Transcript 2006 Report on the global AIDS epidemic: full set of

Regional HIV and AIDS statistics and features, 2004
Adults & children
living with HIV
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
12/06 e
Adults & children
newly infected with HIV
Adult (15‒49)
prevalence [%]
Adult & child
deaths due to AIDS
23.6 million
2.6 million
6.0%
1.9 million
[20.9 – 26.4 million]
[2.2 – 2.9 million]
[5.3% – 6.8%]
[1.7 – 2.3 million]
400 000
59 000
0.2%
33 000
[230 000 – 650 000]
[34 000 – 170 000]
[0.1% – 0.3%]
[18 000 – 55 000]
7.2 million
770 000
0.6%
510 000
[4.8 – 11.2 million]
[480 000 – 2.1 million]
[0.4% – 1.0%]
[330 000 – 740 000]
620 000
90 000
0.1%
33 000
[380 000 – 1.0 million]
[50 000 – 270 000]
[<0.2%]
[20 000 – 49 000]
1.5 million
130 000
0.5%
53 000
[1.2 – 2.2 million]
[100 000 – 320 000]
[0.4% – 0.7%]
[41 000 – 69 000]
240 000
25 000
1.1%
21 000
[180 000 – 300 000]
[19 000 – 35 000]
[0.9% – 1.5%]
[15 000 – 28 000]
1.4 million
160 000
0.7%
48 000
[950 000 – 2.1 million]
[110 000 – 470 000]
[0.5% – 1.1%]
[34 000 – 66 000]
700 000
22 000
0.3%
12 000
[550 000 – 920 000]
[18 000 – 33 000]
[0.2% – 0.4%]
[ <15 000]
1.2 million
43 000
0.7%
18 000
[710 000 – 1.9 million]
[34 000 – 65 000]
[0.4% – 1.0%]
[11 000 – 26 000]
72 000
8000
0.3%
2900
[44 000 – 150 000]
[ 3900 – 61 000]
[0.2% – 0.8%]
[1600 – 4600]
36.9 million
3.9 million
1.0%
2.7 million
[31.9 – 43.8 million]
[3.3 – 5.8 million]
[0.8% - 1.2%]
[2.3 – 3.2 million]
AIDS Epidemic Update
December 2006
Table 1a
Regional HIV and AIDS statistics and features, 2006
Adults & children
living with HIV
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
12/06 e
Adults & children
newly infected with HIV
Adult (15‒49)
prevalence [%]
Adult & child
deaths due to AIDS
24.7 million
2.8 million
5.9%
2.1 million
[21.8 – 27.7 million]
[2.4 – 3.2 million]
[5.2% – 6.7%]
[1.8 – 2.4 million]
460 000
68 000
0.2%
36 000
[270 000 – 760 000]
[41 000 – 220 000]
[0.1% – 0.3%]
[20 000 – 60 000]
7.8 million
860 000
0.6%
590 000
[5.2 – 12.0 million]
[550 000 – 2.3 million]
[0.4% – 1.0%]
[390 000 – 850 000]
750 000
100 000
0.1%
43 000
[460 000 – 1.2 million]
[56 000 – 300 000]
[<0.2%]
[26 000 – 64 000]
1.7 million
140 000
0.5%
65 000
[1.3 – 2.5 million]
[100 000 – 410 000]
[0.4% – 1.2%]
[51 000 – 84 000]
250 000
27 000
1.2%
19 000
[190 000 – 320 000]
[20 000 – 41 000]
[0.9% – 1.7%]
[14 000 – 25 000]
1.7 million
270 000
0.9%
84 000
[1.2 – 2.6 million]
[170 000 – 820 000]
[0.6% – 1.4%]
[58 000 – 120 000]
740 000
22 000
0.3%
12 000
[580 000 – 970 000]
[18 000 – 33 000]
[0.2% – 0.4%]
[ <15 000]
1.4 million
43 000
0.8%
18 000
[880 000 – 2.2 million]
[34 000 – 65 000]
[0.6% – 1.1%]
[11 000 – 26 000]
81 000
7100
0.4%
4000
[50 000 – 170 000]
[ 3400 – 54 000]
[0.2% – 0.9%]
[2300 – 6600]
39.5 million
4.3 million
1.0%
2.9 million
[34.1 – 47.1 million]
[3.6 – 6.6 million]
[0.9% - 1.2%]
[2.5 – 3.5 million]
AIDS Epidemic Update
December 2006
Table 1b
Regional HIV and AIDS statistics and features for women,
2004 and 2006
Number of women (15‒49)
living with HIV
2004
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
12/06 e
% of adults (15‒49) living with HIV
who are women
2006
12.7 million
13.3 million
[11.0 – 14.5 million]
[11.5 – 15.2 million]
180 000
200 000
