global summary of the aids epidemic december 2008

48
2009 AIDS epidemic update Global summary of the AIDS epidemic December 2008 Number of people living with HIV in 2008 People newly infected with HIV in 2008 AIDS-related deaths in 2008 Total 33.4 million [31.1 – 35.8 million] Adults 31.3 million [29.2 – 33.7 million] Women 15.7 million [14.2 – 17.2 million] Children under 15 years 2.1 million [1.2 – 2.9 million] Total 2.7 million [2.4 – 3.0 million] Adults 2.3 million [2.0 – 2.5 million] Children under 15 years 430 000 [240 000 – 610 000] The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

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Global summary of the AIDS epidemic December 2008. Number of people living with HIV in 2008. Total 33.4 million [31.1 – 35.8 million] Adults31.3 million [29.2 – 33.7 million] Women 15.7 million [14.2 – 17.2 million] Children under 15 years2.1 million [1.2 – 2.9 million] - PowerPoint PPT Presentation

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Page 1: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Global summary of the AIDS epidemic December 2008

Number of people living with HIV in 2008

People newly infected with HIV in 2008

AIDS-related deaths in 2008

Total 33.4 million [31.1 – 35.8

million] Adults 31.3 million [29.2 – 33.7

million] Women 15.7 million [14.2 – 17.2

million] Children under 15 years2.1 million [1.2 – 2.9 million]

Total 2.7 million [2.4 – 3.0 million]

Adults 2.3 million [2.0 – 2.5 million]

Children under 15 years 430 000 [240 000 – 610 000]

Total 2.0 million [1.7 – 2.4 million]

Adults 1.7 million [1.4 – 2.1 million]

Children under 15 years 280 000 [150 000 – 410 000]

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

Page 2: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Global estimates 1990–2008

Estimate High and low estimates

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

1990 1993 1996 1999 2002 2005 2008

40

30

20

10

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

1.2

0.9

0.6

0.3

0

1990 1993 1996 1999 2002 2005 2008

5

3

2

1

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

5

3

2

1

0N

um

ber

(mill

ions

)

4 4

Figure I

Source: UNAIDS/WHO

%

Page 3: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Adults & children living with HIV

TOTAL 33.4 million [31.1 – 35.8 million]

2.7 million [2.4 – 3.0 million]

3.2 million [2.9 – 3.6 million]

29.0 million [27.0 – 31.0 million]

20082008 2001

Adults & children newly infected with HIV

2001

Regional HIV and AIDS statistics2008 and 2001

110 000[100 000 – 130 000]

55 000[36 000 – 61 000]

170 000[150 000 – 200 000]

280 000[240 000 – 320 000

1.9 million[1.6 – 2.2 million]

3900[ 2900 – 5100]

30 000[23 000 – 35 000]

20 000[16 000 – 24 000]

75 000[58 000 – 88 000]

35 000[24 000 – 46 000]

280 000[240 000 – 320 000]

52 000[42 000 – 60 000]

150 000[140 000 – 170 000]

310 000[270 000 – 350 000]

2.3 million[2.0 – 2.5 million]

5900[ 4800 – 7300]

40 000[31 000 – 47 000]

21 000[17 000 – 24 000]

99 000[75 000 – 120 000]

30 000[23 000 – 40 000]

22.4 million[20.8 – 24.1 million]

1.4 million[1.2 – 1.6 million]

1.5 million [1.4 – 1.7 million]

2.0 million [1.8 – 2.2 million]

3.8 million[3.4 – 4.3 million]

59 000[51 000 – 68 000]

850 000[710 000 – 970 000]

240 000[220 000 – 260 000]

850 000[700 000 – 1.0 million]

310 000[250 000 – 380 000]

19.7 million[18.3 – 21.2 million]

1.2 million[1.1 – 1.4 million]

900 000[800 000 – 1.1 million]

1.6 million [1.2 – 1.6 million]

4.0 million[3.5 – 4.5 million]

36 000[29 000 – 45 000]

660 000[580 000 – 760 000]

220 000[200 000 – 240 000]

560 000[480 000 – 650 000]

