12/06 e AIDS Epidemic Update December 2006 TOTAL 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 18 000 [11 000 – 26 000] 48 000 [34 000 – 66 000] 53 000 [41 000 – 69 000] 510 000 [330 000 – 740 000] 1.9 million [1.7 – 2.3 million] 160 000 [110 000 – 470 000] 2.7 million [2.3 – 3.2 million] 0.7% [0.4% – 1.0%] 0.7% [0.5% – 1.1%] 0.5% [0.4% – 0.7%] 0.6% [0.4% – 1.0%] 6.0% [5.3% – 6.8%] 1.0% [0.8% - 1.2%] 3.9 million [3.3 – 5.8 million] 43 000 [34 000 – 65 000] 130 000 [100 000 – 320 000] 770 000 [480 000 – 2.1 million] 2.6 million [2.2 – 2.9 million] 2900 [1600 – 4600] 12 000 [ <15 000] 21 000 [15 000 – 28 000] 33 000 [20 000 – 49 000] 33 000 [18 000 – 55 000] 0.3% [0.2% – 0.8%] 0.3% [0.2% – 0.4%] 1.1% [0.9% – 1.5%] 0.1% [<0.2%] 0.2% [0.1% – 0.3%] 8000 [ 3900 – 61 000] 22 000 [18 000 – 33 000] 25 000 [19 000 – 35 000] 90 000 [50 000 – 270 000] 59 000 [34 000 – 170 000] Adult & child deaths due to AIDS Adult (15‒49) prevalence [%] Adults & children newly infected with HIV Adults & children living with HIV 23.6 million [20.9 – 26.4 million] 36.9 million [31.9 – 43.8 million] 1.2 million [710 000 – 1.9 million] 1.4 million [950 000 – 2.1 million] 1.5 million [1.2 – 2.2 million] 7.2 million [4.8 – 11.2 million] 72 000 [44 000 – 150 000] 700 000 [550 000 – 920 000] 240 000 [180 000 – 300 000] 620 000 [380 000 – 1.0 million] 400 000 [230 000 – 650 000] Regional HIV and AIDS statistics and features, 2004 Table 1a
Transcript
12/06 e AIDS Epidemic Update
December 2006
TOTAL
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
18 000[11 000 – 26 000]
48 000[34 000 – 66 000]
53 000[41 000 – 69 000]
510 000[330 000 – 740 000]
1.9 million[1.7 – 2.3 million]
160 000[110 000 – 470 000]
2.7 million [2.3 – 3.2 million]
0.7% [0.4% – 1.0%]
0.7% [0.5% – 1.1%]
0.5% [0.4% – 0.7%]
0.6% [0.4% – 1.0%]
6.0% [5.3% – 6.8%]
1.0% [0.8% - 1.2%]
3.9 million [3.3 – 5.8 million]
43 000[34 000 – 65 000]
130 000[100 000 – 320 000]
770 000[480 000 – 2.1 million]
2.6 million[2.2 – 2.9 million]
2900[1600 – 4600]
12 000 [ <15 000]
21 000[15 000 – 28 000]
33 000[20 000 – 49 000]
33 000[18 000 – 55 000]
0.3% [0.2% – 0.8%]
0.3% [0.2% – 0.4%]
1.1% [0.9% – 1.5%]
0.1% [<0.2%]
0.2% [0.1% – 0.3%]
8000[ 3900 – 61 000]
22 000[18 000 – 33 000]
25 000[19 000 – 35 000]
90 000[50 000 – 270 000]
59 000[34 000 – 170 000]
Adult & child deaths due to AIDS
Adult (15‒49) prevalence [%]
Adults & children newly infected with HIV
Adults & children living with HIV
23.6 million[20.9 – 26.4 million]
36.9 million [31.9 – 43.8 million]
1.2 million[710 000 – 1.9 million]
1.4 million [950 000 – 2.1 million]
1.5 million [1.2 – 2.2 million]
7.2 million[4.8 – 11.2 million]
72 000[44 000 – 150 000]
700 000[550 000 – 920 000]
240 000[180 000 – 300 000]
620 000[380 000 – 1.0 million]
400 000[230 000 – 650 000]
