O'Neill Institute  |  September 14, 2026

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In July 2024, the Center for HIV & Infectious Disease Policy in partnership with the Emory Global Health Institute and the Emory Rollins School of Public Health published a series of briefs recognizing that after more than four decades of extraordinary scientific progress and community leadership, the HIV response had reached an inflection point. The choices made by policymakers, advocates, researchers, funders, and communities would determine whether the remarkable gains achieved over the past forty years could be sustained, or whether declining political commitment, growing complacency, and persistent inequities would undermine future progress.

Since those briefs were released, the environment surrounding the HIV response has changed dramatically. Political and financial uncertainty has disrupted longstanding domestic and global HIV programs, strained community organizations, reduced public health capacity, and challenged the stability of partnerships that have underpinned decades of progress.  We asked Dr. Francisco Ruiz to reflect on how the world has changed since these briefs were published.  He states that, today, the question before us is no longer hypothetical. The choices before us are increasingly clear.

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Click here to read the condensed report

Issues

HIV/AIDS

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