Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019

Rosalie Hayes; Axel J. Schmidt; Anastasia Pharris; Yusef Azad; Alison E. Brown; Peter Weatherburn; Ford Hickson; Valerie Delpech; Teymur Noori; Roland Bani; Jennifer Fernandez Garcia; Samvel Grigoryan; Arshak Papoyan; Trdat Grigoryan; Irene Kaszoni-Rueckerl; Bernhard Benka; Esmira Almammadova; Inna Karaban; Anna Rusanovich; Svetlana Sergeenko; Daniel Reynders; Andre Sasse; Jessika Deblonde; Tonka Varleva; Mariya Zamfirova; Josip Begovac; Tatjana Nemeth Blazic; Zoran Dominkovic; Linos Hadjihannas; Anna Demetriou; Veronika Mičulkova; Marek Maly; Jan Fouchard; Susan Cowan; Kristi Ruutel; Tiina Drell; Henrikki Brummer-Korvenkontio; Kirsi Liitsola; Jean Christophe Comboroure Lot; Ketevan Stvilia; Nikoloz Chkhartishvili; Gesa Kupfer; Ulrich Marcus; Vasilios Raftopoulos; Sotirios Tsiodras; Dimitra Parasekva; Katalin Szalay; Maria Dudas; Gudrun Sigmundsdottir; Carole Devaux; the ECDC Dublin Declaration Monitoring Network

doi:10.2807/1560-7917.ES.2019.24.41.1900598

Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019

Rosalie Hayes^*, Axel J. Schmidt, Anastasia Pharris, Yusef Azad, Alison E. Brown, Peter Weatherburn, Ford Hickson, Valerie Delpech, Teymur Noori, Roland Bani, Jennifer Fernandez Garcia, Samvel Grigoryan, Arshak Papoyan, Trdat Grigoryan, Irene Kaszoni-Rueckerl, Bernhard Benka, Esmira Almammadova, Inna Karaban, Anna Rusanovich, Svetlana SergeenkoDaniel Reynders, Andre Sasse, Jessika Deblonde, Tonka Varleva, Mariya Zamfirova, Josip Begovac, Tatjana Nemeth Blazic, Zoran Dominkovic, Linos Hadjihannas, Anna Demetriou, Veronika Mičulkova, Marek Maly, Jan Fouchard, Susan Cowan, Kristi Ruutel, Tiina Drell, Henrikki Brummer-Korvenkontio, Kirsi Liitsola, Jean Christophe Comboroure Lot, Ketevan Stvilia, Nikoloz Chkhartishvili, Gesa Kupfer, Ulrich Marcus, Vasilios Raftopoulos, Sotirios Tsiodras, Dimitra Parasekva, Katalin Szalay, Maria Dudas, Gudrun Sigmundsdottir, Carole Devaux, the ECDC Dublin Declaration Monitoring Network

^*Corresponding author for this work

Infection and Immunotherapy Research

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Abstract

In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP's potential to eliminate HIV is currently unrealised by national healthcare systems.

Original language	English
Journal	Eurosurveillance
Volume	24
Issue number	41
DOIs	https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598
Publication status	Published - 10 Oct 2019

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10.2807/1560-7917.ES.2019.24.41.1900598

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Hayes, R., Schmidt, A. J., Pharris, A., Azad, Y., Brown, A. E., Weatherburn, P., Hickson, F., Delpech, V., Noori, T., Bani, R., Garcia, J. F., Grigoryan, S., Papoyan, A., Grigoryan, T., Kaszoni-Rueckerl, I., Benka, B., Almammadova, E., Karaban, I., Rusanovich, A., ... the ECDC Dublin Declaration Monitoring Network (2019). Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019. Eurosurveillance, 24(41). https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598

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title = "Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019",

abstract = "In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP's potential to eliminate HIV is currently unrealised by national healthcare systems.",

author = "Rosalie Hayes and Schmidt, {Axel J.} and Anastasia Pharris and Yusef Azad and Brown, {Alison E.} and Peter Weatherburn and Ford Hickson and Valerie Delpech and Teymur Noori and Roland Bani and Garcia, {Jennifer Fernandez} and Samvel Grigoryan and Arshak Papoyan and Trdat Grigoryan and Irene Kaszoni-Rueckerl and Bernhard Benka and Esmira Almammadova and Inna Karaban and Anna Rusanovich and Svetlana Sergeenko and Daniel Reynders and Andre Sasse and Jessika Deblonde and Tonka Varleva and Mariya Zamfirova and Josip Begovac and Blazic, {Tatjana Nemeth} and Zoran Dominkovic and Linos Hadjihannas and Anna Demetriou and Veronika Mi{\v c}ulkova and Marek Maly and Jan Fouchard and Susan Cowan and Kristi Ruutel and Tiina Drell and Henrikki Brummer-Korvenkontio and Kirsi Liitsola and Lot, {Jean Christophe Comboroure} and Ketevan Stvilia and Nikoloz Chkhartishvili and Gesa Kupfer and Ulrich Marcus and Vasilios Raftopoulos and Sotirios Tsiodras and Dimitra Parasekva and Katalin Szalay and Maria Dudas and Gudrun Sigmundsdottir and Carole Devaux and {the ECDC Dublin Declaration Monitoring Network}",

