Global summary of the AIDS epidemic, December 2007

Transcription

1 Global summary of the AIDS epidemic, December 27 Number of people living with HIV in 27 Total Adults Women Children under 15 years 33.2 million [ million] 3.8 million [ million] 15.4 million [ million] 2.5 million [ million] People newly infected with HIV in 27 Total 2.5 million [ million] Adults 2.1 million [ million] Children under 15 years 42 [35 54 ] AIDS deaths in 27 Total 2.1 million [ million] Adults 1.7 million [ million] Children under 15 years 33 [31 38 ] December 27 e 1

2 Global estimates for adults and children, 27 People living with HIV New HIV infections in 27 Deaths due to AIDS in million [ million] 2.5 million [ million] 2.1 million [ million] December 27 e 2

3 Regional HIV and AIDS statistics and features, 27 Adults & children living with HIV Adults & children newly infected with HIV Adult prevalence (15 49) [%] Adult & child deaths due to AIDS Sub-Saharan Africa 22.5 million [ million] 1.7 million [ million] 5.% [4.6% 5.5%] 1.6 million [ million] Middle East & North Africa 38 [27 5 ] 35 [16 65 ].3% [.2%.4%] 25 [2 34 ] South and South-East Asia 4. million [ million] 34 [18 74 ].3% [.2%.4%] 27 [23 38 ] East Asia 8 [62 96 ] 92 [21 22 ].1% [<.2%] 32 [28 49 ] Latin America 1.6 million [ million] 1 [47 22 ].5% [.4%.6%] 58 [49 91 ] Caribbean 23 [21 27 ] 17 [15 23 ] 1.% [.9% 1.2%] 11 [98 18 ] Eastern Europe & Central Asia 1.6 million [ million] 15 [7 29 ].9% [.7% 1.2%] 55 [42 88 ] Western & Central Europe 76 [6 1.1 million] 31 [19 86 ].3% [.2%.4%] 12 [<15 ] North America 1.3 million [ million] 46 [38 68 ].6% [.5%.9%] 21 [18 31 ] Oceania 75 [53 12 ] 14 [ ].4% [.3%.7%] 12 [<5 27] TOTAL 33.2 million [ million] 2.5 million [ million].8% [.7% -.9%] 2.1 million [ million] The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information. December 27 e 3

4 Adults and children estimated to be living with HIV, 27 North America 1.3 million [ million] Caribbean 23 [21 27 ] Latin America 1.6 million [ million] Western & Central Europe 76 [6 1.1 million] Middle East & North Africa 38 [27 5 ] Sub-Saharan Africa 22.5 million [ million] Eastern Europe & Central Asia 1.6 million [ million] East Asia 8 [62 96 ] South & South-East Asia 4. million [ million] Oceania 75 [53 12 ] Total: 33.2 ( ) million December 27 e 4

5 Estimated number of adults and children newly infected with HIV, 27 North America 46 [38 68 ] Caribbean 17 [15 23 ] Latin America 1 [47 22 ] Western & Central Europe 31 [19 86 ] Middle East & North Africa 35 [16 65 ] Sub-Saharan Africa 1.7 million [ million] Eastern Europe & Central Asia 15 [7 29 ] East Asia 92 [21 22 ] South & South-East Asia 34 [18 74 ] Oceania 14 [11 26 ] Total: 2.5 ( ) million December 27 e 5

6 Estimated adult and child deaths from AIDS, 27 North America 21 [18 31 ] Caribbean 11 [98 18 ] Latin America 58 [49 91 ] Western & Central Europe 12 [<15 ] Middle East & North Africa 25 [2 34 ] Sub-Saharan Africa 1.6 million [ million] Eastern Europe & Central Asia 55 [42 88 ] East Asia 32 [28 49 ] South & South-East Asia 27 [23 38 ] Oceania 12 [<5 27] Total: 2.1 ( ) million December 27 e 6

7 Children (<15 years) estimated to be living with HIV, 27 North America 11 [45 2 ] Caribbean 1 [83 16 ] Latin America 39 [33 51 ] Western & Central Europe 3 [24 12 ] Middle East & North Africa 28 [19 32 ] Sub-Saharan Africa 2.2 million [ million] Eastern Europe & Central Asia 12 [87 15 ] East Asia 91 [24 12 ] South & South-East Asia 12 [71 13 ] Oceania 14 [11 28] Total: 2.5 ( ) million December 27 e 7

