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HIV cases in the Philippines have surged dramatically, with 5101 new diagnoses reported in the first quarter of 2025—a 57% increase from the same period in 2024. Young individuals aged 15 to 34 years are the most affected, with 96% of new infections linked to sexual transmission. Alarmingly, there has also been a 12% rise in advanced HIV cases, reflecting delays in diagnosis and limited access to care. The country remains far from achieving UNAIDS 95-95-95 targets, with only 55% of people diagnosed, 66% on treatment and 40% achieving viral suppression. This letter calls for urgent public health action, including expanded testing, awareness campaigns, improved access to treatment and pre-exposure prophylaxis, and stronger surveillance systems. International collaboration is essential, and support from global health organisations is critical to reversing this trend and preventing wider regional consequences.