This plan follows the decision of the City of Montreal to join the international network of cities without AIDS in December 2017.
The municipality then set ambitious targets for 2020:
- There will be no new infections;
- 90% of HIV positive people will know they are;
- 90% of people who know HIV are treated;
- In 90% of the treated, the virus will be indecisive;
- There will be no discrimination or stigmatization of those who are infected or vulnerable.
The 2019-2020 Action Plan was jointly prepared by the municipality, the Montreal Regional Public Health Administration (DRSP), the Center for Health Insurance and the Center for Social Welfare (CIUSSS), the Center-Sud-de-l'Ile Montreal and the Table of Montreal Community Organizations AIDS.
"There are about 10,000 people living with HIV on the island of Montreal, and there are more than 200 new HIV diagnoses in the country in 2017, despite outstanding progress in combating HIV / AIDS. to the most plentiful measures to be taken to remove the last obstacles at the end of the epidemic, "says Dr Mylène Drouin, Montreal Regional Health Director and Montreal's non-AIDS co-chair.
Undetectable = intransmissible
One of the messages that partners want to knock at home is that HIV infection is not sexually transmitted by a person who can not be detected and who is taking medication.
Therefore, the slogan i = i (for undetected = non-transferable) should be widely distributed.
The authors of the action plan also criticize certain aspects of the Criminal Code. "The criminalization of the use and possession of drugs, sexual work and the unpublishing of HIV status is a significant barrier to the health and well-being of communities vulnerable to HIV," he writes. .
DRSP will also stand against the obligation to detect HIV status (HIV-positive) during sexual intercourse when the risk of transmission is negligible.
Improve services and living conditions
One of the components of the Action Plan is access to transportation, food and housing to help ease the lives of HIV people.
In addition, we want to ensure the availability of medical services and preventive tools, particularly marginalized groups.
By 2017 in Montreal there would be 204 new HIV diagnoses. Since this is not a disease that can be reported (except when an infected person donated or received blood or tissue), "the quality of the basic epidemiological data available in Montreal remains a problem," write the authors.
Until 2020, the Montreal Action Plan will focus on the most affected groups: HIV / AIDS, men who have sex with men, drug injecting, people from countries where HIV is endemic, young people from the most vulnerable communities , sexual workers and aboriginal people.