You can have an epidemic in a state. You can have it in a region. You can have it in a country where the critical level of disease passes a certain threshold and we call that an epidemic threshold.
Anthony S. FauciAn AIDS-free generation would mean that virtually no child is born with HIV; that, as those children grow up, their risk of becoming infected is far lower than it is today; and that those who become infected can access treatment to help prevent them from developing AIDS and from passing the virus on to others.
Anthony S. Fauci