WASHINGTON — President Trump’s plan to stop the transmission of H.I.V. in the United States will focus on 48 counties where about half of new infections occur, administration officials said on Tuesday.
The goal is to reduce new infections by 75 percent over five years and to “end the H.I.V. epidemic in America” by 2030, said Alex M. Azar II, the secretary of health and human services, who coordinated development of the ambitious plan, outlined by Mr. Trump in his State of the Union address.
New infections in recent years have remained at roughly the same level, around 40,000 a year.
“We are committed to ensuring that the next generation does not face an H.I.V. epidemic,” Mr. Azar said.
Officials have been planning an offensive against H.I.V. with the precision of a military campaign. They intend to deploy platoons of community health workers to step up the prevention, diagnosis and treatment of infections.
Mr. Azar said Mr. Trump would seek substantial new funds for the effort, but he refused to say how much.
Dr. Robert R. Redfield, the director of the Centers for Disease Control and Prevention, said the agency would make an aggressive effort to diagnose infections in “hot spot” areas.
“It’s not an attempt to go for the whole country,” Dr. Redfield said. “It’s an attempt to go after 48 counties out of over 3,000” in the United States.
Of the 48 counties, the top 10 — ranked by the number of H.I.V. diagnoses in 2016 and 2017 — are the counties that include Los Angeles; Miami; Houston; Chicago; Dallas; Fort Lauderdale, Fla.; Brooklyn; Atlanta; Phoenix; and the Bronx.
Other targets include Las Vegas; Queens County and Manhattan in New York; Washington, D.C.; Detroit; Newark; Prince George’s and Montgomery Counties in Maryland; San Francisco; Baltimore; and San Juan, P.R.
Mr. Azar said that new infections were “highly concentrated among men who have sex with men; minorities, especially African-Americans and American Indians and Alaska Natives; and those who live in the Southern United States.” The South accounted for 52 percent of new H.I.V. diagnoses in 2017, according to the Centers for Disease Control.
“Almost 90 percent of new infections are transmitted by people who do not know they are infected or who are not being retained in treatment,” Mr. Azar said, and officials see huge opportunities for improvement.
Half of people with H.I.V. have the virus at least three years before diagnosis, and one in four people with H.I.V. have the virus at least seven years before the infection is diagnosed, Mr. Azar said.
Dr. José M. Zuniga, the president of the International Association of Providers of AIDS Care, representing doctors and other health professionals, hailed the new initiative.
“The goal to end the U.S. H.I.V. epidemic is more than aspirational — it is achievable,” Dr. Zuniga said.
Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, said the campaign against H.I.V. would use two strategies whose effectiveness has been demonstrated in the last few years.
