CDC Testing Push Increased HIV Diagnosis

A CDC effort to promote HIV testing begun in 2007 led to nearly 2.8 million tests and more than 18,000 new diagnoses, according to MMWR. alt

Four years ago the U.S. Centers for Disease Control and Prevention (CDC) started the Expanded HIV Testing Initiative (ETI), concerned than an estimated 20% of people with HIV were unaware of their status. In 2006 the CDC recommended routine screening in healthcare settings for people age 13-64 years, and the program was launched in October 2007.

The initiative provided $111 million to fund expanded HIV screening and linkage to care at 25 health departments with more than 1300 testing venues, focusing on those serving populations disproportionately affected by the HIV/AIDS epidemic, and in particular blacks/African-Americans.

As described in the June 24, 2011, Morbidity and Mortality Weekly Report, Abigail Viall from the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention and colleagues collected data derived from the initiative between October 2007 and September 2010.


"Through expanded HIV testing activities, substantial numbers of persons previously unaware of their HIV infection were identified and linked to care," the study authors concluded.

"Ultimately, achieving the broader National HIV/AIDS Strategy prevention goals of reducing HIV incidence and transmission will require more than strengthening mechanisms for identifying persons with undiagnosed HIV infection and linking these persons to care," according to an accompanying editorial note.

"Persons with HIV must enter and progress along a spectrum of care to reduce their risk for transmission: ETI focused on the first two elements of this spectrum (diagnosis and linkage to care)," the editors continued. "However, for efforts like ETI to translate into better individual and population-level outcomes, persons infected with HIV must be engaged and retained in care, receive and adhere to effective treatment with HAART to maximize viral load suppression, and have access to ongoing prevention and support services, including risk-reduction counseling and other evidence-based behavioral interventions, partner services, substance use and mental health treatment, and case management."


AH Viall, SW Dooley, BM Branson, et al. Results of the Expanded HIV Testing Initiative -- 25 Jurisdictions, United States, 2007-2010. Morbidity and Mortality Weekly Report 60(24):805-810 (free full text).