[89 000 – 330 000]
[100 000 – 370 000]
2.0 million
2.2 million
[1.2 – 3.3 million]
[1.3 – 3.6 million]
160 000
210 000
[90 000 – 280 000]
[110 000 – 370 000]
450 000
510 000
[310 000 – 670 000]
[350 000 – 800 000]
110 000
120 000
[80 000 – 150 000]
[85 000 – 160 000]
410 000
510 000
[260 000 – 650 000]
[330 000 – 810 000]
190 000
210 000
[140 000 – 260 000]
[160 000 – 300 000]
300 000
350 000
[160 000 – 510 000]
[190 000 – 570 000]
32 000
[ 16 000 – 81 000]
36 000
[ 17 000 – 90 000]
16.5 million
17.7 million
[14.2 – 19.5 million]
[15.1 – 20.9 million]
2004
2006
59
59
49
48
29
29
27
29
30
31
50
50
30
30
28
28
26
26
47
47
48
48
AIDS Epidemic Update
December 2006
Table 2
Percent of adults (15+) living with HIV who are female,
1990‒2006
70
Sub-Saharan Africa
60
Caribbean
50
GLOBAL
Percent
Female (%)
40
Latin America
30
E Europe and C Asia
20
Asia
10
0
1990
12/06 e
1992
Sources: UNAIDS/WHO, 2006.
1994
1996
1998
2000
2002
2004
2006
AIDS Epidemic Update
December 2006
Figure 1
Proportions of HIV infections in different population groups
by region, 2005
Eastern Europe and
Central Asia
Latin
America
South and South-East
Asia*
MSM 26%
IDU 67%
CSW
clients
7%
All others
17%
IDU:
MSM:
CSW:
CSW clients
41%
CSW 4%
MSM 4%
CSW 5%
CSW
clients
13%
IDU 19%
CSW 8%
MSM 5%
All others
38%
IDU 22%
All others
24%
Injecting Drug Users
Men having sex with men
Commercial Sex Workers
* India was omitted from this analysis because the scale of its HIV epidemic (which is largely heterosexual) masks
the extent to which other at-risk populations feature in the region’s epidemics.
12/06 e
AIDS Epidemic Update
December 2006
Figure 2
Trends among 15-24 year old people in high prevalence countries:
HIV prevalence among pregnant women (2000‒2005)
in sentinel surveillance systems
Prevalence trend*
Country
Angola
Bahamas
Botswana
Burundi #
Cameroon
Central African Republic
Chad
Congo
Côte d’Ivoire
Democratic Republic of the Congo
Djibouti
Gabon
Haïti
Urban
Rural
ID
ND
ID
ND
 NS
 NS
 ≥ 25%
ID
ND
ID
ND
 ≥ 25%
ID
ND
ND
ND
↔
ID
ND
ID
ND
ID
ID
ND
ND
ND
Country
Kenya
Lesotho
Malawi #
Mozambique ‡
Namibia
Nigeria
Rwanda
South Africa §
Swaziland
Togo
Uganda
United Republic of Tanzania
Zambia ¶
Zimbabwe
Legend
*
≥ 25%
NS
↔
ID
12/06 e
Consistent sites
Statistically significant decrease of more than 25%
Decrease over time but not statistically significant
No evidence of decrease
Insufficient data
ND
#
§
¶
‡
Prevalence trend*
Urban
Rural
 ≥ 25%
 ≥ 25%
ID
ID
↔
 ≥ 25%
Note
Highlighted
cells indicate
positive trends
in prevalence
↔
ID
ID
ID
ID
ND
 NS
↔
ND
ID
ND
↔
ND
ID
ND
 NS
↔
 ≥ 25%
 NS
Data not received
Semi-urban and urban areas were combined in analysis of urban data
Analyses based on data in South Africa surveillance report
Analyses based on data reported in Zambia 2005 surveillance report
(urban and rural data combined)
Analysis in Mozambique performed for South, North and Central
AIDS Epidemic Update
December 2006
Table 3a
Trends among 15-24 year old people in high prevalence countries:
Selected sexual behaviours among women and men
(1994‒2005) from national surveys
Country
Age at sexual
debut**
Women
Angola
Bahamas
Botswana
Burundi #
Cameroon
C African Rep
Chad
Congo
Côte d’Ivoire
DR Congo
Djibouti
Gabon
Haïti
Legend
↔