One is the use of medicines — antiretroviral drugs — to reduce the amount of H.I.V. in people who have been infected. When they take the drugs as prescribed, he said, they can reduce virus particles in the blood to undetectable levels, and in most cases they cannot sexually transmit the virus to others.
So the drugs not only treat infections, but can reduce their spread.
In addition, Dr. Fauci said, the campaign will increase the use of medications that help prevent H.I.V. infections. The drug regimen known as PrEP, for pre-exposure prophylaxis, helps block infection even among people at high risk for H.I.V.B:
【大】【殿】【之】【前】，【一】【路】【红】【妆】，【直】【直】【延】【伸】【到】【离】【决】【所】【在】【的】【洛】【玉】【殿】。 【道】【路】【两】【边】，【早】【已】【经】【站】【满】【了】【神】【袛】，【到】【处】【张】【灯】【结】【彩】，【热】【闹】【非】【凡】，【所】【有】【人】【的】【视】【线】，【都】【集】【中】【到】【了】【洛】【玉】【殿】【之】【前】。 【凤】【衍】【站】【在】【离】【决】【身】【边】，【而】【离】【决】【转】【过】【身】【去】，【双】【膝】【跪】【地】：“【多】【谢】【父】【神】【母】【神】【养】【育】【之】【恩】。” 【然】【而】【就】【在】【此】【时】，【凤】【衍】【竟】【也】【忽】【然】【一】【掀】【衣】【摆】，【在】【离】【决】【身】【边】【跪】【下】。
【在】【来】【到】【离】【长】【南】【城】【十】【里】【外】【的】【一】【座】【山】【丘】【外】，【纪】【阳】【带】【着】【那】【个】【将】【军】【停】【了】【下】【来】，【顺】【手】【还】【把】【那】【四】【个】【昏】【死】【的】【将】【军】【也】【给】【带】【了】【出】【来】。【至】【此】，【大】【周】【军】【队】【围】【攻】【长】【南】【城】【的】【所】【有】【将】【领】【都】【被】【纪】【阳】【给】【一】【网】【打】【尽】。 “【好】【了】，【你】【可】【以】【走】【了】。” “【真】【的】？【多】【谢】【不】【杀】【之】【恩】。” 【然】【而】【还】【没】【等】【走】【出】【两】【步】，【纪】【阳】【一】【记】【手】【刀】【紧】【接】【着】【主】【将】【也】【跟】【着】【昏】【死】【过】【去】，【没】【有】
【所】【有】【人】【的】【双】【眼】【都】【死】【死】【地】【盯】【着】【那】【匕】【首】，【目】【光】【随】【它】【而】【动】，【眼】【底】【闪】【烁】【着】【兴】【奋】【的】【期】【待】【的】【炽】【热】【的】【光】【芒】，【似】【乎】【已】【经】【迫】【不】【及】【待】【的】【想】【要】【看】【到】【一】【张】【美】【丽】【如】【画】【的】【脸】【在】【顷】【刻】【间】【毁】【灭】，【变】【成】【这】【世】【间】【最】【丑】【陋】【不】【堪】【的】【容】【颜】。 “【啊】——” 【期】【待】【中】，【他】【们】【听】【到】【了】【一】【声】【惨】【叫】，【一】【声】【男】【人】【的】【惨】【叫】。 【原】【本】【划】【向】【脸】【颊】【的】【匕】【首】，【在】【中】【途】【诡】【异】【的】【转】【了】【个】【弯】，【以】近期体彩彩票开奖结果【学】【院】【食】【堂】【二】【楼】【靠】【窗】【的】【小】【隔】【间】【里】，【正】【午】【的】【阳】【光】【从】【窗】【外】【倾】【泻】【而】【下】，【一】【层】【金】【色】【的】【纱】【铺】【在】【茶】【案】【上】，【一】【壶】【热】【气】【腾】【腾】【的】【热】【茶】【散】【发】【着】【余】【香】。 【王】【寂】【悠】【然】【自】【得】【的】【坐】【在】【那】【里】，【品】【味】【着】【壶】【中】【的】【绿】【茶】，【香】【气】【沁】【人】【心】【脾】，【口】【齿】【余】【香】。 【因】【为】【他】【是】【来】【凑】【热】【闹】【的】，【所】【以】【才】【能】【这】【么】【悠】【闲】。【但】【是】【一】【旁】【的】【两】【人】【却】【不】【一】【样】【了】，【不】【大】【的】【隔】【间】【里】，【坐】【在】【王】【寂】【身】【旁】【的】
【下】【一】【秒】，【史】【拉】【古】【跟】【罗】【岚】【的】【距】【离】【不】【断】【拉】【近】，【史】【拉】【古】【很】【快】【来】【到】【了】【他】【们】【的】【面】【前】，【饱】【含】【愤】【怒】【的】【力】【量】【轰】【击】【下】【来】。 【罗】【岚】【和】【赛】【菲】【利】【亚】【的】【攻】【击】【还】【没】【有】【开】【始】，【就】【被】【史】【拉】【古】【抢】【了】【先】【手】，【两】【人】【脸】【色】【陡】【然】【狂】【变】，【忙】【调】【整】【身】【体】【的】【动】【作】，【在】【史】【拉】【古】【攻】【击】【落】【下】【的】【瞬】【间】，【瞬】【移】【出】【对】【方】【攻】【击】【的】【范】【围】。 【然】【后】【联】【合】【赛】【菲】【利】【亚】【一】【起】【朝】【着】【史】【拉】【古】【攻】【击】。 【史】【拉】
“【酒】【酒】……”***【支】【支】【吾】【吾】【的】，【说】【不】【出】【话】【来】，【看】【着】【姜】【酒】【面】【色】【平】【静】【的】【转】【过】【身】，【从】【门】【口】【离】【开】。 【姜】【酒】【走】【后】，【温】【西】【礼】【也】【站】【了】【起】【来】，【他】【走】【到】【温】【凤】【眠】【面】【前】，【低】【头】【看】【着】【他】。 “【大】【哥】，”【他】【不】【咸】【不】【淡】【的】【问】【道】，“【这】【就】【是】【你】【想】【要】【的】？” 【温】【凤】【眠】【看】【向】【他】，【没】【说】【话】。 【温】【西】【礼】【讽】【刺】【的】【笑】【了】【笑】，【转】【过】【身】，【头】【也】【不】【回】【的】【离】【开】【了】。
【按】【照】【人】【们】【以】【往】【的】【印】【象】，【这】【个】【秦】【寻】【的】【每】【一】【次】【战】【斗】，【都】【是】【要】【经】【过】【很】【长】【时】【间】【的】【缠】【斗】【才】【会】【分】【出】【胜】【负】，【很】【少】【有】【上】【来】【就】【砍】【瓜】【切】【菜】【般】【消】【灭】【对】【手】【的】【时】【候】。 【但】【那】【都】【是】【秦】【浩】【瀚】【故】【意】【的】。 【以】【他】【如】【今】【随】【时】【可】【以】【进】【入】【天】【地】【境】【界】【的】【实】【力】，【在】【这】【个】【任】【督】【期】【的】【竞】【技】【场】【根】【本】【没】【有】【对】【手】。 【之】【前】【他】【压】【制】【实】【力】，【为】【的】【是】【尽】【量】【不】【暴】【露】【自】【己】。 【可】【是】【现】【在】【不】