PharmacoEconomics & Outcomes News 681 - 29 Jun 2013 HIV testing, early ART saves lives and costs in Vietnam Providing periodic HIV testing and counselling (HTC) and immediate antiretroviral therapy (ART) for key populations reduces the number of new HIV infections in Vietnam, thereby saving lives and costs. This is the main finding of a study that used a model to assess the effects of periodic testing and immediate treatment (PTIT) on the number of new HIV infections and cumulative costs, with or without targeting subpopulations, in Can Tho province of Vietnam. For a reference scenario, in which current prevention interventions and ART would be maintained at 2010 level, the number of new HIV infections between 2011 and 2050 was estimated at 18 115, with 7624 AIDS deaths and a cumulative cost of $US22.1 million. Universal PTIT with annual testing was predicted to reduce the number of new HIV infections by 80%, compared with the reference scenario, and the cumulative HTC and ART costs were estimated at $76.9 million. For targeted PTIT scenarios, the largest reduction in the number of new infections and deaths was achieved when annual testing and ART were offered to people who inject drugs, reducing the number of new infections by 75% and the number of deaths by 69%, with a cumulative cost of $23.6 million. Kato M, et al. The potential impact of expanding antiretroviral therapy and combination prevention in Vietnam: Towards elimination of HIV transmission. JAIDS : [20 pages], 24 May 2013. Available from: URL: http://dx.doi.org/10.1097/ QAI.0b013e31829b535b 803088820 1 PharmacoEconomics & Outcomes News 29 Jun 2013 No. 681 1173-5503/10/0681-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved

HIV testing, early ART saves lives and costs in Vietnam

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PharmacoEconomics & Outcomes News 681 - 29 Jun 2013

HIV testing, early ART saves livesand costs in Vietnam

Providing periodic HIV testing and counselling (HTC)and immediate antiretroviral therapy (ART) for keypopulations reduces the number of new HIV infectionsin Vietnam, thereby saving lives and costs.

This is the main finding of a study that used a model toassess the effects of periodic testing and immediatetreatment (PTIT) on the number of new HIV infectionsand cumulative costs, with or without targetingsubpopulations, in Can Tho province of Vietnam.

For a reference scenario, in which current preventioninterventions and ART would be maintained at 2010level, the number of new HIV infections between 2011and 2050 was estimated at 18 115, with 7624 AIDSdeaths and a cumulative cost of $US22.1 million.Universal PTIT with annual testing was predicted toreduce the number of new HIV infections by 80%,compared with the reference scenario, and thecumulative HTC and ART costs were estimated at$76.9 million. For targeted PTIT scenarios, the largestreduction in the number of new infections and deathswas achieved when annual testing and ART were offeredto people who inject drugs, reducing the number of newinfections by 75% and the number of deaths by 69%,with a cumulative cost of $23.6 million.Kato M, et al. The potential impact of expanding antiretroviral therapy andcombination prevention in Vietnam: Towards elimination of HIV transmission.JAIDS : [20 pages], 24 May 2013. Available from: URL: http://dx.doi.org/10.1097/QAI.0b013e31829b535b 803088820