200 000[150 000 – 250 000]

(First of 2 parts)

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

Page 4: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

2008 2001

Adult & child deaths due to AIDSAdult prevalence (%)

TOTAL 2.0 million [1.7 – 2.4 million]

1.9 million [1.6 – 2.2 million]

0.8% [<0.8% –

0.8%]

0.8% [<0.8% –

0.8%]

2008 2001

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

87 000[72 000 – 110 000]

25 000[20 000 – 31 000]

77 000[66 000 – 89 000]

270 000[220 000 – 310 00]

1.4 million[1.1 – 1.7 million]

2000[1100 – 3100]

13 000[10 000 – 15 000]

12 000[9300 – 14 000]

59 000[46 000 – 71 000]

20 000[15 000 – 25 000]

26 000[22 000 – 30 000]

19 000[16 000 – 23 000]

66 000[56 000 – 77 000]

260 000[210 000 – 320 000]

1.4 million[1.2 – 1.7 million]

<1000[<500 – 1200]

7900[6500 – 9700]

20 000[17 000 – 23 000]

22 000[18 000 – 27 000]

11 000[7800 – 14 000]

0.6% [0.5% – 0.7%]

0.5% [0.4% – 0.5%]

0.5% [<0.5% – 0.6%]

0.3% [<0.3% – 0.4%]

5.8% [5.5% – 6.0%]

0.2% [<0.2% – 0.3%]

0.2% [<0.2% – 0.3%]

1.1% [1.0% – 1.2%]

<0.1% [<0.1%]

0.2% [0.1% – 0.2%]

0.6% [0.5% – 0.7%]

0.7% [0.6% – 0.8%]

0.6% [0.5% – 0.6%]

0.3% [0.2% – 0.3%]

5.2% [4.9% – 5.4%]

0.3% [<0.3% – 0.4%]

0.3% [0.2% – 0.3%]

1.0% [0.9% – 1.1%]

0.1% [<0.1%]

0.2% [<0.2% – 0.3%]

(Last of 2 parts)

Regional HIV and AIDS statistics2008 and 2001

Page 5: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimate of the annual number of infant infections averted through the provision of antiretroviral prophylaxis to HIV-positive pregnant women,

globally, 1996–2008

1996 1998 2000 2002 2004 2006 2008

60 000

50 000

40 000

20 000

0

30 000

10 000

70 000

1997 1999 2001 2003 2005 2007

Infa

nt

infe

ctio

ns

avert

ed

Figure II

Page 6: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

No prevention of mother-to-child transmission

At current levels of antiretroviral prophylaxis

Estimated number of new child infections at current levels of antiretroviral prophylaxis and without antiretroviral prophylaxis ,

globally, 1996–2008

600 000

500 000

400 000

200 000

0

300 000

100 000

1996 1998 2000 2002 2004 2006 20081997 1999 2001 2003 2005 2007

Figure III

Page 7: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Caribbean

3.5

3.0

2.0

1.0

0

(th

ousa

nds

)

1996 1998 2000 2002 2004 2006 2008

2.5

1.5

0.5

Regional estimates of the number of infant infections at current levels of antiretroviral prophylaxis and without antiretroviral prophylaxis

No prevention of mother-to-child transmission At current levels of antiretroviral prophylaxis

Asia Eastern Europe and Central Asia

Middle East and North Africa Sub-Saharan Africa

5

4

2

1

0

500

400

300

100

0

(th

ousa

nds

)

(th

ousa

nds

)

1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008

3

200

Latin America

10

8

6

4

0

(th

ousa

nds

)

1996 1998 2000 2002 2004 2006 2008

2

6

4

2

1

0

(th

ousa

nds

)

(th

ousa

nds

)

1996 1998 2000 2002 2004 2006 2008

5

3

60

1996 1998 2000 2002 2004 2006 2008

50

40

20

0

30

10

Figure IV

Page 8: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimated number of AIDS-related deaths with and without antiretroviral therapy, globally, 1996–2008

Figure V

2.5

2.0

1.5

0.5

1.0

3.0

0

Num

ber

(mill

ions)

