Nowadays, you can live well for a long time with HIV – if you get to know about the infection early enough and start treatment. However, many women and men do not know that they have become infected.

Thirty years ago, an HIV infection was mostly fatal. Since the beginning of the epidemic in the early 1980s until 2016, about 39 million people worldwide have died as a result of HIV / AIDS, and of that, about 30,000 of them were in Germany. HIV is an abbreviation and means „human immunodeficiency virus“. HIV damages the immune system so that the body can no longer fight invading pathogens such as bacteria, fungus infections or viruses. In the worst case, certain life-threatening illnesses occur, for example, severe pneumonia. Then it is called AIDS.

Today, high-potency drugs can help prevent AIDS from erupting and even suppress the virus so successfully that it can no longer be detected in the blood using current blood measurement methods. This means that the virus can no longer damage organs and can not breakout into an AIDS disease. And something many do not know: those treated are no longer infectious when their viral load is below the detection limit for half a year, therefore they can not infect others.
In Germany, more than 1,000 people still suffer from AIDS each year. On top of that, the number of people who don’t know about their infection, and therefore don’t get treated, has steadily increased since 2006. It is estimated that currently about 13,000-14,000 HIV-infected people are undiagnosed and can potentially spread the virus.

0/90/90/90 – until 2020

In order to raise public awareness of the issue and to address obstacles that prevent people from taking the HIV test, the „No Aids for all until 2020“ campaign was launched in November 2017 by the „Kompetenznetz AIDS in Schleswig-Holstein“. Uli Manthey, CEO of Aids-Hilfe Kiel, explains in an interview that the goals of the campaign can be expressed in the formula „0/90/90/90 – until 2020“.


no discrimination


of all HIV infected people are diagnosed


of all people living with HIV shall receive antiviral treatment


of all diagnosed people shall be and stay under the detection level

0 = no discrimination

Fear of exclusion and rejection is a common reason why people decide not to take an HIV test. People with HIV are still experiencing whispering behind their back, friends turning away or bullying in the workplace. Even if superiors respond openly and understandingly, they usually do not want their employees to reveal their infection to their colleagues and clients. Also in health care HIV patients are often discriminated against – even where they expect the most professional handling of the infection: in medical and dental practices, hospitals and dental clinics, etc. Patients often report, for example, that they only get the last appointment of the day when they visit the dentist, on the grounds that the equipment, the treatment chair or the treatment room must be specially cleaned afterwards. This is absurd considering the fact that other patients who are unaware of their infections are potentially a much greater risk.

Of course, for HIV testing to be part of health care and more people to be tested, it is important that people with HIV no longer be discriminated against and marginalized.

90 = 90 % of all HIV infected people are diagnosed

Far too rarely, do treating physicians ask their patients about sexual risks they have taken or advise them to take an HIV test. Often, doctors do not even consider that HIV could be the cause of certain symptoms of their patients, and therefore they do not offer an HIV test. For example, HIV is often diagnosed only at the AIDS stage with severe symptoms (so-called „late-presenters“). The message of the campaign is therefore: Anyone who has had an HIV risk, should be tested. Those who generally have an increased risk should go to the test once a year. Anonymous tests are offered by health authorities and the “Aidshilfen”.

90 = 90 % of all people living with HIV
shall receive antiviral treatment

For people with health insurance in Schleswig-Holstein, or Germany, this isn’t a problem. However, there are more and more people in Germany who are not insured for a variety of reasons. The therapy costs are too high to be paid out of one‘s own pocket and so access to therapy for these people is denied. The result is the proliferation of AIDS and other HIV infections, which could have been easily prevented by medications. In the opinion of the “Aidshilfen”, politicians should create new solutions to enable these people access to HIV therapy.

90 = 90 % of all diagnosed people shall be and stay under the detection level

This way the infection cannot be passed on to others.

Kein Aids in Schleswig-Holstein bis 2020
„Seven countries have already reached the ‚0-90-90-90 targets‘: Britain, Sweden, Denmark, Iceland, Botswana, Cambodia and Singapore. According to UNAIDS, Eastern and Southern Africa, Western and Central Europe as well as North and South America are well on their way“. Uli Manthey continues, „Schleswig-Holstein and Germany have to follow their neighbors quickly, so that there are no people here until 2020 who are newly ill with AIDS“.

For more than 30 years: Aids-Hilfe Kiel e. V.

