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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