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            “Our efforts have helped set the stage for a 
              historic opportunity, one that the world has today: to change the 
              course of this pandemic and usher in an AIDS-free generation.” 
            
              
                – Secretary of State Hillary Clinton 
                  Nov. 8, 2011  
               
             
            In 2010, when the Lundy Foundation joined the 
              collaboration Test & Treat to End AIDS (TTEA), our members were 
              among only a few voices expressing the belief that we had the tools 
              in hand to halt the spread of HIV, the virus that causes AIDS. 
            After all, since the disease was identified in 1981, 
              the world had poured hundreds of billions of dollars into efforts to stop AIDS. 
              Despite the investment and the 30 million lives lost, there was 
              no vaccine and there was no cure — only millions of new infections 
              each year. 
            TTEA, however, believed that stopping HIV/AIDS required 
              a total change in the treatment of people who become infected with 
              HIV. Instead of the current practice of waiting to prescribe HIV-fighting 
              drugs only when an individual’s immune system begins to break 
              down (test-and-wait), TTEA pointed to a growing body of scientific 
              evidence showing that immediate treatment reduces the amount 
              of virus a person carries to undetectable levels and makes it 96 percent
              less likely he or she can infect another person. 
            TTEA advocated for a large-scale proof-of-concept 
              study of this strategy known as test-and-treat, or treatment as 
              prevention. And in 2011, with TTEA’s urging, then-Secretary of State 
              Hillary Clinton pledged $110 million to fast-track expanded 
              studies of test-and-treat and several other proven prevention strategies 
              in four African countries.  
            Since then, the Joint United Nations Programme on HIV/AIDS, the World Health Organization and other leading global health organizations have agreed that test-and-treat is currently the most effective strategy to end the epidemic until a vaccine is developed. Widespread adoption of test-and-treat will save lives — and money. Although upfront costs are higher for this strategy because more people will receive HIV-fighting drugs, future costs will drop significantly as those infected live out their lives on treatment and significantly fewer new cases occur. 
            Today, TTEA has begun the last phase of this initiative: supporting full global implementation of the test-and-treat strategy. Along with other partners, they are exploring a range of funding options, including quantitative easing, to fully fund this humanitarian campaign in 21 African countries.  
            The Lundy Foundation and TTEA call on other governments, multilateral institutions, the private sector and civil society groups, including faith-based organizations, to help in this unprecedented effort to halt HIV/AIDS and eradicate the disease from the globe. 
            The goal of an AIDS-free generation, Secretary Clinton 
              said, “may be ambitious, but it is possible [and] would be 
              one of the greatest gifts the United States could give to our collective 
              future.” We couldn’t have said it better. 
            For more information about TTEA, see www.ttea.info. 
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