Regional HIV and AIDS statistics and features, 2004
Table 1a
12/06 e AIDS Epidemic Update
December 2006
TOTAL
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
18 000[11 000 – 26 000]
84 000[58 000 – 120 000]
65 000[51 000 – 84 000]
590 000[390 000 – 850 000]
2.1 million[1.8 – 2.4 million]
270 000[170 000 – 820 000]
2.9 million [2.5 – 3.5 million]
0.8% [0.6% – 1.1%]
0.9% [0.6% – 1.4%]
0.5% [0.4% – 1.2%]
0.6% [0.4% – 1.0%]
5.9% [5.2% – 6.7%]
1.0% [0.9% - 1.2%]
4.3 million [3.6 – 6.6 million]
43 000[34 000 – 65 000]
140 000[100 000 – 410 000]
860 000[550 000 – 2.3 million]
2.8 million[2.4 – 3.2 million]
4000[2300 – 6600]
12 000 [ <15 000]
19 000[14 000 – 25 000]
43 000[26 000 – 64 000]
36 000[20 000 – 60 000]
0.4% [0.2% – 0.9%]
0.3% [0.2% – 0.4%]
1.2% [0.9% – 1.7%]
0.1% [<0.2%]
0.2% [0.1% – 0.3%]
7100[ 3400 – 54 000]
22 000[18 000 – 33 000]
27 000[20 000 – 41 000]
100 000[56 000 – 300 000]
68 000[41 000 – 220 000]
Adult & child deaths due to AIDS
Adult (15‒49) prevalence [%]
Adults & children newly infected with HIV
Adults & children living with HIV
24.7 million[21.8 – 27.7 million]
39.5 million [34.1 – 47.1 million]
1.4 million[880 000 – 2.2 million]
1.7 million [1.2 – 2.6 million]
1.7 million [1.3 – 2.5 million]
7.8 million[5.2 – 12.0 million]
81 000[50 000 – 170 000]
740 000[580 000 – 970 000]
250 000[190 000 – 320 000]
750 000[460 000 – 1.2 million]
460 000[270 000 – 760 000]
Regional HIV and AIDS statistics and features, 2006
Table 1b
12/06 e AIDS Epidemic Update
December 2006
17.7 million [15.1 – 20.9 million]
510 000[330 000 – 810 000]
350 000[190 000 – 570 000]
510 000[350 000 – 800 000]
2.2 million[1.3 – 3.6 million]
13.3 million[11.5 – 15.2 million]
36 000[ 17 000 – 90 000]
210 000[160 000 – 300 000]
120 000[85 000 – 160 000]
210 000[110 000 – 370 000]
200 000[100 000 – 370 000]
410 000[260 000 – 650 000]
16.5 million [14.2 – 19.5 million]
300 000[160 000 – 510 000]
450 000[310 000 – 670 000]
2.0 million[1.2 – 3.3 million]
12.7 million[11.0 – 14.5 million]
32 000[ 16 000 – 81 000]
190 000[140 000 – 260 000]
110 000[80 000 – 150 000]
160 000[90 000 – 280 000]
180 000[89 000 – 330 000]
Number of women (15‒49) living with HIV
Regional HIV and AIDS statistics and features for women, 2004 and 2006
% of adults (15‒49) living with HIV who are women
20062004 20062004
TOTAL
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
North America 26
30
31
29
59
48
47
28
50
29
48
26
30
30
29
59
48
47
28
50
27
49
Table 2
12/06 e AIDS Epidemic Update
December 2006
1990 1992 1994 1996 1998 2000 2002 2004 2006
Sub-Saharan Africa
Caribbean
GLOBAL
Latin America
Asia
E Europe and C Asia
PercentFemale (%)
70
60
50
40
30
20
10
0
Percent of adults (15+) living with HIV who are female, 1990‒2006
Figure 1Sources: UNAIDS/WHO, 2006.
