{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:51:47Z","timestamp":1787068307803,"version":"build-2736575974"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2026,1,6]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>HIV infection is 100% fatal; however, antiretroviral therapy prevents illness, death and transmission\u2014delaying access to treatment is a death sentence while also leading to the spread of HIV. More recently, antiretroviral chemoprophylaxis (commonly known as pre-exposure prophylaxis or PrEP) has been shown to prevent HIV infection among individuals at high risk. In 2003, President George W Bush established the President\u2019s Emergency Plan for AIDS Relief (PEPFAR), the largest commitment by any nation to address a single disease. Over the last two decades, PEPFAR provided antiretroviral treatment to more than 20 million people, saved over 25 million lives, enabled more than 7 million babies to be born free of HIV and helped cut new HIV infections by half in the most impacted countries. Earlier last year, the US administration drastically cut overseas development funding, severely compromising PEPFAR\u2019s ability to deliver life-saving HIV services. UNAIDS modelling shows that if the funding permanently disappears, there could be an additional 6 million HIV infections and an additional 4 million AIDS-related deaths by 2029. We urge the US administration and the G7 leadership to reflect carefully on the likely and grave consequences of dismantling one of the most successful initiatives in the history of global health.<\/jats:p>","DOI":"10.1136\/sextrans-2025-056807","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T18:20:40Z","timestamp":1769538040000},"page":"398-400","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Inaction against HIV\/AIDS remains a crime against humanity"],"prefix":"10.1136","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6201-9829","authenticated-orcid":false,"given":"Julio S G","family":"Montaner","sequence":"first","affiliation":[{"name":"BC Centre for Excellence in HIV\/AIDS, Vancouver, British Columbia, Canada"},{"name":"Medicine, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reuben","family":"Granich","sequence":"additional","affiliation":[{"name":"Public Health Consultant, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Williams","sequence":"additional","affiliation":[{"name":"South African Centre for Epidemiological Modelling and Analysis, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sindisiwe","family":"Shangase","sequence":"additional","affiliation":[{"name":"Positive Women\u2019s Network, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S","family":"Hogg","sequence":"additional","affiliation":[{"name":"BC Centre for Excellence in HIV\/AIDS, Vancouver, British Columbia, Canada"},{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"2026081808050873000_102.6.398.1","unstructured":"Mandela N . Make poverty history speech. Trafalgar Square, London; 2005. Available: https:\/\/www.theguardian.com\/society\/2005\/feb\/03\/internationalaidanddevelopment.hearafrica05"},{"key":"2026081808050873000_102.6.398.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11722-3"},{"key":"2026081808050873000_102.6.398.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69162-9"},{"key":"2026081808050873000_102.6.398.4","unstructured":"UNAIDS . Press release: global aids epidemic shows no sign of abating; highest number of hiv infections and deaths ever: rapid increases in newer hiv epidemics in asia and eastern europe; despite improvements, current prevention and care efforts are inadequate [internet]. geneva: joint united nations programme on hiv\/aids (unaids). 2003. Available: https:\/\/www.unaids.org\/sites\/default\/files\/web_story\/pr_wad-epi_25nov03_en_0.pdf"},{"key":"2026081808050873000_102.6.398.5","unstructured":"Bush GW . Address before a joint session of the congress on the state of the union. 108th Cong., 1st Sess. Washington (DC): U.S. Government Publishing Office, 2003."},{"key":"2026081808050873000_102.6.398.6","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.endeavour.2010.09.006","article-title":"The Global Great Society and the US commitment to smallpox eradication","volume":"34","author":"Reinhardt","year":"2010","journal-title":"Endeavour"},{"key":"2026081808050873000_102.6.398.7","unstructured":"Wickett J , Smallpox eradication . When who hit the jackpot. Smallpox eradication; 1986. Available: https:\/\/iris.who.int\/bitstream\/handle\/10665\/53547\/WH-1986-May-p18-19-eng.pdf?sequence=1"},{"key":"2026081808050873000_102.6.398.8","unstructured":"The United States President\u2019s Emergency Plan for AIDS Relief (PEPFAR) . Latest global program results. [internet]. washington, D.C. PEPFAR; 2024. Available: https:\/\/www.state.gov\/pepfar-latest-global-results-factsheet-dec-2024"},{"key":"2026081808050873000_102.6.398.9","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS) . The path that ends aids: unaids global aids update 2023. geneva: unaids; 2023. licence: cc by-nc-sa 3.0 igo. 2023. Available: https:\/\/www.unaids.org\/en\/resources\/documents\/2023\/global-aids-update-2023"},{"key":"2026081808050873000_102.6.398.10","doi-asserted-by":"crossref","DOI":"10.3390\/tropicalmed10030075","article-title":"Generalized Treatment as Prevention Plus Focused Pre-Exposure Prophylaxis Is the Key to Controlling HIV\/AIDS","volume":"10","author":"Montaner","year":"2025","journal-title":"Trop Med Infect Dis"},{"key":"2026081808050873000_102.6.398.11","unstructured":"AIDS, crisis and the power to transform: UNAIDS Global AIDS Update 2025. Geneva Joint United Nations Programme on HIV\/AIDS; 2025."},{"key":"2026081808050873000_102.6.398.12","unstructured":"Five charts explain trump\u2019s cuts to foreign aid. The Economist, 2025. Available: https:\/\/www.economist.com\/graphic-detail\/2025\/07\/15\/five-charts-explain-trumps-cuts-to-foreign-aid?utm_content=ed-picks-image-link-4&etear=nl_today_4&utm_campaign=a.the-economist-today&utm_medium=email.internal-newsletter.np&utm_source=salesforce-marketing-cloud&utm_term=7\/16\/2025&utm_id=2094531 [Accessed 15 Jan 2026]."}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2025-056807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:06:53Z","timestamp":1787065613000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2025-056807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":12,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,8,18]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/sextrans-2025-056807"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2025-056807","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]}}}