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“I made many mistakes and the result is an HIV infection.” “I have been through many care homes, many times I was abused by my carers and when I ran away from the care system, I had no option but to do what I have to do to survive,” he said. We need to listen more closely to people like Jason, sitting in that Soho meeting. It is simply that we have failed to understand and examine the factors that are putting young gay men at risk. The emerging epidemic among young people is not because they really do not get the message about HIV. However, this has reduced consciousness of risk among young people, making the message of fear meaningless. The demystification of HIV because of the advancements in treatment has changed the narrative of the virus from skulls and graves to healthy and longer lives. The scare messages of the 1980s are no longer relevant in a world where living with HIV, though still a challenge, is no longer an automatic death sentence. One possible answer is that my own generation, which has fought so long and hard to raise awareness and improve the rights of HIV-positive people, thinks it can use past approaches to deal with the challenges of the future.
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So given better public information, better prevention options, and better treatment, why are an increasing number of young gay men, especially in major urban areas around the world, getting infected with HIV? Other drugs have been developed that increase protection against infection, adding another weapon in the armory, albeit a costly one, beyond condoms. Medication can now be taken in a single pill rather than a complex cocktail of tablets. The good news is we now live in a world where treatment of the virus has improved dramatically. The Centers for Disease Control and Prevention reports that in 2010, young gay and bisexual men (aged 13-24 years) accounted for 72 percent of new HIV infections among all people in the same age range and 30 percent of new infections among all gay and bisexual men. In the United States, the story is similar. Within that figure, the report says, the number of infections among men who have sex with men (MSM) between the ages of 15 and 24 has increased in the past decade from 8.7 percent to 16 percent. In the U.K., an estimated 107,800 people are currently living with HIV, based on the latest report from Public Health England. It is appropriate, then, that this year’s theme for World AIDS Day is “Focus, Partner, Achieve: An AIDS-free generation.” We need to set the tone for a different approach to youth engagement in HIV treatment and prevention. Each day, more than 2,400 young people become infected with HIV. According to a 2012 UNAIDS report, youth between the ages of 16 to 25 account for 40 percent of all new adult HIV infections.
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Globally, young people are now carrying the burden of HIV. He is, in many ways, the new face of the HIV epidemic-not just in Britain, but also across the world. “Being homeless has made me have sex with people that can provide me with a place to sleep and this means I have little choice about the kind of sex I have,” said 16-year-old Russell. Others have traded sex for basic necessities to survive. Many have been victims of sexual harassment. Some of these young men are sex workers, homeless, and drug users. They come from all walks of life but they have two key things in common: They are vulnerable and they are living with HIV. In a small community hall in London’s Soho, a group of young gay men gather.