HIV and vaccination efforts are falling short — and without better data, the consequences for public health and spending could be severe.

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OHE Bulletin

We analyse the cost of complacency in HIV treatment, policies to prepare for a shrinking workforce, and societal preferences for severe conditions.

  • Altering the Trajectory of HIV in Europe
  • OHE submission to the UK Parliamentary Inquiry on an Ageing Society
  • Understanding societal preferences for priority by disease severity in England & Wales

If that's all the time you have, thanks for reading and we'll see you next Bulletin. If you have a few more minutes and you want more context for our research, keep going.

Lotte Steuten

 Lotte Steuten,  Deputy Chief Executive

Data gaps in prevention are worrying – and dangerous

 

Our most recent report finds that despite decades of progress, Europe is worryingly far from meeting UN targets for HIV eradication. The estimated 1.3 million new HIV infections in 2023 is >3 times higher than the 2025 target of 370.000. We found that barriers to meeting eradication targets exist at every level — from individual awareness to data gaps and underfunded policies. Crucially, the “cost of complacency” is high — without urgent action a further increase in diagnoses is predicted and costs of HIV care could rise to over €56.7bn by 2030 across five EU countries alone.  

 

Similarly, despite there being a clear evidence base for the benefits of vaccines, our research also finds that on average, current immunisation spending in many countries may be too low to meet global vaccine targets. Here too, data gaps across age groups and programs severely limit effective policy-making, resource allocation, and program monitoring. Our submission to a recent UK parliamentary inquiry draws on this new research, among others, and stresses the need to invest in prevention in order for the UK to adapt to the realities of an ageing society.  

 

We also make the case for policymaking to be informed by more robust evidence in another OHE report featured in this Bulletin, which found the public assigns greater relative value to health gains at almost every level of severity, compared with NICE’s current severity modifier. 

Late diagnoses, rising cases: can Europe meet HIV targets?

Altering the Trajectory of HIV in Europe

Altering the Trajectory of HIV in Europe

 

While HIV is now a manageable condition for many, Europe is facing a rise in new diagnoses and late-stage cases. If current trends continue, the UNAIDS 2030 targets will not be met—and the cost, both human and economic, will be substantial. What policies and investments are most urgently needed?

The cost of missing HIV targets

How ageing impacts the UK workforce and economy

OHE submission to the UK Parliamentary Inquiry on an Ageing Society

OHE submission to the UK Parliamentary Inquiry on an Ageing Society

 

The UK faces rising productivity losses as its population ages. Investing in prevention and adult vaccination can keep people healthier for longer. What policies could help tackle the challenges of an ageing workforce and falling birth rates?

Why prevention pays off

NICE severity modifier: how does it match public preferences?

Understanding societal preferences for priority by disease severity in England & Wales

Understanding societal preferences for priority by disease severity in England & Wales

 

The report highlights a gap between NICE’s severity modifier and societal values on disease severity. We find that NICE's current severity modifier does not appear to be well aligned with the public’s preference for prioritising health gains for more severe diseases in England and Wales. Could revising severity rules lead to fairer healthcare decisions?

Severity & NICE: why it matters

As an employer, have you considered the impact of respiratory infections on productivity? 

 

A new interactive Respiratory Cost Calculator, developed by OHE, commissioned and owned by Pfizer, enables employers to estimate the financial impact of absenteeism and presenteeism due to short-term respiratory illnesses.

 

Job code: PP-UNP-GBR-12111 April 2025

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