Year

1996 1998 2000 2002 2004 2006 20081997 1999 2001 2003 2005 2007

No antiretroviral therapy

At current levels of antiretroviral therapy

Page 9: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimated number of AIDS-related deaths with and without antiretroviral therapy, by region, 1996–2008

Asia Caribbean Eastern Europe and Central Asia

Latin America Middle East and North Africa Sub-Saharan Africa

160

120

80

40

0

25

20

10

5

0

2.0

1.6

1.2

0.4

0

(th

ousa

nds

)

(th

ousa

nds

)

(mill

ions

)

1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008

15

0.8

20

10

0

120

80

40

20

01996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008

25

15

5

100

60

1996 1998 2000 2002 2004 2006 2008

500

400

200

0

(th

ousa

nds

)

(th

ousa

nds

)

(th

ousa

nds

)

300

100

Figure VI

No antiretroviral therapy At current levels of antiretroviral therapy

Page 10: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimated number of Life-years added due to antiretroviral therapy, by region, 1996–2008

8

7

6

4

5

3

(million

s)

2

1

Sub-SaharanAfrica

Asia Caribbean MiddleEast

and NorthAfrica

WesternEurope

and NorthAmerica

LatinAmerica

EasternEurope

and CentralAsia

Oceania0

Figure VII

7.2 million

2.3 million

1.4 million

590 000

73 000 40 000 49 000 7500

Page 11: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Adult (aged 15–49) HIV prevalence in (sub-) national population-based surveys which include HIV testing, 2001–2008

Country

Sub–Saharan AfricaBeninBotswana

Burkina FasoBurundi

Cameroon Central African RepublicChadCongoCôte d'IvoireDR CongoDjiboutiEquatorial GuineaEthiopia Ghana GuineaKenya

Lesotho Liberia MalawiMali

Niger

1.2 (2006)25.0 (2008)25.2 (2004)1.8 (2003)3.0 (2007)3.6 (2002)

5.5 (2004)6.2 (2006)3.3 (2005)3.2 (2009)4.7 (2005)1.3 (2007)2.9 (2002)

3.2 (2004)1.4 (2005)2.2 (2003)1.5 (2005)7.8 (2008)6.7 (2003)

23.4 (2004)1.6 (2007)

12.7 (2004)1.3 (2006)1.8 (2001)0.7 (2006)0.9 (2002)

HIV prevalence (%)(Year)

Country

NigeriaRwanda Senegal Sierra Leone

South Africa

Swaziland Uganda UR Tanzania

Zambia

Zimbabwe

AsiaCambodia IndiaPapua province (Indonesia)Hai Phong province (Viet Nam)

CaribbeanDominican Republic

Haiti

3.6 (2007)3.0 (2005)0.7 (2005)1.5 (2008)1.5 (2005)

16.9 (2008)

16.2 (2005)15.6 (2002)25.9 (2006–07)6.4 (2004–05)5.7 (2007)7.0 (2004)

14.3 (2007)

15.6 (2001–02)18.1 (2005–06)

0.6 (2005)0.3 (2005–06)2.4 (2006)0.5 (2005)

0.8 (2007)1.0 (2002)2.2 (2005–06)

HIV prevalence (%)(Year)

Page 12: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Sub-Saharan Africa

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

22.4 million[20.8 million–24.1 million]

19.7 million[18.3 million–21.2 million]

1.9 million[1.6 million–2.2 million]

2.3 million[2.0 million–2.5 million]

390 000[210 000–570 000]

460 000[260 000–640 000]

1.4 million[1.1 million–1.7 million]

1.4 million[1.2 million–1.7 million]

Page 13: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Sub-Saharan Africa estimates 1990–2008

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

Figure 1

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

25

20

15

10

5

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

10

8

6

4

2

0

%

1990 1993 1996 1999 2002 2005 2008

4

3

2

1

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

4

3

2

1

0N

um

ber

(mill

ions

)

Source: UNAIDS/WHO

Page 14: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

HIV prevalence by marital status and gender in the general populations of nine West African countries

Source: Lowndes et al. (2008).

