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While sporadic cases of AIDS were documented prior to 1970, available data suggests that the current epidemic started in the mid- to late 1970s.

On 8 April 1990, Ryan White died of an AIDS-related illness aged 18.46 In June, the 6th International AIDS Conference in San Francisco protested against the USA's immigration policy which stopped people with HIV from entering the country.In November, the World Trade Organization (WTO) announced the Doha Declaration which allowed developing countries to manufacture generic medications to combat public health crises like HIV.74 In April 2002, the Global Fund approved its first round of grants totalling 0 million.75 In July, UNAIDS reported that AIDS was now by far the leading cause of death in sub-Saharan Africa.76 Also in July, South Africa’s Constitutional Court orders the government to make the HIV drug nevirapine available to all HIV-positive pregnant women and their newborn children following a legal challenge by the Treatment Action Campaign.77 In November, the FDA approved the first rapid HIV test with 99.6% accuracy and a result in 20 minutes.78 In January 2003, President George W.Regions defined by the US Census Bureau and used in CDC’s National HIV Surveillance System: Northeast: CT, ME, MA, NH, NJ, NY, PA, RI, VT Midwest: IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI South: AL, AR, DE, DC, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV West: AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY People are considered retained in care if they get two viral load or CD4 tests at least 3 months apart in a year.(CD4 cells are the cells in the body’s immune system that are destroyed by HIV.) Viral suppression (having less than 200 copies of HIV per milliliter of blood) is based on the most recent viral load test.

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