The Biden administration in its new HIV/AIDS strategy calls racism "a public health threat" that must be fully recognized as the world looks to end the epidemic.
The strategy released Wednesday on the annual commemoration of World AIDS Day is meant to serve as a framework for how the administration intends to shape its policies, research, programs and planning over the next three years.
The new strategy asserts that over generations "structural inequities have resulted in racial and ethnic health disparities that are severe, far-reaching, and unacceptable."
New HIV infections in the U.S. fell about 8% from 2015 to 2019, but Black and Latino communities — particularly gay and bisexual men within those groups — continue to be disproportionately affected, according to Centers for Disease Control and Prevention data.
African Americans make up about 13% of the U.S. population but accounted for more than 40% of new infections. The Latino population accounted for nearly 25% of new infections but makes up about 18.5% of the U.S. population.
Historically, gay and bisexual men have been the most disproportionately affected group. They account for about 66% of new HIV infections, even though they account for only 2% of the population, according to the CDC. In 2019, 26% of new HIV infections were among Black gay and bisexual men, 23% among Latino gay and bisexual men, and 45% among gay and bisexual men under the age of 35.
To reduce the disparities, the strategy includes calls for focusing on the needs of disproportionately affected populations, supporting racial justice, combating HIV-related stigma and discrimination and providing leadership and employment opportunities for people with or at risk for HIV.
Besides addressing racism's impact on Americans battling the virus or at risk of contracting it, the new strategy also puts greater emphasis on harm reduction and syringe service programs, encourages reform of state laws that criminalize behavior of people with HIV for potentially exposing others and adds focus on the needs of the growing population of people with HIV who are aging.
More than 36 million people worldwide, including 700,000 in the U.S., have died from AIDS-related illnesses since the start of the epidemic more than 40 years ago. Nearly 38 million people are living with HIV, including 1.2 million in the U.S.
President Joe Biden's administration recently announced it will host the Global Fund to Fight AIDS replenishment conference next year. The United States has contributed about $17 billion to the fund, about a third of all donor contributions.
A giant red ribbon, a symbol of support for people living with HIV, was also displayed on the North Portico of the White House to mark World AIDS day. The two-story ribbon display has become an annual tradition at the White House since 2007.
"Honored to continue this tradition on #WorldAidsDay, remembering the lives lost to HIV/AIDS and supporting those living with the virus across the world," first lady Jill Biden said in a Twitter posting that included a photo of her posing in front of the ribbon display.