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MAP Network
State of the Art
The Status and Trends of HIV/AIDS Epidemics
Karen Stanecki,
US Census Bureau and
Chair of Monitoring the AIDS Pandemic Network
MAP Network
Topics for discussion
• HIV epidemics are emerging across the region
• No society is immune
• Epidemics are inter-related and not self-contained
MAP Network
Source: UNAIDS/WHO July 2002
15 – 39% 5 – 15% 1 – 5%
0.5 – 1.0%0.1 – 0.5%
0.0 – 0.1% not available
HIV prevalence in adults, end 2001
+ 100%
+ 1 300%
+ 60%
+ 160%
+ 30%
+ 40%
+ 20% + 20%
+ 20%
Recent trends in HIV infection, 1996–2001Recent trends in HIV infection, 1996–2001
The global view of HIV, end 2001
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Rising rates among injectors in Vietnam
0
10
20
30
40
50
60
70
80
1993 1994 1995 1996 1997 1998 1999 2000 2001
Haiphong Binh Dinh Ho Chi Minh City
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HIV infections in Japanese menby transmission mode
0
50
100
150
200
250
Heterosexual contact (Male) MSM
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HIV prevalence in sex workers and STI clinic patients in Vietnam
0
1
2
3
4
5
1994 1995 1996 1997 1998 1999 2000
Sex workers STI patients
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Prevalence among sex workers in Chinese provinces
0
5
10
15
1993 1994 1995 1996 1997 1998 1999 2000
Guangxi Guangzhou Yunnan
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Rising rates among sex workers in Indonesia
0
2
4
6
8
10
94/95 95/96 96/97 97/98 98/99 99/00 00/01
Sorong, Irian Jaya Kodya Batam, Riau Karimun, Riau
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Indonesia HIV infection rates
= 0 % = 1 - 5 % = < 1% = > 5 %
SW 1.5%
IDUs 40%
SW 26.5%
IDUs 53%
SW 6.4%
8 %
SW
6%
IDUs 24.5% SW = sex worker
IDUs = injecting drug users
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MSM in Cambodia sex with different partner types
0
10
20
30
40
50
60
70
80
90
Had sex with Sold sex to Bought sex from Multiple partners of thissex (last month)
Man Woman
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FSW(9% married)
IDU(40% married)
69% visit FSW
33%VisitFSW
34%VisitFSW
Potential spread of HIV from high risk groups to the general Population, Central Bangladesh
SM
Rickshawpullers(76% married)
MSM(46% married)
9 Perc
ent
are
IDU
2 Percent are IDU
1 Percent are IDU
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Cumulative reported HIV infections per million population in Eastern European countries:
1993-2001
Belarus
Estonia*
Kazakhstan
Latvia
Lithuania
Moldova, Republic of
Russian Federation
Ukraine
0
300
600
900
1,200
1,500
1,800
1993 1994 1995 1996 1997 1998 1999 2000 2001Projected
Ca
se
s p
er
mil
lio
n p
op
ula
tio
n
* actual 2001 year-end data
Source: National AIDS Programmes (2001) HIV/AIDS surveillance in Europe. Mid-year report. Data compiled by the European Centre for the Epidemiological Monitoring of AIDS
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Number of orphans by region, year, and cause
Africa
19901995200120052010
Asia
19901995200120052010
Latin America
19901995200120052010
0 20 40 60 80
Millions
All other causes AIDS
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Percent of children less than 15 that are orphans by region, year, and cause
Africa
19901995200120052010
Asia
19901995200120052010
Latin America
19901995200120052010
0 2 4 6 8 10 12 14
All other causes AIDS
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