PAHO Director calls for expanded access to innovations such as oral and injectable PrEP, rapid testing, and HIV self-testing, while strengthening early diagnosis and timely treatment initiation to advance HIV elimination. Credit: PAHO
By Pan American Health Organization
RIO de JANEIRO, Brazil, Jul 28 2026 (IPS)
The Region of the Americas has more tools than ever before to prevent, diagnose, and treat HIV, yet many of them are still not reaching everyone who needs them, Pan American Health Organization (PAHO) Director Jarbas Barbosa said during the opening session of the International AIDS Conference (AIDS 2026).
Dr. Barbosa emphasized that expanding access to innovations such as oral pre-exposure prophylaxis (PrEP), long-acting injectable PrEP, rapid testing, and HIV self-testing, together with strengthening early diagnosis and ensuring timely treatment initiation, will be essential to accelerate the elimination of HIV as a public health problem in the Region.
In his remarks, Dr. Barbosa highlighted that the Americas have repeatedly demonstrated that ambitious public health goals can be achieved through cooperation, scientific evidence, and strong health systems. He noted that the Region has eliminated polio and rubella and that several countries have eliminated mother-to-child transmission of HIV, achievements that provide a strong foundation for accelerating progress toward HIV elimination.
Credit: PAHO
He further stressed that achieving this goal will require combining innovations in prevention, diagnosis, and treatment with political leadership, equity, and close collaboration with communities.
Dr. Barbosa also noted that countries in Latin America and the Caribbean now finance 92% of HIV investments through domestic resources, representing one of the highest levels of domestic funding for HIV programs globally and demonstrating the Region’s sustained commitment to HIV response.
“The question before us is no longer whether we have the tools to end HIV as a public health threat. We do. The question is whether we can ensure that those tools reach everyone who needs them, regardless of where they live, who they are, or the circumstances they face,” said Barbosa. “Innovation only changes lives when people can access it.”
According to the latest available data, AIDS-related deaths in Latin America and the Caribbean declined by 46% between 2010 and 2025. In 2024 alone, access to antiretroviral treatment prevented an estimated 117,000 AIDS-related deaths. Access to PrEP also increased substantially, from 35,000 people in 2020 to more than 326,000 in 2025.
Despite this progress, significant gaps in access and coverage remain. Approximately one in three new HIV diagnoses is still made at a late stage of infection, and nearly 900,000 people living with HIV in Latin America and the Caribbean are not receiving treatment.
Reducing HIV-related mortality and addressing advanced HIV disease will be among PAHO’s key priorities at AIDS 2026. Although tools to prevent and treat HIV have improved substantially, late diagnosis, delays in treatment initiation, and challenges in retaining people in care continue to contribute to preventable deaths and to the burden of co-infections such as tuberculosis, which remains the leading cause of death among people with advanced HIV disease.
Against this backdrop, PAHO unveiled new initiatives aimed at accelerating HIV elimination across the Region.
As part of its agenda at AIDS 2026, PAHO launched the Alliance for HIV Elimination in the Americas, a new regional platform designed to advance progress toward HIV elimination by 2030 through stronger collaboration among governments, communities, international organizations, academia, development partners, and the private sector.
The Alliance is part of PAHO’s Disease Elimination Initiative and seeks to strengthen political leadership, expand equitable access to innovation, and promote sustainable investments to accelerate HIV elimination across the Americas.
PAHO is also advancing the Path to HIV Elimination in the Americas, an evidence-based framework that will help countries measure progress, identify remaining gaps, and demonstrate achievements on the path toward HIV elimination.
“If we maintain political commitment, protect the investments already made, and place equity at the center of every decision, ending HIV as a public health threat will be within our reach,” Barbosa said. “No country will achieve this goal alone.”
The PAHO Director warned that financial pressures, shifting political priorities, and persistent inequalities could jeopardize hard-won gains.
He reiterated that achieving HIV elimination will require strengthening people-centered health systems, expanding access to PrEP and other innovations, integrating HIV services with tuberculosis, viral hepatitis, and sexually transmitted infection services, working alongside communities to reduce stigma and discrimination, and sustaining the domestic investments that have enabled steady progress across the Region.
Throughout AIDS 2026, PAHO will advance these priorities through a series of high-level events focused on HIV elimination, advanced HIV disease, and equitable access to innovations for prevention, diagnosis, and treatment.
IPS UN Bureau
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Three years of declining hunger have answered one question: Progress is possible. The question now is whether governments will scale what works before conflict, climate shocks and financial retreat erase it. Credit: Isaiah Esipisu/IPS
By Máximo Torero
ROME, Jul 27 2026 (IPS)
Here is a fact that should interrupt the world’s drumbeat of bad news: Hunger fell again in 2025.
