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The report estimates that there were a total of 106,890 people living with HIV in the whole UK in 2020, including 97,740 in England. There were 19% fewer CD4 test results in 2020 and 11% fewer viral load results than in 2019. Other impacts of COVID – especially the move from in-person consultation to telephone and other remote appointments – meant that important measures of HIV care were in shorter supply owing to fewer CD4, viral load and other tests. This is not just due to lack of staff to collect, collate and analyse data. The presence of one or more additional health conditions at the same time as a primary condition (such as HIV). COVID has certainly had an impact on HIV testing, as reported at EACS but how much it has impacted on ongoing transmission of HIV, late diagnoses and the heterosexual epidemic are very hard to gauge due to a reduction in the amount of data collected.įor the first time, the annual UK HIV report, which is always released in time for 1 December, World AIDS Day, and documents the previous year’s HIV epidemic trends, is largely an English report because figures from Scotland were not available and those from Wales and Northern Ireland were incomplete. The report on HIV compiled by the UK Health Security Agency (UKHSA – formerly Public Heath England) bears witness to this situation. At the recent European AIDS Conference, Teymur Noori of the European Centre for Disease Prevention and Control remarked that one of the most severe impacts of the COVID pandemic on HIV was that it had reduced the capability of the vast majority of European countries to document their own HIV epidemic, as human resources were diverted from the monitoring and surveillance of HIV to that of COVID.