12/06 e AIDS Epidemic Update
December 2006
Proportions of HIV infections in different population groups by region, 2005
IDU: Injecting Drug UsersMSM: Men having sex with menCSW: Commercial Sex Workers
Latin America
MSM 26%
IDU 19%
CSW 4%
All others 38%
South and South-East Asia*
CSW clients 13%
Eastern Europe and Central Asia
MSM 4%
IDU 67%
CSW 5%
All others 17%
CSW clients 7%
* 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.
MSM 5%
IDU 22%
CSW 8%
All others 24%
CSW clients 41%
Figure 2
12/06 e AIDS Epidemic Update
December 2006
Trends among 15-24 year old people in high prevalence countries: HIV prevalence among pregnant women (2000‒2005)
in sentinel surveillance systems
* Consistent sites≥ 25% Statistically significant decrease of more than 25% NS Decrease over time but not statistically significant ↔ No evidence of decrease ID Insufficient data
ND 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
CountryPrevalence trend*
Angola
Urban
ID
Rural
IDBahamasBotswanaBurundi #
Central African Republic
Congo
Cameroon
Chad
Côte d’IvoireDemocratic Republic of the CongoDjiboutiGabonHaïti
NS
ID
ID
≥ 25%
ND
NS
ND
ND
ND
ND
ID
ND
≥ 25%
ID
ID
ID
ND
↔
ND
ND
ND
ND
ID
ND
Kenya ≥ 25% ≥ 25%
CountryPrevalence trend*
Urban Rural
Lesotho ID IDMalawi #
Mozambique ‡
Namibia
Rwanda
Swaziland
Nigeria
South Africa §
TogoUgandaUnited Republic of TanzaniaZambia ¶
Zimbabwe
↔
ID
↔
ID
≥ 25%
ID
NS
ND
↔
≥ 25%
ND
↔
ID
ID
↔
ID
ND
ND
NS
NS
ND
Legend
Note
Highlighted cells indicate positive trends in prevalence
Table 3a
12/06 e AIDS Epidemic Update
December 2006
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
CountryAge at sexual
debut**
Women Men
CountryAge at sexual
debut**
Women Men
Sex with non-regular partner***
Women Men
Condom use during sex with non-regular
partner****
Women Men
BahamasBotswanaBurundi #
C African Rep
Congo
Cameroon
Chad
Côte d’Ivoire
Angola
DR CongoDjiboutiGabonHaïti
↔
↔
Sex with non-regular partner***
Women Men
Condom use during sex with non-regular
partner****
Women
Men
KenyaLesothoMalawi #
Mozambique ‡
Namibia
Rwanda
Swaziland
Nigeria
South Africa §
TogoUgandaUR TanzaniaZambia ¶
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
Note
Highlighted cells indicate positive trends in behaviour
Legend
Trends among 15-24 year old people in high prevalence countries: Selected sexual behaviours among women and men
(1994‒2005) from national surveys
Table 3b
12/06 e AIDS Epidemic Update
December 2006
HIV prevalence by age group among antenatal clinic attendees in South Africa, 2000‒2005
2000 2001 2002 2003 2004 2005
Age range
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)
<20
20‒24
25‒30
30‒34
40+
35‒39
45
40
35
30
25
20
15
10
5
0
(%) HIVPrevalence
Figure 3
12/06 e AIDS Epidemic Update
December 2006
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
Number of new HIV infections and AIDS-related deaths (thousand)
% HIV prevalence
0
5
10
15
20
25
30
35
40
45
New infections AIDS deaths HIV prevalence
Sources: Government of Lesotho/UNAIDS, 2006.Figure 4
12/06 e AIDS Epidemic Update
December 2006
Khanh Hoa province (2005) 0.0
HIV prevalence among men who have sex with men in selected parts of Asia, 2003‒2005
* Men sex workers** Hijras
Kathmandu (2005) 4.7
Phnom Penh (2005) 8.9
Provinces (2005) 0.8
Beijing (2004) 0.8
Beijing (2005) 4.6
Shanghai (2005) 1.5
Mumbai (2004) 9.6
Mumbai (2004) 12.5
Chennai (2004) 6.8
Andhra Pradesh (2004) 16.0
18.2Andhra Pradesh (2005)
0 5 10 15 20 25 30
Bangkok (2005) 28.3
Chiang Mai (2005) 15.3
Phuket (2005) 5.5
Bangkok (2003) 17.3
Lahore (2004)** 0.5
Lahore (2004)* 0.0
Karachi (2004)* 4.1
Karachi (2005)* 7.0
Karachi (2005)** 2.0
1.5Karachi (2004)**
0 5 10 15 20 25 30
PAKISTAN
VIET NAM
THAILAND
NEPAL
CAMBODIA
CHINA
INDIA
% HIV Prevalence % HIV Prevalence
Figure 5
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)
12/06 e AIDS Epidemic Update
December 2006Source: NACO. Sentinel Surveillance data, ANC sites (2005).
