The mayor of Paris, Anne Hidalgo, received Monday at the Town Hall a report from epidemiologist France Lert, entitled “Towards Paris without AIDS“. Based on a precise diagnosis of the Parisian situation, it makes concrete recommendations to achieve the end of transmission of the virus in the capital by 2030.
In Paris, the situation is worrying, since according to estimates, the prevalence of new cases HIV infectionscan exceed 20% compared to the rest of the national territory. Anne Hidalgo therefore wanted the epidemiologist France Lert to draw up a precise assessment of the epidemic in her city, in order to better understand the populations carrying the virus, their lifestyles and the territories in which they are located.
The Mayor of Paris has a triple objective, by 2020:
– that 90% of people living with HIV know their HIV status
– that 90% of people living with HIV receive antiretroviral therapyx perennial
-that 90% of people on antiretroviral treatment have an undetectable viral load
– that the city is heading towards the end of the virus transmission in 2030.
“Much of the road has already been covered for two of those 90%. The hospital database indeed observes, for the whole of France, that 96% of people in care are treated and 94% of people treated for at least 6 months have an undetectable viral load. However, the proportion of HIV positive people diagnosed is only 81% with variations according to the populations “ underlines the report.
– A major epidemic, 5 times higher than the French average, more than twice as high as the Île-de-France and nearly 10 times higher than the mainland outside the Île-de-France. Parisian cases of HIV infections represent a fifth of the figure as a whole in France for just over 3% of the population.
– A concentrated epidemic within the male homosexual population (52.5%) and migrant populations contaminated by heterosexuality (38.3%) mainly from Sub-Saharan Africa. The number of new cases among injecting drug users has become very low (less than 15 in 2014). For this group, the main concern today is the transmission and treatment of hepatitis C.
– An epidemic on the rise. An increase in the number of cases discovered compared to recent years, particularly among homosexual men for whom the number of declared cases is the highest since the implementation of the mandatory declaration (OD) of seropositivity in 2003.
In addition, too late a diagnosis of the infection prevents the protective effect of the treatment on the transmission from being fully realized.
As the report points out, “Paris has a very diverse range of care with around fifteen departments in the AP-HP hospitals which are all clinical research sites, 11 free screening and diagnostic information centers (CeGIDD) approved in early 2016, 8 community screening programs, a health center which develops a sexual health offer mainly for homosexual men (Le 190) and an outpatient center for comprehensive HIV care (Institut Alfred Fournier) “.
