World AIDS Day 2017

Chris Law Excerpts

Tuesday 5th December 2017 Westminster Hall

[Chris Law (Dundee West) (SNP)]

It is a pleasure to speak under your chairmanship, Mr Hollobone. I thank the hon. Member for Cardiff South and Penarth (Stephen Doughty) for bringing this important and timely debate and for his continuing work with the all-party parliamentary group.

This debate is an opportunity to reflect on the estimated 35 million people who have died from AIDS-related illnesses and to show solidarity with the millions of people living with HIV worldwide today. It is an honour to wear a red ribbon in solidarity with all of those people. However, for many of them, stigma remains a problem. Stigma leaves people feeling ostracised and experiencing poor mental health and social outcomes. Stigma is also one of the biggest barriers to testing and treatment, and fear of a HIV-positive diagnosis discourages individuals from getting tested and engaging with health services. For some, stigma means living in perpetual fear of their HIV status being revealed to those with whom they live, work and spend time.

As my hon. Friend the Member for Cumbernauld, Kilsyth and Kirkintilloch East (Stuart C. McDonald) said earlier, in Scotland last week the First Minister took an HIV test, which gives instant results, as part of efforts to reduce the stigma surrounding the disease. Not only that but voluntary sector bodies, along with people living with the condition, joined together to unveil a new action plan in Scotland ahead of World AIDS Day. The anti-stigma strategy “Road Map to Zero” set out how organisations such as the National AIDS Trust, the Terence Higgins Trust, HIV Scotland and others will continue to work with the Scottish Government and others to end HIV-related stigma.

We should all take pride in the fact that Scotland is a leader in HIV policy. It was the first nation in the UK to make PrEP available on the NHS and I pay tribute today to the campaigners who worked tirelessly for that to happen. PrEP is making a huge difference to the lives of many people in Scotland and I hope the UK will follow in Scotland’s footsteps.

At an international level, incredible achievements have been made in the global response to HIV. Some may argue that the worst is behind us, but sadly HIV is still a death sentence for many people across the globe. Sub-Saharan Africa remains most severely affected, with nearly one in every 25 adults living with HIV.

One of the UN’s sustainable development goals is to end AIDS by 2030. To reach that target, significant work still needs to be done. There are signs that the HIV response is beginning to stall. Key challenges remain. One is that the level of new infections each year is still too high. Only last week, the World Health Organisation highlighted the fact that the number of new infections in Europe is growing at an “alarming rate”. In central Asia, infections have increased by more than half since 2010. Key populations—for example, men who have sex with men, transgender people, people who use drugs and sex workers—are disproportionately affected by HIV. A further challenge is the high price of intellectual property and drug prices, which remain a barrier for HIV patients’ access to medicine. UNAIDS predicts we would need an additional $7 billion annually to respond to the global HIV challenge. However, total DFID HIV funding decreased by 22% between 2012 and 2015, and the Department’s last strategy on HIV expired more than two years ago. It has no plans to renew it.

Without a strategy, DFID has no way to set and communicate priorities or measure impact. I would therefore urge the Minister to increase overall levels of UK funding for the global HIV response, in line with UNAIDS recommendations, and to formalise and make public its approach to HIV. With current tools, we can hope to control the epidemic, but as the Gates Foundation has highlighted, to make headway towards ending it, we must bring down the number of new infections at a much faster rate. That will require new and better prevention technologies, such as an effective vaccine.

The Minister noted during last week’s DFID questions that the UK has been a long-standing supporter of the International AIDS Vaccine Initiative. We all agree about that, but it now needs action. The Government must increase research and development so that we have the necessary tools for the future.

We want to live in communities that have positive and non-stigmatising attitudes towards people who are affected by HIV. World AIDS Day and debates in Parliament help us to share that goal. Ultimately, World AIDS Day reminds the public, and MPs, that HIV has not gone away. Great scientific and medical progress has been made. As others have mentioned, treatment is dramatically more effective, and many more people are living long and healthy lives. At least that is the case in wealthy countries; it is not everywhere. The UK must show leadership in the global response to HIV and AIDS.