Since 1986, Aids-Hilfe Kiel has been committed to improving the quality of life of people living with HIV/AIDS and their relatives, partners and friends. In addition to three permanent employees, the Aids-Hilfe can currently count 38 qualified volunteer employees, without whom, many offers would not be possible.
One main focus is the counseling and support of people with HIV and AIDS, as well as their relatives and friends. Apart from purely medical questions, there are usually accompanying circumstances such as mental health problems, difficulties in the workplace, drug use, migration-related problems etc., which lead the clients to Aids-Hilfe. Within the framework of patient counseling and support, Aids-Hilfe Kiel has been cooperating closely with the Infectious Outpatient Department of Kiel University Hospital since 1990, enabling patients in need of help to reach the help they need quickly and easily.
A non-binding get-together with Aids-Hilfe and its employees is possible on „Open Thursday“ where they have coffee, cake and talks in the rooms of the Aids-Hilfe. „Open Thursday has been offered – except on public holidays – from 3:00 to 5:00 pm every Thursday since 1996 and is still well received,“ reports Ute Krackow, one of the two social workers of Aids-Hilfe Kiel.
Those who prefer to clarify questions about HIV, AIDS and other sexually transmitted infections by phone can contact the anonymous nationwide telephone counseling service. The employees of the Aids-Hilfe Kiel participate in this telephone consultation, as well as in the nationwide online consultation, where advice seekers can get help in individual chats (look at info box).
Once a month Aids-Hilfe Kiel offers an anonymous HIV rapid test in their rooms for a donation of 10 EUR. Here you can also ask questions about HIV, risks or „safe sex“. To ensure that working people can take advantage of this offer, the appointments take place in the evenings between 6:30 pm and 8:00 pm and are announced on „Every HIV test today is a win: If you find out you do not have it, everything is great. If you have it, it is a thousand times better than having it and not knowing it … „, explains Björn Ould, who is also a social worker of Aids-Hilfe Kiel,“ … because early treatment usually also means easier treatment and a higher life expectancy.“

Another important task of Aids-Hilfe Kiel is prevention. This includes information stands at festivals and disco events, butis especially active in schools. Since 2001, the Aids-Hilfe has been traveling through schools and other educational institutions with their interactive course „Love, Sex and More …“. This course examines different topics like HIV/Aids, other sexually transmitted infections, condoms and contraception, etc. In it adolescents and young adults (from the 8th year onwards) can with their own sexuality, and through their own experimentation, participation and discovery learn about potential risks, real risks and how to chose protection options. In close cooperation with Aids-Hilfe Neumünster, Aids-Hilfe Kiel offers a hands-on course not only in Kiel, but also in the surrounding countryside. In 2016, it reached 53 school classes reaching 1,250 students. The hands-on course has recently been requested by refugee organizations for groups of young unaccompanied refugees. Puberty often shifts among these young people because they were unable to develop and grow like children in their country as a result of war and flight. The prevention course can help to clarify their questions and uncertainties.

Non-German speaking people are also welcome in the Aids-Hilfe Kiel and a consultation is possible in English. For all other languages ​​an interpreter is required, but are not provided by the Aid-Hilfe. „We would be happy if volunteer translators would contact us, so we are able to offer more languages ​​in the personal consultation on the spot“, wishes Uli Manthey.

If you are looking for information in your native language on the internet, you will find interesting information on sexual health in German, English, French, Russian, Turkish, Arabic, Farsi, Bulgarian, Polish, Albanian, Romanian, Spanish and Dutch at

Anonymous telephone counseling is offered by the HIV Center of the Frankfurt University Hospital in English, French, Spanish, Russian, Thai, Amharic, Tigrinya, Oromo, Kisuaheli and Luganda. On the website you can see on which days information is given in your language.

Aids-Hilfe Kiel e.V.

Königsweg 19 · 24103 Kiel
Telefon 0431-5 70 58-0
Mo. 10–13 Uhr · Mi. 13–16 Uhr · Do. 12–18 Uhr
Beratungszeiten nach Vereinbarung

Anonyme bundesweite
Telefon- und Onlineberatung
der Aidshilfen

Telefon 0180-33 194 11
9 ct./Min. aus dem deutschen Festnetz,
max. 42 ct./Min. aus deutschen Mobilfunknetzen
Mo.–Fr. 9–21 Uhr · Sa.–So. 12–14 Uhr

in anderen Sprachen

Informationen zur sexuellen Gesundheit
in deutscher Gebärdensprache sowie auf Deutsch, Englisch, Arabisch und 10 weiteren Sprachen.

Anonyme Telefonberatung im HIV-Center des Universitätsklinikums Frankfurt auf Deutsch, Englisch und 10 weiteren Sprachen.

Text: Michael Oestreicher · Fotos (Regina & Maik): Deutsche Aids-Hilfe (DAH)/Johannes Berger