![]() Allowing the HIV epidemic to rebound would be catastrophic for the communities most affected by HIV and for the broader field of global health. Yet where vigilance and renewed efforts are needed, there are disturbing indications that the world's commitment is waning. Without further reductions in HIV incidence, a resurgence of the epidemic is inevitable, as the largest ever generation of young people age into adolescence and adulthood. Although the number of new HIV infections and AIDS-related deaths have markedly decreased since the epidemic peaked, little progress has been made in reducing new infections in the past decade. Recent trends in the HIV response are especially concerning. The loss of momentum on global health ignores the urgent need to strengthen health systems to address the steady growth of NCDs, which now account for seven of ten deaths worldwide. Official development assistance for health has stalled, as an inward-looking nationalism has in many places supplanted recognition of the need for global collaboration to address shared challenges. ![]() Democracy is in retreat, and in many countries the space for civil society is declining and the human rights environment deteriorating. Attaining universal health coverage is the means by which these ambitious health targets are to be achieved.Īlthough on their face, the SDGs reflect an unprecedented level of global solidarity and resolve, the trends that increasingly define our world in 2018 are inconsistent with both the sentiments that underlie the SDGs and the ethos that generated such striking health and development gains in recent years. Improving the health and wellbeing of the world's people is at the core of the Sustainable Development Goals (SDGs), reflected in targets that call for ending the epidemics of AIDS, tuberculosis, and malaria achieving enormous improvements in maternal and child health and tackling the growing burden of non-communicable diseases (NCDs). ![]() ![]() Inspired by unprecedented improvements in human health and development in recent decades, our world has embarked on a quest that only a generation ago would have been considered unreachable-achieving sustainable health and development for all. Linda-Gail Bekker, PhD, a, b, * George Alleyne, MD, c Stefan Baral, FRCPC, d Javier Cepeda, PhD, m Demetre Daskalakis, MD, n David Dowdy, PhD, e Mark Dybul, Prof, PhD, o Serge Eholie, Prof, MD, p Kene Esom, PhD, q Geoff Garnett, Prof, PhD, r Anna Grimsrud, PhD, a James Hakim, Prof, FRCP, s Diane Havlir, MD, t Michael T Isbell, JD, a Leigh Johnson, PhD, u Adeeba Kamarulzaman, Prof, FRACP, v Parastu Kasaie, PhD, f Michel Kazatchkine, Prof, MD, w Nduku Kilonzo, PhD, x Michael Klag, Prof, FACP, e, g Marina Klein, FRCP, y Sharon R Lewin, z Chewe Luo, PhD, aa Keletso Makofane, MPH, ab Natasha K Martin, PhD, m Kenneth Mayer, ac Gregorio Millett, MPH, ad Ntobeko Ntusi, Prof, MD, ae Loyce Pace, MPH, af Carey Pike, MSc, b Peter Piot, Prof, PhD, ag Anton Pozniak, FRCP, ah Thomas C Quinn, MD, i, j, k Jurgen Rockstroh, Prof, MD, ai Jirair Ratevosian, MPH, e Owen Ryan, MPH, a Serra Sippel, MA, aj Bruno Spire, PhD, ak Agnes Soucat, PhD, al Ann Starrs, MIA, am Steffanie A Strathdee, PhD, an Nicholas Thomson, PhD, h, l Stefano Vella, MD, ao Mauro Schechter, Prof, MD, ap Peter Vickerman, Prof, PhD, aq Brian Weir, PhD, f and Chris Beyrer, Prof, MD a, d ![]()
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