Gauteng Reports Decline in HIV and STI Infections

In recent years, Gauteng has seen a positive shift in the battle against HIV and sexually transmitted infections (STIs). According to the latest data from the Gauteng Department of Health (GDoH), the province has experienced a notable decline in the rate of new HIV and STI infections between 2020 and 2024. This decrease is being attributed to improved prevention strategies, increased awareness campaigns, and better access to treatment and preventative measures.

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The Decline in HIV Infections

One of the most promising trends is the significant drop in HIV incidence, especially among the younger population. In 2020, Gauteng recorded a 2.9% HIV incidence among individuals aged 15 to 24. By 2024, this figure had dramatically reduced to just 1%. The GDoH’s statistics reflect a broader trend of progress, as the province has made strides in reducing new infections, contributing to the fight against the HIV/AIDS epidemic.

Furthermore, the age group of 25 to 49 years saw a decrease in HIV incidence, from 5.1% in 2020 to 2.9% in 2024. These statistics indicate a positive shift, showing that more people are gaining access to prevention treatments and adopting safer practices.

The Role of Pre-Exposure Prophylaxis (PrEP)

A major factor in the decline of HIV infections in Gauteng is the widespread adoption of Pre-Exposure Prophylaxis (PrEP). PrEP is a revolutionary HIV prevention treatment that has proven to be a game-changer in reducing the likelihood of contracting HIV. Since its introduction in 2019, PrEP has seen a remarkable increase in uptake.

The GDoH reported that as of December 2024, 105,924 individuals in Gauteng had been initiated on PrEP. This is a significant milestone, demonstrating the province’s commitment to providing effective HIV prevention tools to those at risk. As more people access and use PrEP, the likelihood of new HIV infections continues to decrease, contributing to the ongoing success in fighting the virus.

STI Prevention and Male Urethritis Syndrome (MUS)

In addition to the progress made in HIV prevention, Gauteng has also seen a reduction in other STIs, particularly male urethritis syndrome (MUS). In February 2024, 30,676 men were screened for MUS, and only 7,468 were found to need treatment. By December 2024, the number of men needing treatment had further decreased, with only 5,713 out of 39,877 men screened showing symptoms.

The decline in MUS cases is a positive sign of improved STI prevention and treatment efforts in the province. Health officials attribute this reduction to better public awareness, education on safe sexual practices, and the availability of free testing and treatment services at local healthcare facilities.

Continued Focus on Prevention

Despite the encouraging trends in the fight against HIV and STIs, the Gauteng Department of Health warns that risky sexual behaviors remain a significant driver of infections. Health MEC Nomantu Nkomo-Ralehoko emphasized the importance of continuing efforts to prevent the spread of HIV and STIs. She encouraged people to make use of the free male and female condoms available at healthcare facilities, stating that condom use is the most effective way to prevent both HIV and STIs.

In addition to condom use, Nkomo-Ralehoko highlighted the importance of early STI treatment, safe male circumcision, and reducing the number of sexual partners as key preventive measures. She also encouraged young girls to get the human papillomavirus (HPV) vaccine, which is an important tool in preventing certain cancers associated with the virus.

The Path Forward

The significant decline in HIV and STI infections in Gauteng between 2020 and 2024 is a testament to the province’s dedication to improving public health. The combination of accessible treatment options, increased awareness campaigns, and the uptake of prevention measures like PrEP has contributed to this positive trend. However, there is still work to be done, as health officials urge people to continue practicing safe sex, get regular STI screenings, and seek early treatment when needed.

The Gauteng Department of Health’s efforts to combat HIV and STIs are setting a valuable example for other provinces and countries to follow. As more people get involved in prevention and treatment efforts, the hope is that the battle against HIV and STIs will continue to progress, leading to healthier communities and a brighter future for all.

Key Takeaways:

• HIV Incidence Decline: HIV incidence among those aged 15-24 dropped from 2.9% in 2020 to 1% in 2024.
• Pre-Exposure Prophylaxis (PrEP): Over 105,000 individuals in Gauteng were initiated on PrEP in 2024, significantly contributing to reduced HIV infections.
• STI Prevention: There was a notable decline in male urethritis syndrome (MUS) cases, with fewer men requiring treatment.
• Ongoing Prevention Efforts: Health MEC Nkomo-Ralehoko encourages condom use, STI screenings, and other preventive measures to continue the downward trend of HIV and STIs.

The ongoing decline in HIV and STI infections in Gauteng serves as an important reminder of the effectiveness of prevention and treatment programs. With continued efforts, the province is making significant strides toward reducing the burden of these infections on the population.