Liver cancer is one of the only cancers in Australia where rates are rising. Most liver cancers have a preventable cause, and increasing screening and treatment for hepatitis B and C will help us to curb the rates of liver cancer.
Increasing the uptake of testing, especially among those at high risk or who rarely test, is one of the underpinning strategies to reach the 90, 90, 90 goals. Self-testing has enormous potential in Australia to reach these groups, however must be implemented with care.
Mental health is a critical issue to properly address to achieve the 90-90-90 targets, both in people living with HIV and those at risk of HIV infection. In Australia, GPs can do much of this work as a part of their primary care practice.
TB reactivation is common in people with HIV with decreasing CD4 count, or other types of immunosupression. Vaccination has the promise of preventing infection, disease and reactivation. Urine-based screening has good diagnostic yield for HIV-positive patients.
TB is responsible for over a quarter of AIDS-related deaths worldwide. New testing and treatments, including preventative therapies are available for people living with HIV.