This bold plan, powered by its innovative opt-out testing, home testing and outreach programs, puts England on track to become the first country to end new HIV transmissions in just a few years. Medical advances mean people with HIV now live full, healthy lives without fear of transmitting it to others, making elimination achievable through smart investment in prevention and treatment rather than stigma and fear.
HIV diagnoses have surged to a 15-year high, driven overwhelmingly by migrants arriving from abroad — particularly from Africa — with over half of all new cases now originating outside England for the first time ever. Record migration levels are directly fueling this spike, directly threatening the 2030 goal to end transmissions. The solution is proper border health screening and resource allocation.
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