The AVAC report – Achieving the End: One Year and Counting -- calls for a three-part agenda for ending AIDS: Deliver, Demonstrate and Develop.

“No one element is going to end this epidemic. We need to deliver all that we have now to reduce infections and increase treatment coverage. And that includes testing, treating, providing voluntary medical male circumcision, certainly always providing access to male and female condoms, and the kinds of behavior-change programs that have helped us bring the infection rate down; but it’s clearly not enough,” he said.

He said there needs to be a better delivery system for pre-exposure prophylaxis – the use of antiretroviral drugs to prevent initial infections – and microbicide gels. The report calls for demonstration projects to show how valuable these would be if delivered on a wide scale.

“But it still won’t be enough,” he said, “So the third prong has got to be a development agenda, which is to develop an AIDS vaccine and to focus increasingly on the scientific pursuit of a cure.”

AVAC lists its top priorities for 2013. The first is ending confusion about combination prevention.

“What are we combining? For whom are we combining it? And how do we deliver this combination? So we need to end the confusion about combination prevention in 2013. Secondly, one of the things you hear a lot about increasingly is the idea of a treatment cascade. And what happens is as we get more and more people tested, that’s a good thing. But we need to link them to care and link them to antiretroviral therapy. And we need to help them adhere to treatment,” he said.