8 Estimated number of children (<15 years) newly infected with HIV, 27 North America 16 [<1] Caribbean 2 [18 34] Latin America 67 [55 12 ] Western & Central Europe <1 [63 31] Middle East & North Africa 55 [38 82] Sub-Saharan Africa 37 [32 47 ] Eastern Europe & Central Asia 35 [22 64] East Asia 21 [<1 21] South & South-East Asia 24 [14 31 ] Oceania <1 [<1 14] Total: 42 (35 54 ) December 27 e 8

9 Estimated deaths in children (<15 years) from AIDS, 27 North America <1 [<1 13] Caribbean 15 [13 57] Latin America 49 [45 71] Western & Central Europe <1 [<1 26] Middle East & North Africa 42 [37 61] Sub-Saharan Africa 29 [28 34 ] Eastern Europe & Central Asia 19 [16 3] East Asia 13 [<1 14] South & South-East Asia 17 [12 2 ] Oceania <5 [<5 14] Total: 33 (31 38 ) December 27 e 9

10 Over 68 new HIV infections a day in 27 More than 96% are in low and middle income countries About 12 are in children under 15 years of age About 58 are in adults aged 15 years and older of whom: almost 5% are among women about 4% are among young people (15-24) December 27 e 1

11 27 global HIV and AIDS estimates Children (<15 years) Children living with HIV 2.5 million [ million] New HIV infections in [35 54 ] Deaths due to AIDS in [31 38 ] December 27 e 11

12 Estimated number of people living with HIV globally, Millions Number of people living with HIV This bar indicates the range 27 AIDS epidemic update Figure 1

13 Estimated adult (15 49 years) HIV prevalence rate (%) globally and in Sub-Saharan Saharan Africa, Adult HIV prevalence rate (%) Sub-Saharan Saharan Africa Global AIDS epidemic update Figure 2

14 Estimated number of adult and child deaths due to AIDS globally, Millions Number of adult and child deaths due to AIDS This bar indicates the range 27 AIDS epidemic update Figure 3

15 Estimated number of people newly infected with HIV globally, Upper range Millions 6 5 Estimate Lower range Number of people newly infected with HIV AIDS epidemic update Figure 4

16 Regional HIV and AIDS statistics, 21 and 27 (First of 2 parts) Sub-Saharan Africa Middle East & North Africa South and South-East Asia East Asia Latin America Caribbean Eastern Europe & Central Asia Western & Central Europe North America Oceania TOTAL Adults & children living with HIV million [ million] 38 [27 5 ] 4. million [ million] 8 [62 96 ] 1.6 million [ million] 23 [21 27 ] 1.6 million [ million] 76 [6 1.1 million] 1.3 million [ million] 75 [53 12 ] 33.2 million [ million] 2.9 million [ million] 3 [22 4 ] 3.5 million [ million] 42 [35 51 ] 1.3 million [ million] 19 [18 25 ] 63 [ million] 62 [5 87 ] 1.1 million [ million] 26 [19 39 ] 29. million [ million] Adults & children newly infected with HIV million [ million] 35 [16 65 ] 34 [ [21 22 ] 1 [47 22 ] 17 [15 23 ] 15 [7 29 ] 31 [19 86 ] 46 [38 68 ] 14 [ ] 2.5 million [ million] 2.2 million [ million] 41 [17 58 ] 45 [15 8 ] 77 [49 13 ] 13 [56 22 ] 2 [17 25 ] 23 [98 34 ] 32 [19 76 ] 44 [4 63 ] 38 [ 3 56] 3.2 million [ million] 27 AIDS epidemic update Table 1

