There are two competing trends in the global fight against HIV/AIDS. On the one hand, there has been tremendous progress toward reducing the number of infections and deaths from HIV/AIDS over the last twenty years. Scientific advances in treatment and prevention, new policy tools, and political and funding commitments have driven down HIV/AIDS to the point where it is possible to foresee an AIDS-free world in the not-so-distant future. On the other hand, over the last few years, that progress has suddenly come under threat. COVID upended HIV/AIDS programs in much of the world, and more recently, sudden and swift funding cuts, including from the United States, are shaking the foundation upon which previous decades of progress were built.

On June 22 and 23, these two competing forces will come to a head at the United Nations, where diplomats are gathering for a major meeting on HIV/AIDS. According to my guest today, Mitchell Warren, the High-Level Meeting on HIV/AIDS at the UN presents a unique opportunity for multilateral coordination toward the goal of ending HIV/AIDS as a public health threat, but that goal may be stymied. Key countries that previously led the global fight against HIV/AIDS, including the United States, are stepping back from their leadership roles, potentially upending decades of progress.

Mitchell Warren is the executive director of AVAC, an advocacy group. We kick off by discussing some of the exciting new scientific innovations that may accelerate progress toward ending HIV/AIDS as a public health threat, then have a discussion of how cuts in funding and eroding political commitments are hitting just as these promising new scientific innovations are coming online. We then have a long conversation about how this dynamic may play out at the UN — and what to expect from the High-Level Meeting on HIV/AIDS.