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These reports are prepared by the Office of the United States Global AIDS Coordinator in collaboration with the United States Departments of State (including the United States Agency for International Development), Defense, Commerce, Labor, Health and Human Services (including the Centers for Disease Control and Prevention, the Food and Drug Administration, the Health Resources and Services Administration, the National Institutes of Health, and the Office of Global Health Affairs), and the Peace Corps.

Sixteenth Annual Report to Congress (2020)

Seventeen years ago, when the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) began, an HIV diagnosis was a death sentence in many parts of the world. Now, we have the historic opportunity to make what once seemed impossible possible: controlling and ultimately ending the HIV/AIDS epidemic – community by community.

Since 2003, the U.S. government has saved more than 18 million lives and prevented millions of HIV infections through PEPFAR. Working together with our partners in more than 50 countries, we have moved the HIV/AIDS epidemic from crisis toward control. Globally, PEPFAR has helped replace death and despair with vibrant life and hope. According to the Joint United Nations Programme on HIV/AIDS, AIDS-related deaths have been cut by 55 percent and new HIV infections by 40 percent since their respective peaks in 2004 and 1997.

With strong bipartisan support across three U.S. presidents and nine U.S. congresses, the U.S. government has invested more than $85 billion in the global HIV/AIDS response through PEPFAR and as the largest donor to the Global Fund to Fight AIDS, Tuberculosis and Malaria. This commitment represents the largest made by any nation to address a single disease in history.

2020 Annual Report to Congress [15 MB] (PDF)

Reports of Previous Years

U.S. Department of State

The Lessons of 1989: Freedom and Our Future