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Global healthcare<br />

ALL IMAGES ON THIS PAGE © UNAIDS<br />

Q<br />

Q Does the AIDS epidemic still<br />

threaten the prospects for an innovative,<br />

invigorated, interconnected and inclusive<br />

world economy?<br />

A The world has made tremendous<br />

progress towards ending AIDS over the past<br />

decade. In the last few years, the number<br />

of people living with HIV on antiretroviral<br />

therapy (ART) has increased by about a<br />

third, reaching 17 million people. In the<br />

world’s most affected region, Eastern and<br />

Southern Africa, AIDS-related deaths have<br />

fallen by more than a third since 2010. In<br />

Africa, more people are now on treatment<br />

than are becoming newly infected.<br />

The crippling effect of AIDS is still being<br />

felt across all regions, though, including<br />

in many <strong>G20</strong> members. AIDS still hampers<br />

productivity, stifles local and national<br />

growth and dims prospects for building<br />

truly inclusive economies.<br />

Q How can <strong>G20</strong> members support efforts<br />

to end the epidemic?<br />

A The Sustainable Development Goals<br />

(SDGs) include the bold but achievable<br />

target to end the AIDS epidemic by 2030.<br />

Whether we get there hinges entirely on<br />

what we do today. We need to fast track the<br />

AIDS response during the next five years,<br />

increasing and front-loading investments.<br />

We need to start now.<br />

I am greatly encouraged that United<br />

Nations members recently adopted an<br />

ambitious political declaration at the<br />

UN High-Level Meeting on Ending AIDS.<br />

It includes evidence-based actions and<br />

commitments, targets to be reached by<br />

2020 and puts us on the fast track to end<br />

AIDS within 15 years. It calls for financial<br />

investments of at least $26 billion annually,<br />

peaking in 2020. If we follow the road map<br />

set out by the declaration we will end this<br />

epidemic. The returns on the investment<br />

will be significant.<br />

We need the <strong>G20</strong>’s help to sustain this<br />

critical momentum. We must keep AIDS at<br />

the top of the global political and economic<br />

agenda. Every day, 6,000 people are newly<br />

infected with HIV. AIDS remains the largest<br />

killer of women of reproductive age and<br />

the second-largest killer of adolescents.<br />

We have the tools and scientific knowledge<br />

needed to end AIDS. If we squander them,<br />

the world will not forgive our failure. This<br />

may be our last chance. Maintaining current<br />

levels of service coverage will prolong the<br />

epidemic indefinitely, and in several lowand<br />

middle-income countries the epidemic<br />

will rebound.<br />

South Africa now invests $1.5 billion<br />

each year for AIDS programmes, compared<br />

to almost nothing a few years ago. Today,<br />

nearly 3.4 million South Africans receive<br />

HIV treatment – more than any other<br />

country in the world. South Africa has<br />

integrated its AIDS response into the<br />

national health system. This is a shining<br />

example of how political leadership<br />

saves lives, and helps build sustainable,<br />

integrated health programmes, lighting the<br />

path to universal health coverage and the<br />

goal of health security for all.<br />

Q Are there other critical ingredients for<br />

success over the next five years, beyond<br />

money and political will?<br />

A This is about investing wisely and<br />

strategically in the places and people that<br />

will generate the greatest impact. AIDS<br />

programmes are becoming more efficient<br />

every day. Investment returns are growing<br />

182 <strong>G20</strong> China: The Hangzhou Summit • September 2016 G7<strong>G20</strong>.com

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