2008 report on the global aids epidemic. 2008 report on the global aids epidemic a global view of...

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2008 Report on the global AIDS epidemic Estimated number of people living with HIV and adult HIV prevalence Global HIV epidemic, 1990–2007; and, HIV epidemic in Sub-Saharan Africa, 1990–2007 Number of people living with HIV % HIV prevalence, adult (15–49) % HIV prevalence, adult (15–49) Number of people living with HIV (millions) % HIV prevalence, adult (15–49) Number of people living with HIV (millions) These bars indicate the range around the estimate NOTE: Even though the HIV prevalence stabilized in Sub-Saharan Africa, the actual number of people infected continues to grow because of ongoing new infections and increasing access to antiretroviral therapy. Global HIV epidemic, 1990–2007 HIV epidemic in Sub-Saharan Africa, 1990–2007 0 10 20 30 40 0 1.0 2.0 3.0 4.0 1990‘91‘92‘93‘94‘95‘96‘97‘98‘992000‘01‘02‘03‘04‘05‘062007 1990‘91‘92‘93‘94‘95‘96‘97‘98‘992000‘01‘02‘03‘04‘05‘062007 0 5 10 15 20 25 30 0 3.0 6.0 9.0 12.0 15.0

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Page 1: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Estimated number of people living with HIV and adult HIV prevalence Global HIV epidemic, 1990–2007; and, HIV epidemic in Sub-Saharan Africa, 1990–2007

Number of people living with HIV% HIV prevalence, adult (15–49)

% HIV prevalence, adult (15–49)

Number of peopleliving with HIV (millions)

% HIV prevalence, adult (15–49)

Number of peopleliving with HIV (millions)

These bars indicate the range around the estimate

NOTE: Even though the HIV prevalence stabilized in Sub-Saharan Africa, the actual number of people infected continues to grow because of ongoing new infections and increasing access to antiretroviral therapy.

Global HIV epidemic, 1990–2007 HIV epidemic in Sub-Saharan Africa, 1990–2007

0

10

20

30

40

0

1.0

2.0

3.0

4.0

1990 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 2000 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 2007 1990 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 2000 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 20070

5

10

15

20

25

30

0

3.0

6.0

9.0

12.0

15.0

Page 2: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

A global view of HIV infection33 million people [30–36 million] living with HIV, 2007

Page 3: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

TOTAL 2.0 million [1.8 – 2.3 million]

0.8% [0.7% - 0.9%]

2.7 million [2.2 – 3.2 million]

33 million [30 – 36 million]

Adult & child deaths due to AIDS

Adult prevalence (15‒49) [%]

Adults & children newly infected with HIV

Adults & children living with HIV

The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

Regional HIV and AIDS statistics and features, 2007

North America

Eastern Europe & Central Asia

Latin America

South and South-East Asia

Sub-Saharan Africa

Oceania

Western & Central Europe

Caribbean

East Asia

Middle East & North Africa

23 000[9100 – 55 000]

58 000[41 000 – 88 000]

63 000[49 000 – 98 000]

340 000[230 000 – 450 000]

1.5 million[1.3 – 1.7 million]

110 000[67 000 – 180 000]

0.6% [0.4% – 1.0%]

0.8% [0.6% – 1.1%]

0.5% [0.4% – 0.6%]

0.3% [0.2% – 0.4%]

5.0% [4.6% – 5.4%]

54 000[9600 – 130 000]

140 000[88 000 – 190 000]

330 000[150 000 – 590 000]

1.9 million[1.6 – 2.1 million]

1000[<1000 – 1400]

8000 [4800 – 17 000]

14 000[11 000 – 16 000]

40 000[24 000 – 63 000]

27 000[20 000 – 35 000]

0.4% [0.3% – 0.5%]

0.3% [0.2% – 0.4%]

1.1% [1.0% – 1.2%]

0.1% [<0.1% – 0.2%]

0.3% [0.2% – 0.4%]

13 000[ 12 000 – 15 000]

27 000[14000 – 49 000]

20 000[16 000 – 25 000]

52 000[29 000 – 84 000]

40 000[20 000 – 66 000]

22.0 million[20.5 – 23.6 million]

1.2 million[760 000 – 2.0 million]

1.5 million [1.1 – 1.9 million]

1.7 million [1.5 – 2.1 million]

4.2 million[3.5 – 5.3 million]

74 000[66 000 – 93 000]

730 000[580 000 – 1.0 million]

230 000[210 000 – 270 000]

740 000[480 000 – 1.1 million]

380 000[280 000 – 510 000]

Page 4: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

HIV prevalence (%) among pregnant women attending antenatal clinics in Sub-Saharan Africa, 1997–2007

NOTE: Analysis restricted to consistent surveillance sites for all countries except South Africa (by province) and Swaziland (by region)

Southern Africa

0

10

20

30

40M

edia

n H

IV p

reva

len

ce (

%) 50 Botswana

LesothoMozambiqueNamibiaSouth AfricaSwazilandZimbabwe

1997–1998

1999–2000

2001 2002 2003 2004 2005 2006 2007

West Africa

0

5

10

15

20

Med

ian

HIV

pre

vale

nce

(%

)

0

5

10

15

20

Med

ian

HIV

pre

vale

nce

(%

)

