Centers for Disease Control Spend More for Men Having Sex With Men
The Centers for Disease Control and Prevention will lead new programs totaling more than $185 million in HIV prevention funding for men who have sex with men (MSM) and transgender people, with a particular focus on addressing the needs of MSM of color.
The multi-faceted strategy will respond to the severe burden of HIV among MSM and transgender men and women through three new programs enabling health departments and local HIV prevention partners to deliver the most effective HIV prevention tools.
The CDC has long struggled with men self-identifying as bisexual although they have sex with other men, so they have used the term MSM to include heterosexual-identified men, as well as gay and bisexual men.
CDC is awarding up to $125 million over three years to state and local health departments to expand the use of two new, vital prevention strategies: pre-exposure prophylaxis (PrEP) for MSM and transgender people who are HIV-negative but at substantial risk, and ongoing medical care and antiretroviral treatment for people living with HIV. An additional investment of up to $60.5 million over four years from the Department of Health and Human Services Secretary’s Minority AIDS Initiative Fund (SMAIF), which supports innovative approaches to addressing HIV in minority communities, will help intensify prevention efforts specifically for MSM of color.
“We have more powerful HIV prevention tools than ever before. Now, we need to get them into the hands of the people who need them the most,” said Dr. Jonathan Mermin, director of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. “By harnessing the power of recent scientific breakthroughs, we can change the course of the epidemic among MSM and transgender people – who continue to face the highest risk for infection in this country.”
Despite comprising only about two percent of the U.S. population, MSM account for more than half of the estimated 1.2 million people living with HIV in this country. Additionally, the most recent CDC data show increases in both HIV incidence and diagnoses among MSM, with stark increases among young MSM of color. MSM now account for almost 70 percent of all new HIV diagnoses, and MSM of color account for nearly two-thirds of diagnoses among MSM.
Accelerating PrEP uptake and engaging more people in HIV care
Up to $125 million of the funding will be provided over three years to state and local health departments to scale up two new, powerful HIV prevention strategies:
- Increasing PrEP uptake: Numerous studies have shown that people who take PrEP daily can reduce their risk of contracting HIV by more than 90 percent.
- Health departments will be funded to provide PrEP information and referrals and to conduct outreach and training to increase the number of health care providers who are knowledgeable about PrEP and offer it to their patients.
- The primary objective is to increase the knowledge about and uptake of PrEP among MSM and transgender people at greatest risk of infection.
- Twenty-four health departments in areas where MSM are severely impacted are eligible to apply for these funds.
- Using routinely collected data to increase engagement in HIV care: A recent CDC study showed that more than 90 percent of new HIV infections in the U.S. could be averted by diagnosing people living with HIV and ensuring they receive prompt, ongoing care and treatment. Only about half of MSM diagnosed with HIV in the U.S. are engaged in regular care.
- Health departments will be funded to expand the use of HIV surveillance data to help connect and reengage people diagnosed with HIV but not in care with needed services, prioritizing MSM and transgender people.