HIV prevalence in India ‒ by district, 2005
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
HIV prevalence (%) among pregnant women attending antenatal clinics
Figure 6
12/06 e AIDS Epidemic Update
December 2006
Condom use of direct and indirect female sex workers with commercial partners and with sweethearts, Cambodia, 1997‒2003
Direct female sex workers’ clients
Indirect female sex workers’ sweethearts
Direct female sex workers’ sweethearts
Indirect female sex workers’ clients
100
80
60
40
20
0
%
1998 1999 2000 2001 2002 20031997
Source: National Center for HIV/AIDS, Dermatology and STDs, 2004.Figure 7
12/06 e AIDS Epidemic Update
December 2006
Prevalence of human immunodeficiency virus among men who have sex with men,* by recruitment venue
and age group — Bangkok, Thailand, 2003 and 2005
Source: van Griensven F., MMWR, 2006.
*Refers to men who have sex with men but who were not enrolled at venues where male sex workers or transgendered persons congregate.
Entertainment Sauna Park 15-22 23-28 ≥29 Overall
Venue Age group (yrs)
05
1015202530354045 2003 2005
% HIV prevalence
Figure 8
12/06 e AIDS Epidemic Update
December 2006
Number of newly diagnosed cases of HIV infection by transmission group by year of report
for fourteen Eastern European countries*, 1998-2005
Number ofHIV cases(thousand)
60
50
40
30
20
10
0
1998 1999 2000 2001 2002 2003 2004 2005
Homosexual/bisexual
Unknown
Heterosexual
Injecting drug use
*Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Republic of Moldova, Russian Federation, Tajikistan, Turkmenistan, Ukraine and Uzbekistan
Source: EuroHIV, 2006.Figure 9
12/06 e AIDS Epidemic Update
December 2006
Annual newly diagnosed HIV infections per million population by country and total number of HIV infections,
Eastern Europe and Central Asia, 1998‒2005
Belarus
Georgia Kazakhstan
Moldova, Republic of Russian FederationUkraine
Uzbekistan Total number of HIV infections
HIV infections per million population
0
100
200
300
400
500
600
700
90,000
75,000
60,000
45,000
30,000
15,000
0
105,000
1998 1999 2000 2001 2002 2003 2004 2005
Year of report
Total number of HIV infections
Source: EuroHIV, 2006.Figure 10
12/06 e AIDS Epidemic Update
December 2006
HIV prevalence among injecting drug users, sex workers and men who have sex with men in Central Asia,
selected studies, 2005
Source: [XVI International AIDS Conference abstract] ‒ CDC Central Asia offices (Almaty & Tashkent), National and City HIV/AIDS centers
* Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan
15.0% Kazakhstan
2.0% KyrgyzstanSex workers
10.4% Kazakhstan
52.5% UzbekistanInjecting drug users
Sex workers who were not injecting drug users
0 10 20 30 40 50 60
Sex workers who were injecting drug users 44.0%
2.0%
Men who have sex with men 0.3%
4 Central Asian republics* combined
% HIV prevalence
Figure 11
12/06 e AIDS Epidemic Update
December 2006
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
Source: CDC. Twenty-Five Years of HIV/AIDS — United States, 1981–2006. MMWR 2006.
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