Cuba strengthens its fight against HIV on World AIDS Response Day.

Every December 1st, the world comes together to commemorate World AIDS Day, a crucial moment to reflect on the importance of preventing and treating sexually transmitted infections. In Cuba, the fight against HIV has been a constant effort dating back to the 1970s, when control programs for diseases such as syphilis and gonorrhea were initiated. The emergence of the first cases of HIV in 1986 marked the beginning of a more comprehensive approach, leading to the implementation of the first HIV Prevention and Control Program that same year. Over time, these programs have been integrated into five-year strategic plans, demonstrating a sustained commitment to public health. Since 1998, the National Center for the Prevention of STIs-HIV/AIDS has been fundamental in promoting educational campaigns and actions to encourage behavioral changes in the population. Information and awareness are key tools in the fight against this disease, which, although initially associated with certain groups, has shown to affect people from various backgrounds and lifestyles worldwide. HIV transmission occurs through bodily fluids, highlighting the need for comprehensive sexual education and adequate access to testing and treatment. In the Cuban context, it is noteworthy that 80.5% of people diagnosed with HIV are men, predominantly those who have sexual relations with other men. This statistic underscores the importance of targeting prevention campaigns toward specific groups, as well as the need to create an environment free of stigma and discrimination. The situation in Cuba is encouraging compared to the Caribbean region and the Western Hemisphere; the country has succeeded in eliminating the transmission of HIV through blood and from mother to child, which is a global milestone. In 2015, Cuba became the first country in the world to receive certification from the World Health Organization (WHO) for eliminating mother-to-child transmission of HIV and congenital syphilis, a certification that has been maintained in subsequent years. These achievements are due to a proactive approach to health care and a robust public health system that prioritizes preventive medicine, a legacy of Commander-in-Chief Fidel Castro Ruz. This year, the country has seen an increase in the number of HIV tests, especially among key populations, a progress that has been achieved through Primary Health Care and the work of community promoters. The integration of STI and HIV care into the Family Doctor and Nurse Program ensures equitable access to health services. The collaboration of doctors, nurses, psychologists, and other specialists guarantees that the diverse needs of the population are addressed. One of the pillars of this effort is the Support Line for people with HIV, a civil society initiative that operates at the national, provincial, and municipal levels. This network aims to respond to the local needs of those living with HIV, offering prevention services, psychosocial support, and assistance with treatment adherence. Active community participation is essential for the success of these initiatives, highlighting the importance of people feeling part of the solution. The National Center for the Prevention of STIs-HIV/AIDS continues to play a crucial role in educating and raising awareness among the population. Its telephone service, LíneAyuda, is an invaluable tool for those seeking information and support, operating Monday through Friday to ensure access to critical resources. Effective communication is fundamental to destigmatizing HIV and promoting preventive behaviors in society. Preventive medicine has been a guiding principle in Cuban public health, and the fight against HIV is no exception. The history of the Cuban response to HIV shows that through education, access to health services, and community commitment, it is possible to advance in the elimination of this disease. On this World AIDS Day, it is vital to reaffirm the importance of prevention and access to treatments, as well as to continue working toward a future where HIV is just another chapter in the history of public health.