The world lacks the means to treat its way out of HIV, Microsoft founder and billionaire philanthropist Bill Gates told the Eighteenth International AIDS Conference in Vienna on Monday.
However, he presented models that showed that we could cut current epidemics by 40% with the efficient and targeted use of simple prevention resources we have already. Adding in microbicides and pre-exposure prophylaxis (PrEP), which may be available in five years, could cut them by 60%.
Gates said: “If we push for a new focus of efficiency in both treatment and prevention and continue to innovate new tools we can start writing the story of the end of AIDS.”
We should be launching concerted drives to increase the provision of treatment to prevent mother-to-child transmission, and to roll out male circumcision programmes, he added.
“These are potentially so cheap and easy to supply it’s actually more expensive not to implement them.”
Gates admitted he had been sceptical about the potential impact of circumcision.
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