Transcript HIV/AIDS: A Global and Regional Perspective

HIV/AIDS: A Global and Regional
Perspective
AIDS in Post 2015 Development
Agenda
Current Global HIV and AIDS Statistics
Adults and children
living with HIV
2011
2001
Adults and children
newly infected with HIV
34 million
2.5 million
0.8%
[31.4 million – 35.9 million]
[2.2 million – 2.8 million]
[0.7% – 0.8%]
29.4 million
3.2 million
0.8%
[27.2 million – 32.1 million]
[2.9 million – 3.4 million]
[0.7% – 0.9%]
Prevalence among young
people (15–24 years) [%],
2001 and 2011
Women
2011
2001
Adult prevalence
(15‒49) [%]
AIDS-related deaths among
adults and children,
2005 and 2011
Men
0.6%
0.3%
[0.4% – 0.6%]
[0.2% – 0.4%]
0.7%
0.4%
[0.6% – 0.9%]
[0.3% – 0.5%]
2011
1.7 million
[1.5 million – 1.9 million]
2005
2.3 million
[2.1 million – 2.6 million]
The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.
Source: UNAIDS estimates.
Global HIV trends, 1990-2011
Global HIV trends, 1990-2011
Global HIV trends, 1990-2011
Number of people newly infected with HIV, 2001–2011, by region
Percentage of pregnant women living with HIV receiving effective
antiretroviral regimens for preventing mother-to-child
transmission, by region, 2010 and 2011
Number of people receiving antiretroviral therapy in low- and
middle-income countries, by region, 2002–2011
Treatment Gap
HIV in Asia and the Pacific
Rate of HIV transmission is slowing and
AIDS related deaths remain stable
2011 “zoom-in”
People living with HIV
4.9 million
New HIV
Infections
370,000
Women living with
HIV
1.6 million
Children living with HIV
170,000
www.aidsdatahub.org, UNAIDS Report on the Global Epidemic 2012.
Deaths
310,000
ZERO NEW INFECTIONS:
Current business model will NOT get us to
2015 targets
600,000
Asia and the Pacific
440 000
Number New Infections
500,000
400,000
290 000
Estimate 2011:
370 000
300,000
Target 2015:
180 000
200,000
100,000
0
1990
1995
2000
2005
2010
2015
Estimated new HIV infections
Estimated trend to 2015
(Epidemic expands)
Estimated trend to 2015
(Epidemic declines)
50% reduction by 2015
The dynamics of HIV in the MENA region
• The HIV epidemic has been on the rise since 2001.
• The rise in new infections has put MENA among the top two
regions in the world with the fastest growing HIV epidemic.
• Approximately 500 000 people are living with HIV in the
MENA region.
Increasing HIV prevalence, new HIV infections and
AIDS-related deaths in MENA region
• Between 2001 and 2011, the estimated number of people
living with HIV in MENA increased from 210 000 to 300 000.
• Since 2001, the number of people newly infected with HIV in
MENA has increased by more than 35%.
• Between 2005 and 2011, there was a significant increase
(17%) in AIDS-related deaths in this region.
The dynamics of HIV in the MENA region
• AIDS-related mortality has also almost doubled in the
past decade among both adults and children in the
MENA region. This estimated increase among children
reflects three problems:
– An accelerating epidemic in the region overall
– A rise in the total number of women living with HIV
– The generally inadequate services provided to prevent
new infections among children.
Low coverage of HIV treatment and PMTCT
services in MENA region
• Coverage of HIV treatment remains low across the
Middle East and North Africa, at 15%. However, between
2009 and 2011, the number of people accessing HIV
treatment in the region nearly doubled, from 8700 to
17000.
• In 2011, an estimated 7% of HIV-positive pregnant
women in the region received services to prevent
mother-to-child transmission (PMTCT) of HIV.
– The Middle East and North Africa is the only region
that has yet to see a reduction in the number of
children newly infected with HIV.
Estimated HIV Prevalence (Adult and Children)
Estimated New Infections(Adult and Children)
Estimated Pediatric Infections
Estimated Deaths Due to AIDS
UN General Assembly High Level Meeting
June 2011
Member States Commit
- 50% reduction of new HIV
infections
-15 million people on treatment
-Zero discrimination
Towards reaching MDG Goal by
2015
MENA Priorities
• Reducing sexual transmission;
• Increasing treatment coverage;
• Elimination of Mother to Child Transmission
Projected annual number of deaths averted by 2015
increasing ART coverage to 50% and 80%
Investing in health
• Reduces inequality and discrimination
• Motivates and mobilizes people for a
sustainable development
• Creates opportunities for experience exchange
and knowledge transfer
• Provides a platform facilitating achieving other
MDGs
AIDS is not over…
• Despite significant progress made at global
level, universal access and the MDG 6 remain
unfinished business;
• The trend of the epidemics and also our
response to it, shows that it takes decades to
materialize vision of three zeros.
but the End of AIDS has begun!
• Political commitment;
• Community mobilization;
• Adequate funding;
• Evidence-informed programmes.
Thank You