Eastern Africa

1997–1998

1999–2000

2001 2002 2003 2004 2005 2006 2007 1997–1998

1999–2000

2001 2002 2003 2004 2005 2006 2007

Ethiopia

Kenya

Burkina FasoCôte d'IvoireGhanaSenegal

Page 5: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

HIV prevalence (%) among 15–24 years old, by sex, selected countries, 2005–2007

0 5 10 15 20 25% HIV prevalence

SwazilandSouth Africa

ZimbabweCentral African Republic

Côte d'IvoireSierra Leone

RwandaHaiti

GuineaEthiopia

Benin

DR CongoNiger

SenegalCambodia

India

UgandaChad

Dominican Republic

Mali

Female

Male

Page 6: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

New infections among children, 1990–2007

Year

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 20070

400 000

500 000

600 000

200 000

300 000

100 000

This bar indicates the range

Page 7: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Child deaths due to AIDS, 1990–2007

Year

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 20070

300 000

400 000

500 000

100 000

200 000

This bar indicates the range

Page 8: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Estimated number of adult and child deaths due to AIDS globally, 1990–2007

Year

Mill

ions

0

1.5

2.0

2.5

3.0

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

0.5

1.0

This bar indicates the range

Page 9: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Number and percentage of HIV-positive pregnant women receiving antiretroviral prophylaxis, 2004–2007

2004 20062005

Number of HIV-positive pregnant women receiving antiretrovirals

Year

400 000

500 000

600 000

0

100 000

200 000

300 000

% of HIV-positive pregnant women receiving antiretrovirals

0

5

30

35

15

20

25

40

10

2007

Source: UNAIDS, UNICEF & WHO, 2008; data provided by countries.

Page 10: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Median percentage of population reached with HIV prevention serviceswithin the specified legal environment

Sex workers(N=42)

Injecting drugusers (N=17)

Men having sex with men

(N=28)

0

20

40

60

80

100

Median percentage of population reached with HIV prevention services (UNGASS indicator 9)

Countries reporting having non-discrimination laws/regulations with protection for this population

Countries reporting NOT having non-discrimination laws/regulations with protection for this population

Source: UNGASS Country Progress Reports 2008

Page 11: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Comprehensive knowledge of HIV among young people (ages 15–24), 1999–2007

1999–2003 20102004–20070

20

40

60

80

100

%

Year

Male

Female

2005 Target2010 Target

Source: MEASURE DHS (2008)

Page 12: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Percentage of most-at-risk populations reached with HIV prevention programmes, 2005–2007

Sex workers

Injecting drug users

Men having sex with men

% Median

60.4%*(39 countries)

46.1%**(15 countries) 40.1%*

(27 countries)

20

50

80

60

70

0

10

30

40

90

100

* Percentage of sex workers and men having sex with men reported knowing where they can receive an HIV test and that they were given condoms.

** Percentage of injecting drug users who reported knowing where they could receive an HIV test and be provided with condoms and sterile injecting needles and syringes.

Source: UNGASS Country Progress Reports 2008

Page 13: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Number of people receiving antiretroviral drugs in low- and middle income countries, 2002−2007

Source: Data provided by UNAIDS & WHO, 2008.

end-2002

end-2004

end-2003

end-2005

0.4

0.8

1.2

1.6

2.2

2.8

Mill

ion

s

Year

2.4

2.6

3.0

0.0

0.2

0.6

1.0

1.4

1.8

2.0

end-2007

end-2006

North Africa and the Middle East

Eastern Europe and Central Asia

East, South and South-East Asia

Latin America and the Caribbean

Sub-Saharan Africa

Page 14: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Comparison of antiretroviral therapy coverage in 2007 between males and females (for countries with reported data

on the number of people on treatment for both sexes separately)

Source: Data from UNAIDS and WHO, 2008

NOTE: Coverage estimates are based on applying the ratio of number of males and number of females receiving antiretroviral therapy to the final projected value of all people receiving antiretroviral therapy as of December 2007. This provides December 2007 estimates of number of males and females receiving antiretroviral therapy that are then divided by the estimated number of males and females in need of antiretroviral treatment respectively.

Per

cent

Cov

erag

e (%

)

Bot

swan

a

Rw

anda

Pap

ua N

ew G

uine

aB

urki

na F

aso

Zam

bia

Hai

tiG

abon

Ken

yaM

alaw

i S

waz

iland

Cot

e d'

Ivoi

re

Leso

tho

Sou

th A

fric

aE

thio

pia

Cam

eroo

n

Bur

undi

Gui

nea

Moz

ambi

que

Tog

oG

uine

a-B

issa

u

Cen

tral

Afr

ican

Rep

Zim

babw

eC

ongo

Gha

naC

had

Bar

bado

sC

ambo

dia

El S

alva

dor

Bra

zil

Phi

lippi

nes

Sen

egal

Mor

occo

Chi

leB

eliz

eM

aurit

ania

Kaz

akhs

tan

Chi

naB

oliv

iaP

arag

uay

Bel

arus

Nig

er

Indi

a

Ukr

aine

Som

alia

Pak

ista

n

Countries with Generalized Epidemics Countries with Concentrated or Low Epidemics

100%

80%

60%

40%

20%

0%

Page 15: 2008 Report on the global AIDS epidemic. 2008 Report on the global AIDS epidemic A global view of HIV infection 33 million people [30–36 million] living

2008 Report on the global AIDS epidemic

Per capita HIV expenditures from domestic public sources in low- and middle-income countries, 2004–2007

Year

2004 20062005 2007

4

8

12

0

2

6

10

14

US$

Sub-Saharan Africa Upper middle income countries

Rest of the world Upper middle income countries

Rest of the worldLow and lower middle income countries

Sub-Saharan Africa Low and lower middle income countries

(9.89)

(1.17)(0.63)

(0.14)

(12.01)

(2.04)

(1.15)

(0.20)