Men

Sex with
non-regular
partner***
Women

Men

↔




Condom use during
sex with non-regular
partner****
Women

Country
Men

Kenya
Lesotho
Malawi #
Mozambique ‡
Namibia
Nigeria
Rwanda
South Africa §
Swaziland
Togo
Uganda
UR Tanzania
Zambia ¶
Zimbabwe
** Had sex by age 15 (15‒19 year olds)
*** Had sex with a non-regular partner in the last year (15‒19 year olds)
**** Used condoms the last time they had sex with a non-regular partner
(15‒24 year olds)
 Statistically significant increase
12/06 e
Age at sexual
debut**

#
§
¶
‡
Sex with
non-regular
partner***
Condom use during
sex with non-regular
partner****
Women
Men
Women
Men
Women
Men
↔
↔



↔

↔
↔
↔
↔
↔



↔

↔
↔



↔
↔
↔






Note
Highlighted
cells indicate
positive trends
in behaviour
↔
↔

↔


↔
↔

↔
↔
↔
Statistically significant decrease;
↔ No evidence of decrease
Semi-urban and urban areas were combined in analysis of urban data
Analyses based on data in South Africa surveillance report
Analyses based on data reported in Zambia 2005 surveillance report
(urban and rural data combined)
Analysis in Mozambique performed for South, North and Central
AIDS Epidemic Update
December 2006
Table 3b
HIV prevalence by age group among antenatal clinic attendees
in South Africa, 2000‒2005
45
Age range
40
<20
35
20‒24
30
(%) HIV
Prevalence
25
25‒30
20
30‒34
15
35‒39
10
40+
5
0
2000
12/06 e
2001
2002
2003
2004
2005
Source: Department of Health (2006, National HIV and Syphilis Prevalence Survey South Africa; 2003, National HIV and Syphilis Antenatal
Sero-Prevalence Survey in South Africa)
AIDS Epidemic Update
December 2006
Figure 3
Estimated number of annual new infections and AIDS-related deaths
among adults (15+) in relation to the stabilizing trend of estimated
prevalence rate among adults (15‒49), Lesotho, 1990‒2005
New infections
Number of
new HIV infections
and AIDS-related
deaths (thousand)
AIDS deaths
HIV prevalence
45
45
40
40
35
35
30
30
25
25
20
20
15
15
10
10
5
5
0
0
% HIV prevalence
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
12/06 e
Sources: Government of Lesotho/UNAIDS, 2006.
AIDS Epidemic Update
December 2006
Figure 4
HIV prevalence among men who have sex with men
in selected parts of Asia, 2003‒2005
CAMBODIA
CHINA
INDIA
NEPAL
8.9
Phnom Penh (2005)
Provinces (2005)
PAKISTAN
0.8
0.8
Beijing (2004)
Beijing (2005)
Shanghai (2005)
4.6
1.5
Chennai (2004)
Mumbai (2004)
Mumbai (2004)
Andhra Pradesh (2004)
Andhra Pradesh (2005)
Karachi (2004)*
Karachi (2005)*
Karachi (2004)**
Karachi (2005)**
Lahore (2004)*
Lahore (2004)**
4.1
7.0
1.5
2.0
0.0
0.5
6.8
THAILAND
9.6
12.5
16.0
18.2
Kathmandu (2005)
4.7
0
5
Bangkok (2003)
Bangkok (2005)
Chiang Mai (2005)
Phuket (2005)
17.3
28.3
15.3
5.5
VIET
0.0
NAM Khanh Hoa province (2005)
10 15 20 25 30
0
% HIV Prevalence
5
10 15 20 25 30
% HIV Prevalence
* Men sex workers
** Hijras
12/06 e
Sources: XVI International AIDS Conference abstracts, 2006 – (Cambodia, China, India, Nepal, Pakistan, Thailand and Viet Nam). National Study of Reproductive Tract
and Sexually Transmitted Infections. Survey of High Risk Groups in Lahore and Karachi, 2005. National AIDS Control Program, DFID and FHI. (Pakistan); NACO, 2004;
Andhra Pradesh State AIDS Control Society (2004). 8th round of national annual sentinel surveillance for HIV, Andhra Pradesh. Hyderabad, APSACS. (India)
AIDS Epidemic Update
December 2006
Figure 5
HIV prevalence in India ‒ by district, 2005