For the third consecutive year, fewer people faced chronic hunger. The total declined to an estimated 645 million, 14 million fewer than in 2024 and 43 million fewer than at the 2022 peak. Moderate or severe food insecurity fell by 86 million, to 2.1 billion from 2024 to 2025.
The number remains a profound collective failure. But the decline challenges the fatalistic assumption that conflict, climate change and economic instability make rising hunger inevitable. When governments align social protection, agricultural investment and economic policy, they can bend the hunger curve.
Countries making the greatest gains offer no single formula, but they do offer a common lesson. Their histories differ, but their choices share key features: social protection that preserves purchasing power; investment that raises agricultural productivity; rural roads, irrigation and market infrastructure; and policies connecting small scale farmers to expanding food markets. Hunger falls when these policies reinforce one another
Asia’s hunger is now about one quarter below its 2015 level. Latin America and the Caribbean has also moved below the rate recorded a decade ago. In Africa, the rate declined for the first time in nearly a decade, from 20.3 percent in 2024 to 20 percent in 2025.
Africa’s progress is fragile. Rapid population growth kept the number of hungry people at about 309 million. Yet even this small reversal is significant, especially because bilateral development assistance to sub Saharan Africa fell 26.3 percent in 2025 and is projected to fall again this year.
Countries making the greatest gains offer no single formula, but they do offer a common lesson. India cut hunger from 21.1 percent in the mid 2000s to 9.8 percent; Senegal from 15.8 percent to 5.3 percent; Rwanda from 31.8 percent to 22.6 percent; and Peru from 17.9 percent to 5.7 percent. Brazil, Chile, the Dominican Republic and Guyana now report rates below 2.5 percent.
Their histories differ, but their choices share key features: social protection that preserves purchasing power; investment that raises agricultural productivity; rural roads, irrigation and market infrastructure; and policies connecting small scale farmers to expanding food markets. Hunger falls when these policies reinforce one another.
The danger is that governments will read three years of improvement as permission to retreat.
The Middle East conflict and disruption of the Strait of Hormuz are already raising energy, fertilizer and transportation costs. The strait is critical not only for oil and liquefied natural gas but also for sulphur, fertilizers and other farm inputs. Decisions made now could determine whether this shock becomes a much larger food price crisis within six to 12 months.
Climate is the second threat. El Niño is strengthening, with an 81 percent probability of becoming a very strong event late this year. That does not guarantee crop losses, but it raises the odds of damaging heat and rainfall patterns across major producing regions.
The third threat is cutting even more humanitarian and development financing when vulnerable countries most need resilience. Aid cuts do not make costs disappear. They transfer them to food importing governments, humanitarian agencies and households already spending most of their income on food.
But preventing hunger is only the first test. The harder challenge is helping people eat well.
About 2.69 billion people, roughly one third of humanity, still cannot afford a healthy diet. In Africa, the share is 66.6 percent. Calories alone are not enough. A diet that prevents hunger does not necessarily prevent anaemia, child stunting, obesity or diabetes.
The economics explain why. Starchy staples provide about half the calories in a healthy diet but only 13 percent of its cost. Fruits and vegetables provide roughly 5 percent of calories but account for 16 percent of the cost. Animal source foods provide 13 percent of calories but consume 28 percent of the budget. Calories are relatively cheap. Nutrients are expensive.
Much of that expense accumulates after food leaves the farm. New analysis for the 2026 State of Food Security and Nutrition in the World indicates that 70 to 75 percent of the cost of a healthy diet arises in storage, processing, transportation, wholesale and retail. Poor roads, inadequate cold storage, unreliable electricity and post harvest losses turn nutritious perishables into luxuries.
That should change how governments spend. They already provide $540 billion to $635 billion a year in agricultural support, much of it concentrated on a few staples. Supporting staples alone can pull land and investment away from fruits, vegetables and other nutrient dense foods. Governments should redirect more support toward horticultural productivity, cold chains, irrigation, rural roads, storage, energy and competitive markets.
They must also get the sequence right. Expanding school meals, food vouchers and other demand programs without increasing supply can raise prices. Investment in farms and supply chains must precede, or accompany, policies that stimulate demand.
Three years of declining hunger have answered one question: Progress is possible. The question now is whether governments will scale what works before conflict, climate shocks and financial retreat erase it.
The next frontier is not just cheaper calories. It is making healthy diets affordable.
