. The most recent UNAIDS estimates of the global burden of HIV are that 36.7 million people are living with HIV-1 infection worldwide and 25.5 million of them live in sub-Saharan Africa (UNAIDS Fact Sheet 2016). Moreover, 70% of new infections annually are occurring in the same region of the world (UNAIDS. How AIDS Changed Everything; 2015). Since 2010, HIV incidence has declined by 14% in eastern and southern Africa and by 8% in western and central Africa, while HIV prevalence continues to rise as more people access antiretroviral treatment. Although treatment is likely having an important impact on slowing HIV transmission, alone it will not turn the epidemic on its head. HIV prevention remains critical to stem the tide of HIV. The UNAIDS 90-90-90 targets for 2020 aim for 90% of people living with HIV knowing their HIV status, 90% of people who know their HIV-positive status being on antiretroviral treatment, and 90% of people on treatment having suppressed virus loads (UNAIDS. Fast- track: ending the AIDS epidemic by 2030; 2014). Current estimates for the African continent are that 29% of all those living with HIV have suppressed viral loads. Every step of the treatment cascade needs intensive investment: scaling up HIV testing access to diagnose those living with HIV, an immediate offer of antiretroviral treatment regardless of CD4 count, and retention in effective treatment to achieve viral suppression. Although there are many measures in place to tackle the HIV disease burden in Africa there remains much work to do in terms of training local physicians and scientists in regard to diagnosis, treatment, and management of individuals with HIV-1 infection, as well as in respect to evidence-informed public health responses and implementation science to determine the most cost-effective use of financial and human resources. The 2017 INTEREST Conference, known as the ?African CROI? brings together scientists involved in HIV treatment, pathogenesis, and prevention research in resource-limited settings in Africa to share pivotal findings, promote collaboration, and transfer experiences across several fields and many continents. A prominent group of international experts in the field of HIV launched this focused international scientific meeting in Africa in 2007. Since then, 10 successful annual meetings have been convened in Uganda, Senegal (twice), Zambia (twice), Mozambique, Tanzania, Kenya, Zimbabwe, and Cameroon. Planning and organization of the conference is overseen by the Amsterdam Institute of Global Health and Development. Catherine Hankins MD PhD chairs INTEREST?s international organizing committee (IOC) and is the Scientific Chair of INTEREST. The Local Chair for 2017 INTEREST conference is Sam Phiri MD PhD, Director of the Lighthouse Trust, Malawi. The organizers of the 2017 INTEREST Conference will pursue the following objectives: 1) To showcase cutting-edge knowledge in the fields of HIV pathogenesis, diagnosis, treatment, and prevention of HIV-1 infection. 2) To continue to foster the building of a community of African physicians and scientists who discuss implementing local solutions for the management of patients living with HIV-1 infection and for the prevention of HIV transmission. ! !

Public Health Relevance

. There is a current increasing effort to provide treatment and prevention strategies for individual living with HIV-1 infections in African countries that allow the control of the local epidemic. The 2017 INTEREST Conference will mainly address the scientific training of young African clinicians and scientists whose scope of is to 1) implement early diagnosis of HIV-1 infection and provide clinical care; 2) develop local strategies for monitoring of patients conditions; 3) implement prevention strategies; 4) study the acute phase of infection and understand the basis for the sustained activation of the immune system. The scientific training of the young African investigators will complement the ongoing efforts to develop local policy and improve care conditions. The three-day scientific Workshop will facilitate fostering local and international scientific interactions and expose the young African scientists to the state-of-the art knowledge in the specific areas of intervention against HIV-1 infection. Moreover, during this event, the invited selected international experts will closely interact with the young investigators to discuss scientific proposal and provide advises on career choices and opportunities in the area of treatment, monitoring, and prevention of HIV-1 infection. !

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Conference (R13)
Project #
1R13AI132015-01
Application #
9349001
Study Section
Special Emphasis Panel (ZAI1-AL-M (J1))
Program Officer
Gutierrez, Martin
Project Start
2017-04-13
Project End
2018-03-31
Budget Start
2017-04-13
Budget End
2018-03-31
Support Year
1
Fiscal Year
2017
Total Cost
$70,000
Indirect Cost
Name
Duke University
Department
Surgery
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705