Scaling up adult male circumcision calculated to have HIV prevention benefits additional to those seen with 90-90-90 treatment target
Scale-up of voluntary medical male circumcision (VMMC) in countries with a high HIV prevalence has the potential to reduce incidence of new infections over and above the level associated with attainment of the 90-90-90 treatment target, according to a modelling study published in PLOS One.
The model was based on rollout of VMMC to cover 90% of males aged 15-49 years. The investigators modelled three viral suppression scenarios, two of which involved viral suppression rates below the 90% target. In all three scenarios, male circumcision would reduce HIV incidence to at least levels predicted with 90% viral suppression, even when suppression rates were as low as 75%. Although VMMC scale-up would initially increase costs, it was projected to reduce expenditure in the longer term.