Several themes and recommendations were repeated throughout the deliberations of the Work Group. The following comments represent a consensus feeling among the participants:

• The health emergency among African Americans must compel a statement about the priority of prevention for this group at this time.
• There is a critical need to continue to focus on MSM and the broader group of high-risk HIV-positive persons.
• Most of the revised objectives are directed to patients; but providers, medical associations, and healthcare institutions should also serve as targets. Success of the updated Plan will depend on taking different approaches, clearly defining a road map, and implementing a detailed mobilization strategy.
• CDC, HRSA, and other federal agencies should develop and deliver a unified message to constituents: “Every individual in the country should be tested for HIV and know their status. All HIV-positive persons should be linked to treatments, care, and preventions services.” Clear delivery of this message will reduce stigma in certain populations and eliminate need to update the existing Plan or develop a new Plan with new objectives.
• CDC alone cannot address the issues in the Plan. A national Plan should be developed at this time. The Work Group should serve as the initial voice for this effort.

Recognizing that the Strategic Plan is already functioning in an extension to 2008 and recognizing that there were many Work Group recommendations that can begin to inform CDC efforts even in the absence of updated goals and objectives, the CHAC requests that CDC report back to the CHAC at its next meeting regarding:

• How it plans to align resources and strategies to optimize impact given current levels of funding; how it would adjust strategies assuming the roles of other federal and private partners
• Given the above, how it plans to address concerns regarding scale-up, translational research, CBO capacity, and related cross-plan recommendations coming out of the Workgroup.