HIV/AIDS: A Global and Regional Perspective AIDS in Post 2015 Development Agenda

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

Adults and children newly infected with HIV

Adult prevalence (15‒49) [%]

2011 34 million [31.4 million – 35.9 million]

2.5 million [2.2 million – 2.8 million]

0.8% [0.7% – 0.8%]

2001 29.4 million [27.2 million – 32.1 million]

3.2 million [2.9 million – 3.4 million]

0.8% [0.7% – 0.9%]

Prevalence among young people (15–24 years) [%],

2001 and 2011

AIDS-related deaths among adults and children,

2005 and 2011

Women Men

2011 0.6% [0.4% – 0.6%]

0.3% [0.2% – 0.4%]

2011 1.7 million [1.5 million – 1.9 million]

2001 0.7% [0.6% – 0.9%]

0.4% [0.3% – 0.5%]

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

People living with HIV4.9 million

Women living with HIV

1.6 million

New HIV Infections370,000

Deaths310,000

Children living with HIV170,000

HIV in Asia and the Pacific

www.aidsdatahub.org, UNAIDS Report on the Global Epidemic 2012.

2011 “zoom-in”Rate of HIV transmission is slowing and

AIDS related deaths remain stable

ZERO NEW INFECTIONS: Current business model will NOT get us to

2015 targets

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

0

100,000

200,000

300,000

400,000

500,000

600,000

Estimated new HIV infections Estimated trend to 2015(Epidemic expands)

Estimated trend to 2015(Epidemic declines)

50% reduction by 2015

Nu

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Estimate 2011:370 000

290 000

Target 2015: 180 000

440 000

Asia and the Pacific

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

Member States Commit- 50% reduction of new HIV infections

-15 million people on treatment

-Zero discrimination

Towards reaching MDG Goal by 2015

UN General Assembly High Level Meeting June 2011

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