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However, the total number of people with diagnosed HIV infection who accessed HIV services in 2020 was lower than in 2019. In 2020, the UNAIDS 95-95-95 targets were met across the UK for the first time with 95% of all people diagnosed, 99% of those in care on treatment and 97% of those on treatment virally suppressed, meaning that 91% of all people living with HIV in care were virally suppressed in England and the UK. The 23% reduction in new HIV diagnoses in heterosexuals is likely due to declines in testing the number of heterosexuals having an HIV test fell by 33% between 20. However, the decline in new HIV diagnoses were not seen across all gay and bisexual men, and was steepest in white men, men living in London and younger men. There is also evidence gay and bisexual men had fewer partners in 2020 and accessing pre-exposure prophylaxis ( PrEP) continued.
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The drop in testing was not as pronounced in gay and bisexual men, suggesting that the year-on-year reductions in transmission we have seen in this group have continued. The decline in new HIV diagnoses in England was sharpest in gay and bisexual men, which fell by 41% between 20.
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The coronavirus (COVID-19) pandemic changed patterns of sexual behaviour, affected HIV testing and limited access to sexual health and HIV services, all of which will have impacted on the number of HIV diagnoses. The report shows there were 2,630 new diagnoses in 2020 compared to 3,950 in 2019.