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Since the creation of PEPFAR in 2003, the coordinated global effort to combat the HIV/AIDS pandemic has continued to expand on its successes in diagnosing and treating people living with HIV (PLHIV).  At the annual International AIDS Society meetings in July 2020, UNAIDS announced its latest estimate that approximately 25.4 million PLHIV were receiving treatment with antiretroviral therapy (ART) by the end of 2019.  This represents a greater than three-fold increase since 2010, and a more than 20-fold increase since 2003, largely driven by the leadership of the American people through PEPFAR, especially in countries with the highest burden of disease.  This rapid expansion in access to life-saving treatment stands as one of PEPFAR’s greatest achievements for many reasons: not only has ART saved the lives of millions of PLHIV and increased their life expectancy to near-normal levels, but it yields a reduction in the levels of HIV virus that enables it to act as a prevention tool that dramatically lowers the likelihood of HIV transmission.

U.S. Department of State

The Lessons of 1989: Freedom and Our Future