A Complex Picture

Synopsis

In this, our fourth combined annual report, we mark the 25th anniversary of the first reported case of acquired immunodeficiency syndrome (AIDS) in the United Kingdom (UK) by reflecting upon the significant changes that have occurred over this period in the HIV and STI epidemics. Epidemiological shifts and developments in the sexual health field have led to changes in the structure of sexual health services and different approaches in clinical management.

With surveillance playing a key role in informing clinical practice, service delivery and the targeting and monitoring of prevention interventions, it is essential that surveillance systems are not only timely and accurate but also flexible.

‘A Complex Picture’ profiles the increasing complexity inherent to the evaluation and management of the continuing HIV and STI epidemics. The report also highlights, through the presentation and description of epidemiological data, how despite increasing complexity, HIV and STI surveillance systems in the UK have evolved to remain one of the world’s most comprehensive and informative systems.