S09.02 figure 1 suggests local elimination is likely to occur earlier in Bellary (median: 2023) than in Mysore (2028) and Belgaum (2030), with the required intervention duration being 11e35 years. The discounted cost of achieving local elimination in each of the settings is estimated to be $8-11 000 000 with 5000e11 000 HIV infections averted up to 2050.Abstract O1-S09.02 Figure 1 Posterior distribution of the year when HIV indicates in FSWs and clients goes below 1 infection per 1000 FSWs and clients.Conclusion Our results suggest Avahan could result in local elimination of HIV among FSWs and clients in these districts without ART. Current discussions around the use of ART for HIV elimination should also consider other prevention strategies, especially in concentrated epidemic settings where eliminating HIV from FSWs and clients is likely to eliminate HIV in the general population. Our modest estimated costs for local elimination could be completely offset against averted ART costs.

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