Restricted access to antiretroviral treatment for undocumented migrants: a bottle neck to control the HIV epidemic in the EU/EEA

摘要: In the European Union/European Economic Area (EU/EEA), migrants from high-endemic countries are disproportionately affected by HIV. Between 2007 and 2012, represented 39 % of reported HIV cases. There is growing evidence that a significant proportion acquisition among migrant populations occurs after their arrival in Europe. Migrants confronted with multiple risk factors shape patterns population susceptibility vulnerability, which simultaneously affect transmission. Undocumented incur additional risks for contracting due to limited access adequate health care services, protection justice, alongside insecure housing employment conditions. All EU/EEA have ratified number international regional human rights instruments enshrine as right should be available everyone without discrimination. From clinical public perspective, early treatment associated viral suppression, improved outcomes reductions transmission risks. A current challenge epidemic reach highest overall suppression people living order impact on Although majority regard an important sub-population national responses HIV, despite overwhelming individual benefits treatment, do not provide antiretroviral undocumented migrants. dynamics depend respective weight all vulnerability they exposed, act together synergistic way. People who linked will continue unwillingly contribute on-going Following recommendations Union Agency Fundamental Rights, ensuring HIV-care sub-populations, including migrants, would fulfil those also strengthen control incidence currently able care.