17 Regional HIV and AIDS statistics, 21 and 27 (Last of 2 parts) Sub-Saharan Africa Middle East & North Africa South and South-East Asia East Asia Latin America Caribbean Eastern Europe & Central Asia Western & Central Europe North America Oceania TOTAL Adult prevalence (%) % [4.6% 5.5%].3% [.2%.4%].3% [.2%.4%].1% [<.2%].5% [.4%.6%] 1.% [.9% 1.2%].9% [.7% 1.2%].3% [.2%.4%].6% [.5%.9%].4% [.3%.7%].8% [.7% -.9%] 5.8% [5.5% 6.6%].3% [.2%.4%].3% [.2%.4%] <.1% [<.2%].4% [.3%.5%] 1.% [.9% 1.2%].4% [.3%.6%].2% [.1%.3%].6% [.4%.8%].2% [.1%.3%].8% [.7% -.9%] Adult & child deaths due to AIDS million [ million] 25 [2 34 ] 27 [23 38 ] 32 [28 49 ] 58 [49 91 ] 11 [98 18 ] 55 [42 88 ] 12 [<15 ] 21 [18 31 ] 12 [<5 27] 2.1 million [ million] 1.4 million [ million] 22 [11 39 ] 17 [12 22 ] 12 [82 17 ] 51 [44 1 ] 14 [13 21 ] 8 [55 14 ] 1 [<15 ] 21 [18 31 ] <5 [11] 1.7 million [ million] 27 AIDS epidemic update Table 1

18 Percent of adults (15+) living with HIV who are female, Percent female (%) Sub-Saharan Africa GLOBAL Caribbean Asia E Europe & C Asia Latin America 27 AIDS epidemic update Figure 5

19 Adult (aged years ) HIV prevalence in countries which have conducted population-based HIV surveys in recent years (First of 2 parts) Sub-Saharan Africa COUNTRY Benin Botswana Burkina Faso Burundi Cameroon Central African Rep. Chad Côte d'ivoire Equatorial Guinea Ethiopia Ghana Guinea Kenya Lesotho Malawi Population-based survey prevalence (%) (year) 1.2 (26) 25.2 (24) 1.8 (23) 3.6 (22) 5.5 (24) 6.2 (26) 3.3 (25) 4.7 (25) 3.2 (24) 1.4 (25) 2.2 (23) 1.5 (25) 6.7 (23) 23.5 (24) 11.8 (24) 21 HIV prevalence (%)* NA HIV prevalence (%) NA HIV prevalence (%) (.9 3.5) AIDS epidemic update Table 2 * 22 Report on the global AIDS epidemic 24 Report on the global AIDS epidemic 26 Report on the global AIDS epidemic

20 Adult (aged years ) HIV prevalence in countries which have conducted population-based HIV surveys in recent years (Last of 2 parts) Sub-Saharan Africa Asia Latin America & Caribbean COUNTRY Mali Niger Rwanda Senegal Sierra Leone South Africa Swaziland Uganda UR Tanzania Zambia Zimbabwe Cambodia India Dominican Republic Haiti Population-based survey prevalence (%) (year) 1.3 (26); 1.7 (21).7 (26);.9 (22) 3. (25).7 (25) 1.5 (25) 16.2 (25); 15.6 (22) 25.9 (26 7) 7.1 (24 5) 7. (24) 15.6 (21 2) 18.1 (25 6).6 (25).28 (25 6) 1. (22) 2.2 (25 6) 21 HIV prevalence (%)* 1.7 NA HIV prevalence (%) NA HIV prevalence (%) AIDS epidemic update Table 2 * 22 Report on the global AIDS epidemic 24 Report on the global AIDS epidemic 26 Report on the global AIDS epidemic Includes male years

21 26/27 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women (2 26) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys (First of 3 parts) Country Angola* Bahamas Benin** Botswana Burkina Faso Burundi Cameroon* C African Rep** Chad* Congo* Côte d Ivoire DR Congo* 27 AIDS epidemic update Table 3 Analysis in 26/ / Prevalence trend* Urban NS NS NS NS Rural 25% NS Age at sexual debut** Females Males Sex with non-regular partner*** Females Males Condom use during sex with non-regular partner**** Females 25% ID *** Among year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 25. **** Among year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25. Statistically significant increase. Statistically significant decrease. 25% Statistically significant decrease of more than 25%. NS Decrease over time but not statistically significant. No evidence of decrease. *ID Insufficient data, i.e. less than three years of data received for prevalence analysis. **ND Data not received for prevalence. # Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. No data received in response to WG process; analyses based on data in South Africa surveillance report. No data received in response to WG process; analyses based on data reported in Zambia 25 surveillance report. Analysis based on urban and rural data combined. Males Notes [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Legends Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H: slope=. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (1,1), Burundi (3,3), Côte d Ivoire (9 urban), Kenya (2,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). ** Among year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25.

