21 March 2017 and the Lok Sabha on 11 April 2017. It received Presidential assent on 20 April 2017, and became effective from 10 September 2018. The HIV/AIDS Prevention Act originated from a draft bill submitted by Lawyers Collective, a non-governmental organization, to the National AIDS Control Organisation (NACO) in 2006. The act penalises propagation of hate against HIV/AIDS affected persons, ensures the right of HIV/AIDS affected minors to shared household, protects non-disclosure of HIV/AIDS status in the absence of court order and mandates informed consent to disclose HIV/AIDS positive identity, inter alia. However, civil society organisations and HIV/AIDS affected persons criticised the act on certain legal language issues, as it mandates the state to provide HIV/AIDS affected persons with medical services "as far as possible". This aspect was absent from the draft bill submitted to NACO.
In January 2018, the provincial government of British Columbia (BC) began providing individuals at high risk of HIV infection with pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) at no cost. High risk individuals include men and trans women who have sex with men, people who inject drugs, and people who have sex with people living with HIV. One year following this policy change, which is delivered as part of the British Columbia Centre for Excellence in HIV/AIDS (BC-CfE)'s Drug Treatment Program, almost 3,300 people have been prescribed with PrEP or PEP.
Ready, Set, PrEP is a program of the U.S. Department of Health and Human Services (HHS) that provides free access to the HIV prevention medication PrEP for thousands of qualifying individuals. The program is a key component of Ending the HIV Epidemic: A Plan for America (EHE) initiative to expand access to PrEP and reduce new HIV diagnoses in the U.S.
Bruce Burnett was an AIDS activist and educator influential in establishing the New Zealand AIDS Foundation and early educational programmes.
HIV/AIDS in Hong Kong was first reported in 1984. As of the end of 2021, 11,232 people have been diagnosed with HIV in Hong Kong. New diagnoses are highest in gay and bisexual men, with 53.5% of new diagnoses occurring in men who have sex with men. The rate of reported transmissions peaked in 2015, and has since decreased by 49.1%.