Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus

Sara E. Croxford*, Veronique Martin, Sebastian B. Lucas, Robert F. Miller, Frank A. Post, Jane Anderson, Vanessa J. Apea, David Asboe, Garry Brough, David R. Chadwick, Simon Collins, Helen Corkin, Gillian Dean, Valerie C. Delpech, Maka Gogia, Deborah Gold, Anna Kafkalias, Marilena Korkodilos, Justyna D. Kowalska, Jacqueline LindoJens D. Lundgren, Lucy Lynch, Esteban Martinez, Niall McDougall, Sarah North, Juergen K. Rockstroh, Caroline Sabin, Maria Vidal-Read, Laura J. Waters, Ann K. Sullivan

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)

Abstract

Getting to Zero is a commonly cited strategic aim to reduce mortality due to both HIV and avoidable deaths among people with HIV. However, no clear definitions are attached to these aims with regard to what constitutes HIV-related or preventable mortality, and their ambition is limited. This Position Paper presents consensus recommendations to define preventable HIV-related mortality for a pragmatic approach to public health monitoring by use of national HIV surveillance data. These recommendations were informed by a comprehensive literature review and agreed by 42 international experts, including clinicians, public health professionals, researchers, commissioners, and community representatives. By applying the recommendations to 2019 national HIV surveillance data from the UK, we show that 30% of deaths among people with HIV were HIV-related or possibly HIV-related, and at least 63% of these deaths were preventable or potentially preventable. The application of these recommendations by health authorities will ensure consistent monitoring of HIV elimination targets and allow for the identification of inequalities and areas for intervention.

Original languageEnglish
Pages (from-to)e195-e201
JournalThe Lancet HIV
Volume10
Issue number3
DOIs
Publication statusPublished - Mar 2023

Bibliographical note

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© 2023 Elsevier Ltd

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