22 26/27 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women (2 26) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys (Second of 3 parts) Country Djibouti** Ethiopia** Gabon** Gambia** Ghana** Haïti** Kenya Lesotho* Liberia** Malawi # Mozambique Namibia 27 AIDS epidemic update Table 3 Analysis in 26/ Prevalence trend* Urban Rural 25% 25% 25% NS NS Age at sexual debut Females Males Sex with non-regular partner*** Females Males Condom use during sex with non-regular partner**** Females *** Among year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 25. **** Among year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25. Statistically significant increase. Statistically significant decrease. 25% Statistically significant decrease of more than 25%. NS Decrease over time but not statistically significant. No evidence of decrease. *ID Insufficient data, i.e. less than three years of data received for prevalence analysis. **ND Data not received for prevalence. # Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. No data received in response to WG process; analyses based on data in South Africa surveillance report. No data received in response to WG process; analyses based on data reported in Zambia 25 surveillance report. Analysis based on urban and rural data combined. Males Notes [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Legends Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H: slope=. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (1,1), Burundi (3,3), Côte d Ivoire (9 urban), Kenya (2,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). ** Among year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25.

23 26/27 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women (2 26) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys (Last of 3 parts) Country Nigeria* Rwanda Sierra Leone* South Africa Sudan* Swaziland Togo* Uganda** UR Tanzania Zambia Zimbabwe 27 AIDS epidemic update Table 3 Analysis in 26/ Prevalence trend* Urban NS NS 25% Rural ND NS NS NS Age at sexual debut Females Males Sex with non-regular partner*** Females Males Condom use during sex with non-regular partner**** Females *** Among year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 25. **** Among year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25. Statistically significant increase. Statistically significant decrease. 25% Statistically significant decrease of more than 25%. NS Decrease over time but not statistically significant. No evidence of decrease. *ID Insufficient data, i.e. less than three years of data received for prevalence analysis. **ND Data not received for prevalence. # Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. No data received in response to WG process; analyses based on data in South Africa surveillance report. No data received in response to WG process; analyses based on data reported in Zambia 25 surveillance report. Analysis based on urban and rural data combined. Males Notes [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Legends Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H: slope=. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (1,1), Burundi (3,3), Côte d Ivoire (9 urban), Kenya (2,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). ** Among year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and 25.

24 Median HIV prevalence among women (15-49 years) attending antenatal clinics in consistent sites in southern African countries, % HIV prevalence Botswana Lesotho Namibia South Africa Swaziland Zimbabwe Sources: Various antenatal clinic surveys. 27 AIDS epidemic update Figure 6

25 HIV prevalence from population-based surveys in countries in West and Central Africa, Adult HIV prevalence % Senegal Gambia Guinea-Bissau Guinea 6. 8.% 4. <6.% 2. <4.% <2.% No available data Sierra Leone Liberia Mali Niger Burkina Faso Benin Nigeria Cote Ghana d Ivoire Togo Cameroon Equatorial Guinea Gabon Congo Chad Democratic Republic of Congo Central African Republic Sources: Various surveys and reports. 27 AIDS epidemic update Figure 7

26 Estimated adult (15-49 years) HIV prevalence in the states of India, 26 Adult HIV prevalence % 1. 2.%.5 <1.%.2 <.5% <.2% No available data Source: National AIDS Control Organization, 27. Gujarat Goa Jammu and Kashmir Himachal Pradesh Chandigarh Punjab Uttaranchal Haryana Delhi Uttar Rajasthan Pradesh Daman and Diu Dadra and Nagar Haveli Maharashtra Karnataka Madhya Pradesh Andhra Pradesh Jharkand West Chhatisgarh Bengal Orissa Bihar Arunachal Pradesh Sikkim Assam Meghalaya Nagaland Manipur Tripura Mizoram 27 AIDS epidemic update Figure 8a Lakshadweep Kerala Tamil Nadu Pondicherry