Figure 2

1.12.9

6.2 6.7

0.3

2.33.3

Single Married/cohabiting

Divorced/separated

Widowed

1.2 1.6

3.9

0.6 1.30.0

14.8

Single Married/cohabiting

Divorced/separated

Widowed

0.41.4 1.8

8.2

0.6 0.92.2

Single Married/cohabiting

Divorced/separated

Widowed

Ghana Guinea

2.2 1.6

6.3

0.8

2.8

Single Married/cohabiting

Divorced/separated/widowed

0.51.3

7.2

10.6

0.21.2

2.3

Single Married/cohabiting

Divorced/separated

Widowed

4.66.1

1.3

3.6

11.0

14.9

Single Married/cohabiting

Divorced/separated/widowed

Burkina Faso Benin Côte d’Ivoire

Mali1614121086420

%

1614121086420

%

1614121086420

%

0.4 0.5

6.4

3.9

0.4 0.9

3.6

0.3 0.9

3.8

0.00.9

2.2

Single Married/cohabiting

Divorced/separated/widowed

Single Married/cohabiting

Divorced/separated

Widowed

1.8 1.4

5.3

2.20.9

1.83.1

Single Married/cohabiting

Divorced/separated

Widowed

toofew

cases

toofew

cases

toofew

cases

toofew

cases

toofew

cases

toofew

cases

toofew

cases

Niger Senegal Sierra Leone

1614121086420

%

1614121086420

%

1614121086420

%

1614121086420

%

1614121086420

%

1614121086420

%

Female

Male

Page 15: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Distribution of new infections by mode of exposure in Ghana and Swaziland, 2008

Sources: Bosu et al. (2009) and Mngadi et al. (2009).

Figure 3

0

20

40

60

80

100

No risk

Medical injections

Blood transfusions

Injecting drug use (IDU)

Partners IDU

Sex workers

Clients

Partners of Clients

Men who have sex with men (MSM)

Female partners of MSM

Engaged in casual sex (CS)

Partners of CS

Low-risk heterosexual

%

Ghana Swaziland 1Swaziland 2

Note: sensitivity analysis for Swaziland used different data sources.

Page 16: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

HIV prevalence among antenatal clinic clients in Swaziland, 1992–2008

Source: Ministry of Health and Social Welfare (2009).

Figure 4

10

20

30

40

50

1992 1994 1996 1998 2000 2002 2004 2006 2008

HIV

pre

vale

nce

(%

)

0

Page 17: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Age at first sexual intercourse by education status in Swaziland, 2007

Sources: Central Statistical Office & Macro International (2008).

Figure 5

0

20

40

60

80

100

Women < 15 yrs

Women < 18 yrs

Men < 15 yrs

Men < 18 yrs

No education

Lower primary

Higher primary

Secondary

High School

Tertiary%

Page 18: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Source: Smith et al. (2009), Baral et al. (2009), and Sanders et al. (2007)

HIV prevalence among men who have sex with men in countries

in sub-Saharan Africa, 2002–2008

Figure 6

BotswanaMalawi Namibia South Africa 1

Zambia Kenya 2 UR Tanzania

Nigeria Senegal0

10

20

30

40

50

HIV

pre

vale

nce (

%)

Southern Africa East Africa West Africa

South Africa 2

Kenya 1

Page 19: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Asia

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

4.7 million[3.8 million–5.5 million]

4.5 million[3.8 million–5.2 million]

350 000[270 000–410 000]

400 000[310 000–480 000]

21 000[13 000–29 000]

33 000[18 000–49 000]

330 000[260 000–400 000]

280 000[230 000–340 000]

Page 20: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Asia estimates 1990–2008

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

Figure 7

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

8

6

4

2

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

0.4

0.2

0.1

0

0.3

1990 1993 1996 1999 2002 2005 2008

1.0

0.6

0.4

0.2

0

Nu

mb

er (m

illio

n)

1990 1993 1996 1999 2002 2005 2008

1.0

0.6

0.4

0.2

0N

um

ber

(mill

ion)

0.8 0.8

Source: UNAIDS/WHO

%

Page 21: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update Figure 8

Age-adjusted HIV prevalence among antenatal attendees aged 15–24 from 2000 to 2007 in high-prevalence southern states (Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu) and northern states of India

Source: Arora et al. (2008).

