Universal test and treat not enough to end HIV epidemic

Abstract

Early models of HIV epidemics calculated that near-universal antiretroviral treatment coverage and medical circumcision could almost eliminate new infections. However, as countries like Eswatini reach their 90-90-90 targets, it's becoming clear that this is not the case. Randomised trials in sub-Saharan Africa confirm the feasibility of universal test-and-treat, but localised data and additional preventative measures are needed to reduce new infections enough to eliminate the HIV epidemic.