27 Trends in HIV prevalence among pregnant women in consistent sites, selected states in India, Selected States (Number of consistent sites) Median HIV prevalence (%) Andhra Pradesh (43) Karnataka (53) Maharashtra (7) Gujarat (8) Tamil Nadu (52) Bihar (6) Uttar Pradesh (16) Madhya Pradesh (13) Source: National AIDS Control Organization, AIDS epidemic update Figure 8b

28 HIV prevalence among pregnant women in Viet Nam, % HIV prevalence Source: Ministry of Health, Sentinel Surveillance Survey Data. 27 AIDS epidemic update Figure 9

29 HIV prevalence among general population in Cambodia, Total Urban Rural % HIV prevalence Source: National Center for HIV/AIDS, Dermatology and STDs (NCHADS). 27 AIDS epidemic update Figure 1

30 HIV prevalence among various groups in Myanmar, AIDS epidemic update Figure % HIV prevalence Injecting drug users Commercial sex workers STD clinic male attendees % HIV prevalence 2 1 Antenatal clinic attendees New military recruits Source: Progress of HIV Epidemic in Myanmar, International Congress on AIDS in Asia & the Pacific. Colombo, Sri Lanka, August

31 HIV-infection in Ukrainian Regions*, 27 Number of registered cases Volyn Rivne Zhytomyr Chernigiv Sumy < 1, 1, 3,999 4, 8,999 > 9, Zakarpatska Lviv Iv.-Frank. Ternopil Chernivtsi Khmelnytskiy Vinnytsia Kyiv Cherkasy Kirovograd Poltava Dnipropetrovsk Kharkiv Donetsk Luhansk Source: Ukrainian AIDS Centre, 27. Odessa Mykolaiv Zaporizhia Kherson * Data on number of officially registered cases of HIV-infection currently under medical care at the regional level in Ukraine as of July 1, 27. AR Crimea 27 AIDS epidemic update Figure 12

32 HIV prevalence among pregnant women in Dominican Republic, La Romana San Vicente de Paul (Duarte) H. Alejandro Cabral (San Juan) Puerto Plata Nuestra Señora de la Altagracia % HIV prevalence Source: Ministry of Health surveillance reports, AIDS epidemic update Figure 13

33 HIV prevalence in female sex workers in various cities in Honduras, % HIV prevalence Tegucigalpa San Pedro Sula La Ceiba Source: Secretaria de salud de Honduras et al. (27). Estudio Centroamericano de vigilancia de comportamiento sexual y prevalencia de VIH/ITS en poblaciones vulnerables: Trabajadoras Sexuales. Agosto. Tegucigalpa, Secretaria de salud de Honduras. 27 AIDS epidemic update Figure 14

34 Estimated adult (15 49 years) HIV prevalence rate (%) globally and in Sub-Saharan Saharan Africa, Adult HIV prevalence rate (%) Sub-Saharan Saharan Africa Global

35 Estimated number of people newly infected with HIV globally, Upper range Millions 6 5 Estimate Lower range Number of people newly infected with HIV

36 Estimated number of people newly infected with HIV in Sub-Saharan Saharan Africa, Upper range Number of people newly infected with HIV Millions Estimate Lower range

37 Estimated number of people living with HIV globally, Millions Number of people living with HIV This bar indicates the range

38 Estimated number of people living with HIV in Sub-Saharan Saharan Africa, Millions 25 2 Number of people living with HIV This bar indicates the range

39 Estimated number of people living with HIV in Asia, Number of people living with HIV Millions This bar indicates the range

40 Estimated number of people living with HIV in Latin American and Caribbean, Millions Number of people living with HIV This bar indicates the range

41 Estimated number of adult and child deaths due to AIDS globally, Millions Number of adult and child deaths due to AIDS This bar indicates the range

42 Estimated number of adult and child deaths due to AIDS in Sub-Saharan Saharan Africa, Millions Number of adult and child deaths due to AIDS This bar indicates the range

43 Estimated number of adults and children living with HIV, by region, Millions Number of people living with HIV Oceania Middle East & North Africa Eastern Europe & Central Asia Latin America and Caribbean North America and W & C Europe Asia Sub-Saharan Africa

44 Estimated number of adults and children living with HIV, by region (excluding Sub-Saharan Saharan Africa),, Millions Number of people living with HIV Oceania Middle East & North Africa Eastern Europe & Central Asia Latin America and Caribbean North America and W & C Europe Asia