The Fight Against Dengue and HIV: Community Spirit and Innovative Solutions

June 20, 2025, 4:39 am
World Health Organization
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In the battle against public health crises, two recent developments shine a light on the power of community and innovation. Dengue fever and HIV are formidable foes, but collective action and groundbreaking treatments offer hope.

Dengue fever is a silent storm, sweeping through communities in Asia. The Aedes aegypti mosquito is its harbinger, thriving in urban areas where climate change and rapid urbanization create perfect breeding grounds. In 2024, the Philippines reported over 62,000 cases, while Malaysia faced more than 122,000 cases and 117 deaths. The economic toll? A staggering $950 million annually.

But communities are rising to the challenge. The partnership between the International Federation of Red Cross and Red Crescent Societies Asia Pacific (IFRC APAC) and Takeda is a beacon of hope. Their initiative, United Against Dengue, focuses on three pillars: education, advocacy, and support.

Education is the bedrock. It empowers communities with knowledge. Through campaigns and volunteer training, residents learn to recognize symptoms and take preventive measures. The use of relatable tools, like comics from The Woke Salaryman, makes the message accessible. These stories resonate, turning complex health information into engaging narratives.

Advocacy ensures that the fight against dengue is sustained. It involves working with policymakers and health organizations to integrate dengue prevention into national strategies. This unified approach strengthens health systems and fosters resilience.

Support is crucial for those affected. It provides care and assistance, ensuring that no one faces dengue alone. By harnessing the power of community, the initiative aims for zero preventable dengue deaths by 2030.

Meanwhile, in the realm of HIV prevention, Gilead has made waves with its new injectable drug, lenacapavir, branded as Yeztugo. Approved by the FDA, this twice-yearly injection offers a convenient alternative to daily pills. In clinical trials, it showed remarkable efficacy, virtually eliminating new infections when administered every six months.

This innovation is a game-changer. HIV continues to claim lives, with 1.3 million new infections globally in 2023. In the U.S., 700 new cases and 100 deaths occur weekly. The burden falls disproportionately on communities of color and marginalized groups.

Yet, challenges loom. The rollout of Yeztugo faces potential threats, including proposed cuts to federal funding for HIV prevention. The Trump administration's budget could destabilize crucial programs, jeopardizing access to life-saving treatments.

Despite these hurdles, Gilead is committed to making Yeztugo accessible. The annual list price is $28,218, but the company has programs to reduce out-of-pocket costs for eligible patients. They aim to ensure that everyone, regardless of income, can benefit from this breakthrough.

Access is vital. Most PrEP users are under commercial insurance, but Medicaid plays a crucial role for lower-income individuals. Cuts to Medicaid could hinder access to HIV prevention and treatment, creating a ripple effect in communities already facing stigma and barriers.

Both dengue and HIV highlight the importance of community engagement. The United Against Dengue initiative demonstrates how collective action can combat a rising health threat. By fostering a sense of kampung spirit, communities can unite to protect one another.

Similarly, the introduction of Yeztugo emphasizes the need for awareness and education. Many individuals remain unaware of their options for HIV prevention. Gilead's efforts to promote the convenience of a twice-yearly injection could bridge this gap.

In the fight against dengue, the use of relatable content, like comics, can motivate communities to act. Understanding risks in familiar terms fosters behavior change. This approach can be a model for future public health campaigns.

For HIV prevention, the success of Yeztugo hinges on broad insurance coverage and effective outreach. Addressing stigma and cultural challenges is essential. The convenience of an injection may provide the privacy some individuals seek, encouraging more people to seek prevention.

As we navigate these health crises, the intersection of community spirit and innovative solutions becomes clear. The fight against dengue and HIV is not just about medicine; it’s about people. It’s about neighbors looking out for one another.

In conclusion, the battles against dengue and HIV remind us of the power of unity. Through education, advocacy, and support, communities can rise to the occasion. Innovative treatments like Yeztugo offer hope, but access and awareness are key. Together, we can forge a path toward a healthier future, where no one is left behind. The journey is long, but with collective effort, we can turn the tide against these public health challenges.