note = "Funding Information: Funding: Dublin Declaration monitoring was undertaken by National AIDS Trust and independent consultants, Valerie Delpech and Alison E Brown. Monitoring is funded by the European Centre for Disease Prevention and Control (ECDC). Funding Information: EMIS-2017 was undertaken by Sigma Research at the London School of Hygiene and Tropical Medicine in association with the Robert Koch Institute in Berlin. The project was funded by the European Union in the framework of the Third EU Health Programme (2014–2020). Other international financial contributions for EMIS-2017: Swedish Ministry of Health for recruitment in the Nordic countries; the Arctic University of Norway and University Hospital of North Norway for Russia; Israel{\textquoteright}s Ministry of Health for Israel. Publisher Copyright: {\textcopyright} 2019 European Centre for Disease Prevention and Control (ECDC). All rights reserved.",

year = "2019",

month = oct,

day = "10",

doi = "10.2807/1560-7917.ES.2019.24.41.1900598",

language = "English",

volume = "24",

journal = "Eurosurveillance",

issn = "1025-496X",

publisher = "European Centre for Disease Prevention and Control (ECDC)",

number = "41",

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Hayes, R, Schmidt, AJ, Pharris, A, Azad, Y, Brown, AE, Weatherburn, P, Hickson, F, Delpech, V, Noori, T, Bani, R, Garcia, JF, Grigoryan, S, Papoyan, A, Grigoryan, T, Kaszoni-Rueckerl, I, Benka, B, Almammadova, E, Karaban, I, Rusanovich, A, Sergeenko, S, Reynders, D, Sasse, A, Deblonde, J, Varleva, T, Zamfirova, M, Begovac, J, Blazic, TN, Dominkovic, Z, Hadjihannas, L, Demetriou, A, Mičulkova, V, Maly, M, Fouchard, J, Cowan, S, Ruutel, K, Drell, T, Brummer-Korvenkontio, H, Liitsola, K, Lot, JCC, Stvilia, K, Chkhartishvili, N, Kupfer, G, Marcus, U, Raftopoulos, V, Tsiodras, S, Parasekva, D, Szalay, K, Dudas, M, Sigmundsdottir, G, Devaux, C & the ECDC Dublin Declaration Monitoring Network 2019, 'Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019', Eurosurveillance, vol. 24, no. 41. https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598

TY - JOUR

T1 - Estimating the 'PrEP Gap'

T2 - How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019

AU - Hayes, Rosalie

AU - Schmidt, Axel J.

AU - Pharris, Anastasia

AU - Azad, Yusef

AU - Brown, Alison E.

AU - Weatherburn, Peter

AU - Hickson, Ford

AU - Delpech, Valerie

AU - Noori, Teymur

AU - Bani, Roland

AU - Garcia, Jennifer Fernandez

AU - Grigoryan, Samvel

AU - Papoyan, Arshak

AU - Grigoryan, Trdat

AU - Kaszoni-Rueckerl, Irene

AU - Benka, Bernhard

AU - Almammadova, Esmira

AU - Karaban, Inna

AU - Rusanovich, Anna

AU - Sergeenko, Svetlana

AU - Reynders, Daniel

AU - Sasse, Andre

AU - Deblonde, Jessika

AU - Varleva, Tonka

AU - Zamfirova, Mariya

AU - Begovac, Josip

AU - Blazic, Tatjana Nemeth

AU - Dominkovic, Zoran

AU - Hadjihannas, Linos

AU - Demetriou, Anna

AU - Mičulkova, Veronika

AU - Maly, Marek

AU - Fouchard, Jan

AU - Cowan, Susan

AU - Ruutel, Kristi

AU - Drell, Tiina

AU - Brummer-Korvenkontio, Henrikki

AU - Liitsola, Kirsi

AU - Lot, Jean Christophe Comboroure

AU - Stvilia, Ketevan

AU - Chkhartishvili, Nikoloz

AU - Kupfer, Gesa

AU - Marcus, Ulrich

AU - Raftopoulos, Vasilios

AU - Tsiodras, Sotirios

AU - Parasekva, Dimitra

AU - Szalay, Katalin

AU - Dudas, Maria

AU - Sigmundsdottir, Gudrun

AU - Devaux, Carole

AU - the ECDC Dublin Declaration Monitoring Network

N1 - Funding Information: Funding: Dublin Declaration monitoring was undertaken by National AIDS Trust and independent consultants, Valerie Delpech and Alison E Brown. Monitoring is funded by the European Centre for Disease Prevention and Control (ECDC). Funding Information: EMIS-2017 was undertaken by Sigma Research at the London School of Hygiene and Tropical Medicine in association with the Robert Koch Institute in Berlin. The project was funded by the European Union in the framework of the Third EU Health Programme (2014–2020). Other international financial contributions for EMIS-2017: Swedish Ministry of Health for recruitment in the Nordic countries; the Arctic University of Norway and University Hospital of North Norway for Russia; Israel’s Ministry of Health for Israel. Publisher Copyright: © 2019 European Centre for Disease Prevention and Control (ECDC). All rights reserved.

PY - 2019/10/10

Y1 - 2019/10/10

N2 - In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP's potential to eliminate HIV is currently unrealised by national healthcare systems.

AB - In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP's potential to eliminate HIV is currently unrealised by national healthcare systems.

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U2 - 10.2807/1560-7917.ES.2019.24.41.1900598

DO - 10.2807/1560-7917.ES.2019.24.41.1900598

M3 - Article

C2 - 31615599

AN - SCOPUS:85073474764

SN - 1025-496X

VL - 24

JO - Eurosurveillance

JF - Eurosurveillance

IS - 41

ER -

Estimating the 'PrEP Gap': How implementation and access to PrEP differ between countries in Europe and Central Asia in 2019

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