0.0

0.5

1.0

1.5

2.0

2.5

2000 2001 2002 2003 2004 2005 2006 2007

Age-a

dju

sted H

IV p

revale

nce

(%

) Southern states

Northern states

Logarithmic trend line; test for trend by logistic regression, with age adjustment to the entire study population, n = 202 254 for the south, n = 221 588 for the north.

Page 22: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Vulnerability to sexual HIV transmission in commercial sex in Karachi and Lahore, Pakistan

Source: Bokhari et al. (2007).

Figure 9

Has never heard of HIV/AIDS

Does not know that condoms can prevent transmission of HIV

No perceived HIV risk

0 20 40 60 80 100

55

63

61

82

51

57

45

60

31

42

20

28

Per cent

Female sex workers (FSWs)

Male clientsof FSWs

Male sex workers

Hijras

Page 23: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Saturating prevention coverage through complementary programming.Avahan has achieved a high coverage of target populations

(routine programme monitoring data)

Source: Avahan and State AIDS Control Society programme data (2008).

Figure 10

Tamil Nadu*21 000 est.

Maharashtra27 000 est.

Andhra Pradesh46 000 est.

Karnataka26 000 est.

Injecting drug users Nagaland

28 000 est.

Manipur35 000 est.

49% 26%24%

36%64%

76% 5%19%

70% 14%15%

26% 22%53%

26% 12%62%

36% 26%38%

74%26%

61% 11%29%

58% 20%22%

Tamil Nadu*84 000 est.

Maharashtra72 000 est.

Andhra Pradesh115 000 est.

Karnataka89 000 est.

Femalesexworkers

High Risk – Men who have sexwith men

Percent of Mapped UrbanKey Population covered**

Government of India and Others Avahan Uncovered

Percentages indicate intended coverage through establishment of services in specific geographic areas.* Includes districts with no intended coverage.** Mapping and size estimation quality varies by state.Does not include rural areas

Page 24: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Comparison of the incidence of syphilis in China reported from 26 sentinel sites and from the nationwide sexually

transmitted disease surveillance system

Source: Chen et al. (2007).

Figure 11

Reported incidence of total syphilis from sentinel sites

Reported incidence of total syphilis from the nationwide sexually transmitted disease surveillance system

0

5

10

15

20

25

30

35

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Inci

dence

(per

10

0 0

00

)

Page 25: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Trends in HIV, hepatitis B, hepatitis C and syphilis in men who have sex with men in Beijing in 2004, 2005 and

2006

Source: Ma et al. (2007).

Figure 12

0

2

4

6

8

10

12

14

HIV

Hepatitis B

Hepatitis C

Pre

vale

nce

(%

)

Syphilis

2004 2005 2006

Page 26: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Eastern Europe and Central Asia

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

1.5 million[1.4 million–1.7 million]

900 000[800 000–1.1 million]

110 000[100 000–130 000]

280 000[240 000–320 000]

3700[1700–6000]

3000[1600–4300]

87 000[72 000–110 000]

26 000[22 000–30 000]

Page 27: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Eastern Europe and Central Asia estimates 1990–2008

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

1990 1993 1996 1999 2002 2005 2008

2.0

1.6

1.2

0.8

0.4

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

1.0

0.8

0.6

0.4

0.2

0

1990 1993 1996 1999 2002 2005 2008

400

300

200

100

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

400

300

200

100

0N

um

ber

(th

ousa

nds

)

Figure 13

Estimate High and low estimates

Source: UNAIDS/WHO

%

Page 28: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

HIV cases per million population in the WHO Eastern Europe region

by year of notification, 2000–2007

Source: Van de Laar et al. (2008).

Figure 14

0

20

40

60

80

100

120

140

160

180

2000 2001 2002 2003 2004 2005 2006 2007

HIV

case

s per

mill

ion p

opula

tion

Note: Data from Russian Federation not included.

