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8% to 83.9%, and median time from diagnosis to VS ranged from five to 13 months. CONCLUSIONS Temporal improvement in persons achieving VS following HIV diagnosis statewide in Alabama is encouraging. However, considerable geographic variability warrants further evaluation to inform public health action. Time from HIV diagnosis to VS represents a meaningful indicator that can be incorporated into public health surveillance and programming. CLINICALTRIALThe Australian Royal Commission into Institutional Responses to Child Sexual Abuse (th