Transcript The HIV/AIDS epidemic in the European Union

The HIV/AIDS epidemic in the
WHO European Region
HIV prevalence among patients with
sexually transmitted infections (STI)
and STI clinic attendees
update 30 June 2003
EuroHIV
INSTITUT DE
VEILLE SANITAIRE
WHO & UNAIDS Collaborating Centre
Definition of geographic areas: West, Centre, East
used in this presentation
East
West
Centre
EuroHIV
HIV prevalence among STI patients and clinic attendees
Europe, June 2003
West
l
Among non-IDU heterosexual STI patients, prevalence remains <2%
in Germany, the Netherlands, Spain (6 cities) and the UK and <3.5%
in Switzerland, but has increased to around 7% in Italy (2002)
l
Levels are much higher (up to 50%) in some groups of homo/bisexual
STI patients
Centre
l
In the Czech Republic, Slovakia and Slovenia, prevalence is <1% in
most years and shows no trend over time
Update at 30 June 2003
East
l
l
Overall prevalence levels are <2% but have increased sharply in
recent years in Ukraine, Latvia, Estonia and the Russian Federation
and may be much higher in some cities and regions
Data are rarely available by population subgroup (eg IDU, HBM)
EuroHIV
IDU = injecting drug users; HBM = homo/bisexual men
HIV prevalence (%) among heterosexual STI patients
in countries and cities of western Europe, 1990-2002
HIV diagnostic testing and seroprevalence studies among STI patients and clinic attendees
Italy (non-IDU)
% HIV+
6
5
4
Switzerland (non-IDU)
3
Spain, 6 cities (UAT)
(non-IDU)
Germany
2
Update at 30 June 2003
1
UK ex. London
(UAT)
London (UAT)
Amsterdam
Netherlands
0
ex. Amsterdam
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Patients with confirmed STI
STI clinic attendees
Patients with suspicion of STI
Non-IDU: injecting drug users excluded; UAT: unlinked anonymous testing
EuroHIV
HIV prevalence (%) among STI patients
in countries of eastern Europe,1990-2002
HIV diagnostic testing among STI patients and clinic attendees
1,5
% HIV+
Estonia
1
Ukraine
0,5
Latvia
Georgia
Update at 30 June 2003
Azerbaijan
Russian Fed.
Lithuania
Belarus
0
1990
1992
1994
1996
Patients with confirmed STI
STI clinic attendees
1998
2000
2002
Patients with suspicion of STI
STI patients (unspecified)
EuroHIV