Tlaxcala faces challenges in the fight against HIV: recent data and trends.

In the last decade, Tlaxcala has faced a significant challenge in the fight against HIV, with a total of 1,626 diagnosed cases since 2014, according to the Historical HIV Report published by the federal Secretariat of Health (Ssa). This report highlights fluctuations in the number of cases over the years, revealing both the vulnerability of the population and the need to intensify prevention and treatment efforts. The year 2014 marked the beginning of this series of diagnoses with 128 reported cases. However, the most alarming figure was observed in 2023, when cases peaked at 219. This increase suggests the urgency of addressing issues such as awareness, access to testing and treatment, as well as the stigmatization that people living with HIV often face. Fortunately, data from 2024 shows a slight decrease, with only 108 new diagnoses reported by the third quarter of the year. This could indicate a positive change in disease trends, although it is premature to celebrate progress without a deeper analysis of the factors that may have contributed to this decline. The variability in HIV incidence in Tlaxcala serves as a reminder that the fight against this disease must be constant and dynamic. During the analyzed period, the incidence rate of HIV has shown significant variations. In 2018, the rate was 12.5 cases per 100,000 inhabitants, while 2023 evidenced an alarming increase to 15.4. However, by 2024, the rate has been reduced to 7.5, suggesting that more effective control over the spread of the virus may be being achieved. One of the most important concerns arising from the report is the clinical classification of cases in 2024. Of the 108 diagnosed, 37 are in stage 1, 30 in stage 2, 25 in stage 3, and 16 in stage 4, also known as AIDS. This breakdown is crucial for understanding how the disease is being managed and the importance of early diagnosis, which can prevent more people from reaching advanced stages of the infection. HIV, being a virus that compromises the immune system, requires antiretroviral treatment that allows affected individuals to lead healthy lives and minimize the risk of transmission. The availability and access to these treatments are essential not only for improving the quality of life of those living with the virus but also for reducing its spread in the community. At the national level, Mexico has recorded a total of 166,180 cases of HIV between 2014 and 2024, with Tlaxcala representing approximately one percent of this figure. Although this proportion may seem small, each case matters, and each life affects a broader circle of people. Awareness and education about HIV must be prioritized, especially in states like Tlaxcala, which are experiencing changes in their contagion statistics. It is important to mention that the states with the highest rates of HIV in 2024 are Quintana Roo, Colima, and Yucatán, where more than 18 cases are reported for every 100,000 inhabitants. This indicates that the issue of HIV is not only a local concern but also requires attention at the regional and national levels to create effective prevention strategies. As we move toward a future where information and education about HIV are more accessible, it is essential for health authorities, along with civil society, to work together to dismantle the stigmatization associated with the disease. The fight against HIV involves not only medical care but also the respect and dignity of people living with the virus. The HIV landscape in Tlaxcala reflects the challenges and advancements in public health. It serves as a reminder that, although the numbers may fluctuate, the fight for the health and well-being of all must remain steadfast and constant. Collaboration between the government, non-governmental organizations, and the community is essential to continue making progress and ensuring a healthier future for generations to come.