President Barack Obama on Wednesday issued his annual World AIDS Day proclamation.

December 1 has been designated as World AIDS Day every year since 1988. World AIDS Day is dedicated to raising awareness of the AIDS pandemic and mourning those lost to the disease.

In his proclamation, Obama called for a renewed dedication “to ending this epidemic once and for all.”

“On World AIDS Day, we join with the international community to remember those we have lost too soon, reflect on the tremendous progress we have made in battling this disease, and carry forward our fight against HIV/AIDS,” Obama wrote.

Obama noted that “gay and bisexual men, transgender people, youth, black and Latino Americans, people living in the Southern United States and people who inject drugs are at a disproportionate risk” of acquiring the disease.

The president lauded the Affordable Care Act (ACA), widely known as Obamacare, for blocking insurance companies from denying coverage for pre-existing conditions such as HIV and for covering “important services like HIV and screening.”

In his final World AIDS Day proclamation, Obama pledged more than $4 billion through 2019 to fight AIDS globally.

“Currently, more than 36 million people, including 1.8 million children, are living with HIV/AIDS across the globe, and the majority of people living with HIV reside in low-to middle-income countries,” Obama said. “We need to do more to reach those who are at risk for contracting HIV/AIDS, and the United States is helping shape the world’s response to this crisis and working alongside the international community to end this epidemic by 2030.”