Page 29: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Caribbean

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

240 000[220 000–260 000]

220 000[200 000–240 000]

20 00016 000–24 000

21 000[17 000–24 000]

2300[1400–3400]

2800[1700–4000]

12 000[9300–14 000]

20 000[17 000–23 000]

Page 30: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Caribbean estimates 1990–2008

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

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

Figure 15

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

400

300

200

100

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

2.0

1.0

0.5

0

1.5

1990 1993 1996 1999 2002 2005 2008

80

60

40

20

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

80

60

40

20

0N

um

ber

(th

ousa

nds

)

Source: UNAIDS/WHO

%

Page 31: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

HIV prevalence trends among young people (aged 15–24)in the Dominican Republic, 1991–2007

Source: Halperin, et al (2009).

Figure 16

0.0

0.5

1.0

1.5

2.0

2.5

19911992199319941995199619971998199920002001200220032004200520062007

HIV

pre

vale

nce

(%

)

Women in population-based survey

Pregnant women at La Altagracia Hospital, Santo Domingo

Men in population-based survey

Page 32: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Latin America

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

2.0 million[1.8 million–2.2 million]

1.6 million[1.5 million–1.8 million]

170 000[150 000–200 000]

150 000[140 000–170 000]

6900[4200–9700]

6200[3800–9100]

77 000[66 000–89 000]

66 000[56 000–77 000]

Page 33: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Latin America estimates 1990–2008

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

Figure 17

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

2.5

2.0

1.5

1.0

0.5

0

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

1.0

0.8

0.6

0.4

0.2

0

1990 1993 1996 1999 2002 2005 2008

250

150

100

50

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

250

150

100

50

0N

um

ber

(th

ousa

nds

)200 200

Source: UNAIDS/WHO

%

Page 34: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Distribution of HIV incidence by mode of exposure in Peru: estimate for 2010

Source: Alarcón Villaverde (2009).

Figure 18

6.36%

6.30%

6.22%

5.54%

1.98%

1.33%

0.89%

0.23%

0.22%

0.0%

0.0%

54.97%

0 10 20 30 40 50 60

Without risk

Blood transfusions

Partners (injecting drug users)

Medical injections

Female sex workers

Clients of female sex workers

Injecting drug users

Partners (casual heterosexual sex)

Female partners of men who have sex with men

Casual heterosexual sex

Partners of clients of female sex workers

Low-risk heterosexual

Men who have sex with men

%

Ris

k g

roups

Page 35: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimated HIV-1 seroprevalence and 95% confidence interval for HIV among men who have sex with men and female sex workers by

country

Source: Soto et al. (2007).

Figure 19

0

El Salvador Guatemala Honduras Nicaragua Panama All countries

HIV

sero

pre

vale

nce

(%

)

n: 281 484 157 511 267 493 145 460 235 418 1085 2366

5

10

15

20

25

Men who have sex with men

Female sex workers

15.3

3.2

12.1

4.3

12.4

9.6

7.6

0.2

8.9

0.2

11.7

3.6

Page 36: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Condom use among female sex workers who attend VICITS (Vigilancia Centinela de ITS) in Tegucigalpa, San Pedro Sula and La Ceiba, Honduras, in

2008

Source: Secretaria de Salud Honduras (2008).

Figure 20

100

10.6%

40.7%

96.7%

With clients With casualpartners

With regularpartners

Condom use

%

80

60

40

20

0

(n= 463)

Page 37: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

North America and Western and Central Europe

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

2.3 million[1.9 million–2.6 million]

1.9 million[1.7 million–2.1 million]

75 000[49 000–97 000]

93 000[76 000–110 000]

<500[<200–<500]

<500[<200–<500]

38 000[27 000–61 000]

27 000[18 000–42 000]

Page 38: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

North America and Western and Central Europe estimates 1990–2008

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

Nu

mb

er (m

illio

ns)

1990 1993 1996 1999 2002 2005 2008

3

2

1

01990 1993 1996 1999 2002 2005 2008

0.6

0.4

0.2

0

Figure 21

Estimate High and low estimates

Source: UNAIDS/WHO

%

Page 39: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Yearly number of new HIV and AIDS cases and related deaths in Switzerland, 1995–2008

Source: Federal Office of Public Health (2009).

