Dear Editor,

Today, as we observe World AIDS Day, we are called to embrace the powerful theme of ‘Overcoming disruption, transforming the AIDS response’.

This call resonates deeply across our Caribbean region, not as a mere slogan, but as a testament to the resilience that has always defined our people. We stand at a pivotal moment, facing the strong crosswinds of global funding cuts that threaten to slow our progress. But hear this clearly: Our resolve has not been shaken; it has been steeled.

The path to ending AIDS by 2030 was never meant to be easy. Yet the recent financial challenges present one of the most significant tests we have faced in decades. These cuts are not just numbers on a spreadsheet, they represent a potential threat to the medicines that keep our Caribbean brothers and sisters healthy, the prevention programmes that protect our youth, and the hope that has been steadily building across our territories.

But as Caribbean people, we are no strangers to overcoming storms. We have learnt to build stronger, stand firmer, and innovate smarter when faced with adversity. The dream of an AIDS-free Caribbean, a Caribbean where no mother passes HIV to her child, where no life is cut short by AIDS, and where stigma and discrimination are relics of the past is a dream we will not abandon.

Our commitment to achieving the 95-95-95 targets is unwavering. Why? Because we have seen the transformative power of treatment. We have witnessed communities rally together. We already have countries in our region that have eliminated mother-to-child transmission of HIV. This progress, hard-won by the dedication of governments, health-care workers, civil society, and people living with HIV, is a foundation we will not allow to crumble — that we will continue to build on.

In this new reality we are not merely surviving, we are transforming. We are forging a more efficient, more integrated, and more sustainable response. We are empowering our communities to lead, streamlining our supply chains, and ensuring that every single resource we have is used to its maximum impact. We are proving that our spirit and our collective will are our most valuable assets.

To our partners who stand with us, your solidarity is more crucial than ever. To the health-care workers on the front lines, your dedication is our inspiration. To the advocates and community leaders, your voice is our conscience. And to every person living with and affected by HIV in the Caribbean, we see you, we stand with you, and we reaffirm our promise: You are not alone.

Let me be clear: We will not go back. We will not surrender the gains for which we have fought so hard. We will navigate this challenge with determination, innovate with purpose, and unite with a common vision. The journey may now be steeper, but our destination remains the same. Together, we will overcome this disruption, transform our response, and realise an AIDS-free Caribbean for generations to come.

Dr Wendy Telgt Emanuelson

Director of the PANCAP Coordinating Unit