The Montreal Manifesto of 1989 was a broad call for inclusion and action by the people most affected by the HIV pandemic. You can read the original text in English, French or Spanish.
 
Many things have changed in HIV since 1989, and some have not. New issues and tools to fight HIV have emerged since that time as well.
 
This consultation is to establish what issues are important for people living with HIV and community activists around the world, so that we can issue an updated Montreal Manifesto in time for the International AIDS Conference in Montreal in the summer of 2022.
 
Please share this widely among people living with HIV and community HIV activists.
 
We will close the survey collector on 12 June 2022 in order to have time for the process of analyzing the results and writing a new Manifesto.
 
In each section, we will suggest some basic points we are proposing. We also offer the opportunity to add points from your own perspective. All points are likely to be rephrased to be easy to read and succinct.
 
This consultation should take about 10 minutes to complete.

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* This is a response from:

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* Prevention

    — Recognition and promotion of the fact that a person with an undetectable viral load does not transmit HIV sexually (Undetectable = Untransmittable / U=U)
    — Continue research to prove that U=U for means of transmission other than sexual
    — Respect of the rights of key populations in the HIV pandemic (men who have sex with men, people who use drugs, sex workers, Black, Indigenous and People of Colour)
    — Harm reduction: adoption of principles, funding of services
    — Safe supply for people who use drugs, and safe spaces with easy access to appropriate resources
    — Access to free prevention materials and to information
    — Promotion and availability of free PrEP and of PEP (including non-occupational PEP)
    — Education to promote HIV prevention must be available everywhere

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* Comments

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* Testing

    — Free access to a broad range of testing options, including self-testing and community-based options, and assistance to make testing easier
    — Informed consent for testing
    — Ensure that there are no negative consequences to getting tested (rights, insurance, etc.)
    — No mandatory testing

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* Comments

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* Treatment

    — Full range of optimal treatment options for all, not dependent on geography, gender, age, or category of transmission
    — Free antiretroviral treatment
    — No barrier to treatment based on CD4 counts
    — Continuity of treatment for people who are incarcerated or who are forced by circumstances to migrate
    — Education of health care professionals to support people with HIV on treatment

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* Comments

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* Rights

    — Respect equality of all people, women and men, including People living with HIV, LGBTQIA2S+ and racialized people, and guarantee that equality through effective legislation and mechanisms
    — Respect the rights of trans women and men
    — Decriminalisation: HIV non-disclosure, drug possession, sex work
    — End all restrictions to international travel that are based on HIV status
    — Respect of the GIPA/MEPA principles: Greater Involvement and Meaningful Engagement of People living with HIV/AIDS
    — Respect of women’s right to make decisions about their own reproductive health

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* Equity

    — Adequate funding of the Global Fund to fight AIDS, Malaria and TB (including targets that reflect actual needs)
    — Adequate funding of the national response to HIV in all countries
    — Ensure that patent protection (and therefore price) does not impose inequality of access based on geography
    — Ensure that all people have access to the necessities of life: food, shelter, education, health care etc. Social inequality drives the HIV pandemic

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* Research

    — Inclusion of all affected populations in all aspects of research that concerns them, from planning, defining the research question, carrying out, analyzing and sharing results, and planning subsequent actions
    — Respect of the principle that new treatments are tested against proven existing treatments, when they exist) and not against placebos
    — Standardized international criteria for drug approval
    — International data bank for research results

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* Comments

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