Figure 22

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

HIV Death with AIDS

AIDS cases Death without AIDS

Num

ber

of

people

1200

1000

800

600

400

200

0

Page 40: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Estimated new HIV infections by transmission category, extended back calculation model, 50 US states and the District of Columbia,

1977–2006

Source: Hall et al. (2008a).

80 000

70 000

60 000

50 000

40 000

30 000

20 000

10 000

01977-1979

1980-1981

1982-1983

1984-1985

1986-1987

1988-1990

1991-1993

1994-1996

1997-1999

2000-2002

2003-2006

Infe

ctio

ns

Period

Men who have sex with men (MSM)

Injecting drug use (IDU)

MSM / IDU

Heterosexual

Figure 23

Tick marks denote the beginning and end of a year. The model specified periods within which the number of HIV infections was assumed to be approximately constant.

Page 41: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Middle East and North Africa

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

310 000[250 000–380 000]

200 000[150 000–250 000]

35 00024 000–46 000

30 000[23 000–40 000]

4600[2300–7500]

3800[1900–6400]

20 000[15 000–25 000]

11 000[7800–14 000]

Page 42: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Middle East and North Africa estimates 1990–2008

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

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

Figure 24

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

400

300

200

100

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

0.4

0.2

0.1

0

0.3

1990 1993 1996 1999 2002 2005 2008

50

30

20

10

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

50

30

20

10

0N

um

ber

(th

ousa

nds

)40 40

Source: UNAIDS/WHO

%

Page 43: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Percentage of condom use as reported by street children, male injecting drug users, female sex workers and men who have sex with

men in Egypt

Source: Shawky et al. (2009).

Figure 25

9.2%

6.8%

11.8%

13.0%12.0%

0

5

10

15

Street boys Street girls Male injectingdrug users

Female sexworkers

Men who havesex with men

%

At least once in 12 months prior to survey Last practice

Page 44: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Oceania

Number of people living with HIV 2008

2001

Number of new infections 2008

2001

Number of children newly infected 2008

2001

Number of AIDS-related deaths 2008

2001

59 000[51 000–68 000]

36 000[29 000–45 000]

39002900–5100

5900[4800–7300]

<500[<500–<1000]

<500[<200–<500]

2000[1100–3100]

<1000[<5000–1200]

Page 45: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Oceania estimates 1990–2008

Number of people newly infected with HIV Number of adult and child deaths due to AIDS

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

Figure 26

Estimate High and low estimates

1990 1993 1996 1999 2002 2005 2008

80

60

40

20

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

0.4

0.2

0.1

0

0.3

1990 1993 1996 1999 2002 2005 2008

8

6

4

2

0

Nu

mb

er (t

hou

san

ds)

1990 1993 1996 1999 2002 2005 2008

8

6

4

2

0N

um

ber

(th

ousa

nds

)

Source: UNAIDS/WHO

%

Page 46: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Proportion of all HIV and AIDS cases in different Pacific island countries and territories, 1984–2007

Sources: The Secretariat of the Pacific Community and the Papua New Guinea Department of Health.

French Polynesia 1.1%

New Caledonia 1.2%

All others 0.8%

Guam 0.8%

Fiji 1.1%

Papua New Guinea 95.0%

Figure 27

Page 47: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

Annual newly diagnosed HIV infections in Australia, 1999–2008

Source: National Centre in HIV Epidemiology and Clinical Research (2009).

Figure 28

0

200

400

600

800

1000

1200

20082000 2001 2002 2003 2004 2005 2006 2007

Num

ber

of

people

1999

Page 48: Global summary of the AIDS epidemic  December 2008

2009 AIDS epidemic update

HIV infections detected in Papua New Guinea, by age, 1987–2006

Source: Papua New Guinea National AIDS Council and Department of Health.

Figure 29

0

500

1000

1500

2000

2500

3000

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 Over 60Unknown

Male Female Sex not Stated

Num

ber

Age group