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50,000 New HIV Infections Each Year in U.S.

New HIV Infections Rise 48% in Young Black Gay/Bi Men

CDC to Target Proven Prevention Efforts

That's why universal HIV testing is the cornerstone of the CDC's HIV prevention program. But Frieden was quick to note that testing is only part of the solution.

"What we have come to understand is the linkage between treatment and prevention," he said. "But it is not enough to promote testing and linkage to care. We have to promote treatment and continuity of care. We have to make sure people with HIV live long, healthy lives and that we reduce the risk of those around them as well."

Recent research makes it clear that treatment with HIV drugs makes a person with HIV much less infectious. The federal government helps states provide treatment to people with HIV, but states are drastically cutting back on their part of the funding.

It's not the CDC's job to monitor federal funds for HIV treatment.

"We work with HRSA [the U.S. Health Resources and Services Administration] and others to reduce the cost of HIV medications, which we think has significant potential for prevention," Frieden said. "And it is important that each state recognize it has the responsibility to take care of the people with HIV within their state -- and to prevent new infections."

Kevin Fenton, MD, PhD, director of the CDC's AIDS center, said at the teleconference that the CDC is targeting young gay men -- young black men in particular -- with HIV prevention efforts.

"This would mean putting extra resources into the communities most impacted by HIV," Fenton said. "For example, we now require all jurisdictions we fund to do a limited number of high-impact interventions: condom promotion scale-up, increased testing, better partner services -- in other words, directing grantees to focus on high-impact activities."

CDC HIV researcher Joseph Prejean, PhD, and colleagues report the new CDC estimates in today's issue of the online journal PLoS One.

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