Excerpt:
Máximo Torero is the Chief Economist of the Food and Agriculture Organization of the United NationsIn Jabalia, north of the Gaza Strip, children received polio vaccines as part of the vaccination campaign conducted by UNICEF and its partners in 2025. Credit: UNICEF/Mohammed Nateel
By Shuli Wong
UNITED NATIONS, Jul 27 2026 (IPS)
On Monday July 20, a team from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) visited two displacement sites in Gaza where they found two family tents decimated by domestic fires. This incident is indicative of the increasing frequency of domestic fires in Gaza.
Families are resorting to burning waste, cardboard, and trash to help prepare meals following the ban on gas cylinders and cooking stoves from entering Gaza since October 2023. While cooking gas is available, it is only offered in limited quantities and at extremely high prices.
The domestic fire risk in Gaza is situated within a larger, much more dire humanitarian access crisis, as documented in UNICEF’s Humanitarian Situation Update Mid-Year Review. Access restrictions and operational constraints continue to disrupt humanitarian delivery, with only 44 percent of aid trucks from Egypt able to offload between May and June. Severe restrictions remain in place for the entry of fuel, spare parts, and essential materials, which have driven system failures across health and water services. Across the Gaza Strip, an estimated 82 percent of families are water insecure, and nearly 90 percent of water and sanitation infrastructure has been damaged or destroyed.
Violence against civilians has also intensified across Gaza. The UN Human Rights Office reported that Israeli forces killed at least 57 people, including women and children, between July 13th and July 20th.
UN Spokesperson to the Secretary-General Stéphane Dujarric also detailed the aftermath of an Israeli drone strike on July 17th west of the Nuseirat refugee camp, in which seven people were reportedly killed and others injured as the strike coincided with mourners leaving a nearby funeral prayer.
On July 15th, a teacher was injured after being shot by Israeli forces while she was working at a temporary learning space west of Khan Younis. Since the start of 2026, OCHA has reported 26 education-related incidents. These findings echo their Humanitarian Situation Report from July 16th, in which 84 schools are under pending demolition or stop-work orders.
Despite operational constraints and security risks, humanitarian organizations have been working to restore and expand access to education after more than two years of disruption. At the beginning of 2026, UN partners helped 435,000 pre-primary and school-aged children, including 9,300 children with disabilities, access structured learning at 610 temporary learning spaces. Furthermore, 344,000 children received learning materials and 11,000 teachers were supported. UNICEF’s Mid-Year Review reported helping 266,000 children access formal and non-formal education opportunities, which has helped provide children with a sense of normalcy amid the ongoing upheaval and crisis.
Since the ceasefire was reached last October, there have been some improvements and gains in food security and nutrition levels, thanks to expanded humanitarian food, nutrition and agricultural assistance. But those gains are still fragile. UNICEF, the Food and Agricultural Organization (FAO) and the World Food Programme warned that families are struggling to meet basic needs, and these gains will be reversed without continuous humanitarian aid, funding and investment in recovery in the Gaza Strip. As of now, only one crossing, the Kerem Shalom/Abu Salem crossing in the south of Gaza, remains open for humanitarian assistance. The latest analysis on food security shows that an estimated 1.4 million people, or 67 percent of Gaza’s population, are experiencing crisis or worse levels of food insecurity.
Health and infrastructure remain heavily strained across the Gaza Strip. On July 20th, the Deputy Humanitarian Coordinator Susanne Tkalec met with leadership members of the Emirati Hospital in Rafah to determine solutions to strengthen the medical waste management systems in Gaza amid ongoing health and sanitation system stress.
Despite hospitals being explicitly protected under international humanitarian law, “healthcare workers, patients, ambulances, and hospitals have all been targeted,” said Dr. Javid Abdelmoneim, International President of Médecins Sans Frontières. Dr. Abdelmoneim went on to explain that “whether through direct violence, dismantling the healthcare system or obstructuring humanitarian assistance, inducing famine, weaponising water, causing higher levels of prematurity and mortality among infants and high levels of miscarriage, or denying care… it’s clear: the number one health issue in Palestine is Israel’s occupation.”
Shelter needs across Gaza remain outmatched by supply. In the first ten days of July, UN humanitarian partners provided 2,300 households with bedding items, tarpaulins and tents, and 13,000 families received kitchen sets. However, access to cooking fuel is still severely limited, as noted by the domestic fires. In addition, the supply stockpiles themselves are severely limited, with less than 1,000 tents currently available and only enough essential household supplies to support 7,000 families.
Across the occupied Palestinian territory, UN agencies continue to warn that violence, funding gaps, and access restrictions have created an unprecedented need that continues to outpace what can be delivered in terms of water, healthcare, education, and shelter.
IPS UN Bureau Report
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