Economic Evaluation of the Comprehensive AIDS Prevention and Control Program — Tianjin Municipality, China, 2011–2022

   A new study conducted by the Tianjin Second People’s Hospital in China has highlighted the potential economic benefits of HIV prevention strategies. Using an SIRD model and HIV surveillance data, researchers estimated that effective prevention measures implemented between 2011 and 2022 could have prevented 2,965 new HIV infections and saved 658 lives. This resulted in an estimated economic benefit of approximately 14.437 billion CNY. The study emphasizes the importance of effective HIV prevention and control strategies in reducing the spread of the disease and lessening its economic burden. The findings provide valuable evidence to guide the development of localized prevention and control strategies and inform public health decision-making. Tianjin is among the first cities in China to report on the economic impact of HIV prevention strategies over a specific period. The study’s findings underscore the need for continued investment in prevention efforts to protect both the health of individuals and the economic well-being of society.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.200

Changing Mortality and Patterns of Death Causes in HIV Infected Patients — China, 2013–2022

   New study reveals changing mortality and patterns of death causes among HIV-infected patients in China from 2013 to 2022. The implementation of China’s universal antiretroviral therapy (ART) access strategy has led to significant alterations in the mortality causes among HIV-positive individuals. The study found that the all-cause mortality rate decreased to 2.7%, with non-AIDS-related mortality at 1.8% in 2022. However, the accuracy of death reporting may affect the classification of underlying causes. Efforts should focus on advancing ART strategies and mitigating non-AIDS-related mortality in the future. The study used data from the national HIV/AIDS CRIMS database and analyzed mortality rates, causes of death, and ART coverage rates. Notably, eligibility criteria for initiating ART changed during the study period, influencing trends in coverage and mortality rates. The findings provide insights to improve health outcomes for HIV-infected patients in China.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.201

Comparative Analysis of Epidemiological Features of HIV/AIDS Cases Aged Over and Under 50 Years Old — China, 2010–2022

   New Study Highlights Increasing HIV/AIDS Cases Among Individuals Aged 50 and Older in China A recent study conducted in China has revealed a concerning trend of rising HIV/AIDS cases among individuals aged 50 years and older. The study, which analyzed data from 2010 to 2022, compared the epidemiological characteristics of HIV/AIDS cases in populations above and below 50 years of age. The findings showed a significant increase in the proportion and detection rate of HIV/AIDS cases among the ≥50 age group compared to the 15-49 age group. In 2022, there were notable statistical differences between males and females in both age cohorts, including education, marital status, occupation, mode of transmission, location of diagnosis, and region. Given the global aging population, this study highlights the need for targeted interventions and prevention strategies specifically designed for individuals aged 50 and older. It is crucial to address high-risk behaviors and ensure effective transmission control within this demographic. This study provides valuable insights into the current epidemiology of HIV/AIDS in China, shedding light on a previously neglected age group and emphasizing the importance of tailored interventions.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.202

Preventing HIV Epidemic in China: Policy Evolution and Coordination Mechanisms in the Past Four Decades

   China's approach to tackling HIV/AIDS has evolved over the past four decades, with an increasing number of policies and coordination mechanisms implemented. Since the outbreak began in 1982, over 471 policies have been introduced, initially led by the Ministry of Health and later recognized as a serious societal issue by the State Council. In 1995, the first policy specifically dedicated to orchestrating a cohesive HIV response among government agencies. followed by the establishment of a coordination conference system in 1996. In 2004, the State Council created the State Council AIDS Working Committee to enhance collaboration and leadership in the fight against HIV/AIDS. This article examines the relationship between policy development and coordination mechanisms, highlighting the importance of effective coordination among health agencies and other ministries. The study collected data from a variety of sources, including national policy documents, accounts of outbreaks, and commentary from government officials and public health authorities. The findings contribute to the understanding of China's evolving HIV/AIDS policy and the need for coordinated efforts.

   For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2023.203