{"id":14101,"date":"2025-03-19T17:29:20","date_gmt":"2025-03-19T17:29:20","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/trump-administration-considers-scaling-back-h-i-v-efforts-at-c-d-c\/"},"modified":"2025-03-19T17:29:20","modified_gmt":"2025-03-19T17:29:20","slug":"trump-administration-considers-scaling-back-h-i-v-efforts-at-c-d-c","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/trump-administration-considers-scaling-back-h-i-v-efforts-at-c-d-c\/","title":{"rendered":"Trump Administration Considers Scaling Back H.I.V. Efforts at C.D.C."},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">During his first term, President Donald J. Trump unveiled a bold initiative to end the H.I.V. epidemic in the United States by 2030 by focusing on 57 jurisdictions with the most urgent needs.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The plan, which Mr. Trump announced in 2019 at a State of the Union address, surprised advocacy groups. But it was widely lauded, <a class=\"css-yywogo\" href=\"https:\/\/www.hiv.gov\/hiv-basics\/overview\/data-and-trends\/statistics\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">and successful<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">By 2022, the plan had driven down new infections nationwide by 30 percent in adolescents and young adults, and by roughly 10 percent in most other groups.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">This time around, the Trump administration\u2019s stance on H.I.V. appears to be much the opposite.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The Department of Health and Human Services is now considering shutting down the H.I.V. prevention division of the Centers for Disease Control and Prevention and shifting some of its activities to a different agency, according to federal officials.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The C.D.C. provides funds to states and territories for detecting and responding to H.I.V. outbreaks, prevention, syringe exchange, expanded testing in emergency rooms and education and awareness. Roughly one in four new diagnoses of H.I.V. is made with agency funds.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The administration\u2019s plan has not yet been finalized, and its potential timing is unclear.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cIt\u2019s not 100 percent going to happen, but 100 percent being discussed,\u201d said a federal official who was not authorized to speak to the media about the matter.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">H.I.V. prevention efforts, including clinical trials, in much of the world have already been halted with the gutting of the U.S. Agency for International Development.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">And some federal funding for prevention and treatment was cut because the grants were related to transgender people, who are among those at highest risk of H.I.V.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In addition, the National Institutes of Health has terminated funding for <a class=\"css-yywogo\" href=\"https:\/\/taggs.hhs.gov\/Content\/Data\/HHS_Grants_Terminated.pdf\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">dozens of related studies<\/a>, including those on H.I.V. in children; the role of substance use; and increasing the use of preventive therapies among underserved groups, such as Black women.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The first Trump administration\u2019s H.I.V. plan focused on helping many of these groups.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The initiative aimed to prevent infections in poor Black communities, and among gay and bisexual men and transgender women, some of the groups with the highest risk of contracting H.I.V.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cIt was not his constituency,\u201d Adm. Brett Giroir, who served as deputy secretary of health and human services in the first Trump administration, said in an interview last fall. But \u201cthe president was wildly supportive of that.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The states where the initiative\u2019s efforts were focused cut new infections overall by more than 20 percent by 2022. \u201cThat\u2019s exactly what we were trying to do, and we did it,\u201d Admiral Giroir said on Tuesday.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The first Trump administration also enforced government-held patents on preventive drugs to negotiate better deals from the manufacturers.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThese actions made a real difference,\u201d said Jeremiah Johnson, executive director of the advocacy organization PrEP4All. But, he added, \u201cit doesn\u2019t seem like the current administration is motivated by prior accomplishments.\u201d<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The administration is considering a tentative plan to move some of the C.D.C.\u2019s prevention programs to the Health Resources and Services Administration. That agency funds state and local health departments and community-based groups providing H.I.V. services, including through the signature <a class=\"css-yywogo\" href=\"https:\/\/ryanwhite.hrsa.gov\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">Ryan White program<\/a>.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cH.H.S. is following the administration\u2019s guidance and taking a careful look at all divisions to see where there is overlap that could be streamlined to support the president\u2019s broader efforts to restructure the federal government,\u201d said Emily G. Hilliard, the department\u2019s deputy press secretary.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">No final decision has been made, she added.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some organizations welcomed the possibility of moving prevention programs to H.R.S.A., which could provide comprehensive H.I.V. and maternal health services \u2014 so long as the C.D.C. continued to lead surveillance efforts and treatment guidelines.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cProviding new funding to H.R.S.A. opens up new possibilities for efficiencies in biomedical prevention of H.I.V. and other sexually transmitted infections,\u201d said David C. Harvey, executive director of the National Coalition of STD Directors.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But other experts were deeply concerned about the potential loss of C.D.C. involvement.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cH.R.S.A. and their Ryan White program are terrific but focus on H.I.V. care and treatment,\u201d said Mitchell Warren, executive director of AVAC, an advocacy group.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-4\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cThey do not engage in H.I.V. prevention as a priority, which is why C.D.C.\u2019s prevention focus is so critical.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Michael Ruppal, executive director of the AIDS Institute, said officials at H.R.S.A. didn\u2019t have expertise in how public health prevention was administered and measured.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThe leadership that\u2019s within the C.D.C. and all the institutional knowledge there, we need it in the field \u2014 the states need it, the communities need it,\u201d Mr. Ruppal said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">His organization helps Florida counties, including seven of the 57 high-risk jurisdictions included in the 2019 initiative, plan H.I.V. services. \u201cIt just seems like it\u2019s counterproductive to his personality to let this happen to this program after he put his name on it,\u201d he said, referring to Mr. Trump.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some public health experts worried about the N.I.H. cutting grants for studies of stigma and prevention, particularly those involving some L.G.B.T.Q. populations. Most new H.I.V. infections are among gay and bisexual men, and transgender women.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-5\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cThat\u2019s where the epidemic is, and if you are not there, you are not addressing the epidemic,\u201d said Dr. Chris Beyrer, director of the Duke Global Health Institute.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">About 7 percent of the N.I.H. budget goes to H.I.V. research, but some Republican lawmakers have suggested that funding for H.I.V. should be commensurate with its national prevalence of less than 0.4 percent.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThat certainly would not be enough to continue the research toward a vaccine, which we need, and toward a cure,\u201d said Dr. Beyrer, who serves as an adviser to the H.I.V. Vaccine Trials Network.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Given the changes to H.I.V. programs within the United States and abroad, public health organizations will need a new paradigm in order to continue their work.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">That may involve companies negotiating purchase agreements directly with states and large nonprofits, or it may entail completely new models of partnership.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-6\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cWe\u2019ve got to snap out of any paralysis or any disbelief or shock, and we\u2019ve really got to look at what needs to be built in the future,\u201d Mr. Warren said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cOne of the biggest tragedies in all of this would be if we let this narrative be written entirely by people who don\u2019t understand science or health care or research or foreign assistance,\u201d he added. <\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.nytimes.com\/2025\/03\/19\/health\/cdc-hiv-prevention-treatment.html\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During his first term, President Donald J. Trump unveiled a bold initiative to end the H.I.V. epidemic in the United<\/p>\n","protected":false},"author":1,"featured_media":14102,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[634,4479,982,1588,111,188],"class_list":["post-14101","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-2","tag-centers-for-disease-control-and-prevention","tag-health-resources-and-services-administration","tag-national-institutes-of-health","tag-sexually-transmitted-diseases","tag-united-states-politics-and-government","tag-your-feed-science"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trump Administration Considers Scaling Back H.I.V. 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