HIV prevalence (%) among pregnant
women attending antenatal clinics
No data available
Number of people tested < 300
< 1.0
1.0 ‒ 1.5
1.5 ‒ 2.0
2.0 ‒ 2.5
2.5 ‒ 3.0
> 3.0
12/06 e
Source: NACO. Sentinel Surveillance data, ANC sites (2005).
AIDS Epidemic Update
December 2006
Figure 6
Condom use of direct and indirect female sex workers
with commercial partners and with sweethearts, Cambodia, 1997‒2003
100
Direct female
sex workers’ clients
80
60
Indirect female
sex workers’ clients
40
Direct female
sex workers’ sweethearts
20
Indirect female
sex workers’ sweethearts
%
0
1997
12/06 e
1998
1999
2000
2001
Source: National Center for HIV/AIDS, Dermatology and STDs, 2004.
2002
2003
AIDS Epidemic Update
December 2006
Figure 7
Prevalence of human immunodeficiency virus
among men who have sex with men,* by recruitment venue
and age group — Bangkok, Thailand, 2003 and 2005
% HIV
prevalence
2003
45
40
35
30
25
20
15
10
5
0
Entertainment Sauna
Venue
Park
15-22
2005
23-28
≥29
Overall
Age group (yrs)
*Refers to men who have sex with men but who were not enrolled at venues where male sex workers or transgendered persons congregate.
12/06 e
Source: van Griensven F., MMWR, 2006.
AIDS Epidemic Update
December 2006
Figure 8
Number of newly diagnosed cases of HIV infection
by transmission group by year of report
for fourteen Eastern European countries*, 1998-2005
Homosexual/bisexual
60
Injecting drug use
50
Heterosexual
40
Number of
HIV cases
(thousand)
Unknown
30
20
10
0
1998
1999
2000
2001
2002
2003
2004
2005
*Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania,
Republic of Moldova, Russian Federation, Tajikistan, Turkmenistan, Ukraine and Uzbekistan
12/06 e
Source: EuroHIV, 2006.
AIDS Epidemic Update
December 2006
Figure 9
Annual newly diagnosed HIV infections per million population
by country and total number of HIV infections,
Eastern Europe and Central Asia, 1998‒2005
HIV infections per million population
Total number of HIV infections
700
105,000
600
90,000
500
75,000
400
60,000
300
45,000
200
30,000
100
15,000
0
1998
1999
2000
2001
2002
2003
2004
0
2005
Year of report
Belarus
Georgia
Kazakhstan
12/06 e
Source: EuroHIV, 2006.
Moldova, Republic of
Russian Federation
Ukraine
Uzbekistan
Total number
of HIV infections
AIDS Epidemic Update
December 2006
Figure 10
HIV prevalence among injecting drug users, sex workers
and men who have sex with men in Central Asia,
selected studies, 2005
10.4% Kazakhstan
Injecting drug users
52.5% Uzbekistan
2.0% Kyrgyzstan
Sex workers
15.0% Kazakhstan
44.0%
Sex workers who were injecting drug users
4 Central Asian
republics* combined
2.0%
Sex workers who were not injecting drug users
0.3%
Men who have sex with men
0
10
20
30
40
% HIV prevalence
50
60
* Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan
12/06 e
Source: [XVI International AIDS Conference abstract] ‒ CDC Central Asia offices (Almaty & Tashkent), National and City HIV/AIDS centers
AIDS Epidemic Update
December 2006
Figure 11
Percentage of persons surviving through June 2005,
by years after acquired immunodeficiency syndrome (AIDS) diagnosis cohorts
during 1981–2003 and by year of diagnosis — United States
100
2001‒2003
1996‒2000
75
1993‒1995
1981‒1992
% 50
25
0
0
1
2
3
4
5
6
7
8
9 10 11 12 13 14 15 16 17 18 19 20
Years after AIDS diagnosis
12/06 e
Source: CDC. Twenty-Five Years of HIV/AIDS — United States, 1981–2006. MMWR 2006.
AIDS Epidemic Update
December 2006
Figure 12