O'Neill Institute  |  January 19, 2023

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OF THE ROUGHLY 1.1 MILLION PEOPLE WITH HIV IN U.S., about 86% have been diagnosed with HIV and 64% are virally suppressed. As we work to end the HIV epidemic in the U.S., studying the HIV care continuum shows where more focused attention is needed as we strive to reduce new infections. The initiation of antiretroviral therapy (ART) as soon as possible after the diagnosis of HIV infection, known as Rapid Start, is critical to getting people with HIV from diagnosis to sustained viral suppression. In 2019, the Department of Health and Human Services updated its ART guidelines endorsing Rapid Start for newly diagnosed people with HIV, and those re-engaging in care.

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October 14, 2025

Charles Holmes Maggie Little, Ph.D.; Heidi Weimer, J.D., MPH, LL.M; Dylan Green, MPH; Alicia Patterson, Ph.D.; Jonathan Healey; Sydney Luken; Janet Tatenda Bhila; Aleny Couto, MD; Shona Dalal, PhD; Will Fleisher, PhD; Jen Gennai; Rayid Ghani; Peter Godfrey-Faussett; Melissa Goldstein, JD; Kathy Hageman, PhD, MPH; Nina Hasen, PhD; Micheal Ighodaro; Thoko Kalua, MBBS, MSc; Jennifer Miller, PhD; Yogan Pillay, PhD; Anton Pozniak, MD; Miriam Rabkin, MD, MPH; David Ribes, PhD; Lisa Singh, PhD