HIV and AIDS from UNAIDS / WHO UNAIDS Report on the Global AIDS Epidemic - 2010

HIV and AIDS from UNAIDS / WHO

UNAIDS Report on the Global AIDS Epidemic - 2010

AIDS PANDEMICAIDS PANDEMIC""We all have AIDS. ... The earth has AIDS“We all have AIDS. ... The earth has AIDS“Donald Berwick, CEO, Institute for Healthcare Improvement

The epidemic began in the late 1970’s,peaking in 1997, nowfewer people are becominginfected with HIV and fewerare dying from AIDS.

New Infections:2.6 million in 2009

33.3 million were living with HIV in 2009(68% in sub-Saharan Africa)

Young people aged 15-24 account for an estimated 45% of all

new HIV infections worldwide.

75% are heterosexual

transmissions

1.8 Million Deaths in 2009Worldwide: Leading cause of

death for adults 15-59

Women and girls account for more

than half of all people living with

HIV worldwide.

An estimated 2.5 million children (under age 15) worldwide were living with HIV in 2009. UNAIDS Report on the Global AIDS Epidemic - 2010

Global Summary of the HIV/AIDS Epidemic

among Adults and Children


Living with HIV Newly Infected with HIV2009 33.3 million 2.6 million2001 28.6 million 3.1 million

AIDS-related Deaths AIDS-related DeathsAdults & Children Children (under age 15)

2009 1.8 million 260,0002004 2.1 million 320,000

Estimated Number ofNew HIV Infections in 2009

Total: 2.6 (2.3 – 2.8) million

Western & Central Europe

31 00031 000[23 000 – 40 000][23 000 – 40 000]

Middle East & North Africa

75 00075 000[61 000 – 92 000][61 000 – 92 000]

Sub-Saharan Africa1.8 million1.8 million

[1.6 – 2.0 million][1.6 – 2.0 million]

Eastern Europe & Central Asia

130 000 130 000 [110 000 – 160 000][110 000 – 160 000]

South & South-East Asia

270 000270 000[240 000 – 320 000][240 000 – 320 000]

Oceania4 5004 500

3 400 – 6 000]3 400 – 6 000]

North America70 000

[44 000 – 130 000]

Latin America92 00092 000

[70 000 – 120 000][70 000 – 120 000]

East Asia82 00082 000

[48 000 – 140 000][48 000 – 140 000]Caribbean17 000

[13 000 – 21 000]


Comment: This is nearly one fifth (19%) fewer than the 3.1 million people newly infected in 1999and more than one fifth (21%) fewer than the estimated 3.2 million in 1997, the year in whichannual new infections peaked.

Estimated Number Living with HIV at the end of 2009

Total: 33.3 (31.4 – 35.3) million


820 000820 000[720 000 – 910 000][720 000 – 910 000]


460 000460 000[400 000 – 530 000][400 000 – 530 000]


[20.9 – 24.2 million][20.9 – 24.2 million]

Eastern Europe & Central Asia1.4 million 1.4 million [13 – 1.6 million][13 – 1.6 million]


4.1 million4.1 million[3.7 – 4.6 million][3.7 – 4.6 million]

Oceania57 00057 000

[50 000 –64 000][50 000 –64 000]

North America1.5 million

[1.2 – 2.0 million]

Latin America1.4million1.4million

[1.2 – 1.6 million][1.2 – 1.6 million]

East Asia770 000770 000

[560 000 – 1.0 million][560 000 – 1.0 million]Caribbean240 000

[220 000 – 260 000]


Estimated Number of AIDS-Related Deaths in 2009

Total: 1.8 (1.6 – 2.1) million


8 5008 500[6 800 – 19 000][6 800 – 19 000]


24 00024 000[20 000 – 27 000][20 000 – 27 000]


[1.1 – 1.5 million][1.1 – 1.5 million]

Eastern Europe & Central Asia

76 000 76 000 [60 000 – 95 000][60 000 – 95 000]


260 000260 000[230 000 – 300 000][230 000 – 300 000]

Oceania1 4001 400

[<1 000 – 2 400][<1 000 – 2 400]

North America26 000

[22 000 – 44 000]

Latin America58 00058 000

[43 000 – 70 000][43 000 – 70 000]

East Asia36 00036 000

[25 000 – 50 000][25 000 – 50 000]Caribbean12 000

[8 500 – 15 000]


Comment: This is an estimated 14% decline from the 2.1 million AIDS-related deaths in 2004.The decline reflects the increased availability of antiretroviral therapy, as well as care and supportto people living with HIV, particularly in middle- and low-income countries.

Virtual Elimination of Mother-to-Child Transmission of HIV is Possible

In 2009, an estimated 370,000 children contracted HIV during the perinatal and breastfeeding period, down from 500,000 in 2001.The estimated number of children (ages <15) living with HIV increased to 2.5 million in 2009.


THE ROAD AHEAD: FROM CRISIS MANAGEMENT TO

STRATEGIC RESPONSE

Over the last quarter century nearly 65 million people were infected with HIV and an estimated 25 million have died of AIDS-related illnesses. Today it is estimated that close to 40 million live with HIV—yet the vast majority are unaware of their status.


More than 5 Million People are NOW Receiving HIV Treatment Worldwide

In 2009 alone, 1.2 million people received HIV antiretroviral therapy for the first time. More than 5 million are receiving treatment, however this represents only 35% of those who need HIV therapy.Expanding access to treatment has contributed to the decline in deaths among persons with HIV.Efforts to simplify treatment will improve the quality of life for people living with HIV and their families and advert an additional 10 millions deaths by 2025.


HIV Prevention Works:New HIV Infections are Declining in Many Countries Most Affected by the Epidemic

In 33 countries, HIV incidence has fallen by more than 25% between 2001 and 2009. Of these countries 22 are sub-Saharan Africa.

The biggest epidemics in sub-Saharan Africa – Ethiopia, Nigeria, South Africa, Zambia and Zimbabwe – have either stabilized or are showing signs of decline.


Alternatively, Stigma, Discrimination, Lack of Access to

Services and Bad Laws Can Make an Epidemic Worse

In seven countries, five of them in Eastern Europe and Central Asia, HIV incidence increased by more than 25% between 2001 and 2009.


Almost 17 million children (ages 0-17)

have lost their parents due to HIV. Almost 90% of these

children live in sub-Saharan Africa.


Sub-Saharan Africa has two-thirds of the Living HIV Cases World-wide

The total number of people living with HIV/AIDS in Sub-Saharan Africa is 22.5 million, 68% of the global total.

More women than men are living with HIV.

An estimated 2.3 million children (ages <15) are living with HIV, 92% of the global total.

An estimated 1.8 million new infections occurred in 2009.

An estimated 1.3 million AIDS-related deaths occurred in 2009, 72% of the global total.


For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Julia Fitz, MPH Ext. 2373

Visit Florida’s internet site for:•Monthly Surveillance Reports•Slide Sets and Fact Sheets•Annual Reports and Epi Profiles http://www.doh.state.fl.us/disease_ctrl/aids/trends/trends.html

Visit CDC’s HIV/AIDS Internet site for:Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm

Documents

HIV and AIDS from UNAIDS / WHO UNAIDS Report on the Global AIDS Epidemic - 2010