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Indian Scenario of HIV/AIDS
Dr. A. K. Gupta MD (Pediatrics)Additional Project Director
Delhi State AIDS Control Society
HIV Epidemic in India
Country Profile:• Low HIV prevalence (0.31%)• Nearly 2.3 million people infected by HIV (7.2% of Global burden)- India
carries the largest burden of HIV behind South Africa and Nigeria. • HIV Transmission predominantly through heterosexual route (87%)• Heterogeneous epidemic • A wide variation in HIV prevalence between states, districts and intra
districts even within the states • Concentrated Epidemic focused in HRGs (FSWs, MSMs, IDUs) :
High Risk Groups (2008 HSS) Female Sex Workers (4.77%) Men who have sex with men (6.9%) Injecting Drug users (9.86%)
BridgePopulations (2008 HSS)▪ Migrants (2.3%)▪ Truckers (1.48%)
Trend Analysis of HIV prevalence HSS 2003-2008, India
IDU
MSM
FSW
STD
ANC
Preliminary Results of the 2008-09 HSS
Declining Trends of HIV Epidemic in India (2004 – 2009)
Female: 38.7% of PLHA; Children: 4.4% of PLHA
Source: HIV Estimations, 2008-09
2005-06 2006-07 2007-08 2008-09 2009-10 2010-110
2000000
4000000
6000000
8000000
10000000
12000000
0
50000
100000
150000
200000
250000
300000
350000
1304885
21091552715812
5618013
8263420
9545232
141992
202485194504
280244298957 284257
GC Tested GC Positives
Consistently Declining ICTC Positivity Rate (2005-2010), India
10.8%9.6%
7.16%
4.98%
3.61%
2.98%
% positive
Pondichery
Gujarat
Karnataka
Goa
Lakshwadeep
Dadra Nagar HaveliMaharashtra
Madhya Pradesh
Kerala
Tamil Nadu
Andhra Pradesh
Punjab
Rajasthan
Daman & Diu
J & K
Haryana
Uttar Pradesh
Himachal Pradesh
Delhi
Chandigarh
Bihar
West Bengal
Orissa
Andaman & Nicobar
Mizoram
Meghalaya
Assam
Sikkim
Manipur
Tripura
Arunachal Pradesh
Nagaland
HIV/AIDS Epidemic in India-2008
>1%in Antenatal mothers
>5% in High Risk Groups
<5% in High risk groups
Total:2.3 million
Distribution of PLHAs by States (2007)
A.P
M
KW.B.
T.N
G
Categorization of DistrictsCategory of 609 Districts
A More than 1% ANC/PPTCT prevalence in district in any time in any of the sites in the last 3 years
B Less than 1% ANC/PPTCT prevalence in all the sites during last 3 years Associated with More than 5% prevalence in any HRG group (STD/CSW/MSM/IDU)
C Less than 1% in ANC prevalence and Less than 5% in all STD clinic attendees or any HRG WITH KNOWN HOT SPOTS (Migrants, Truckers, Large aggregation of, Factory workers, Tourist etc)
D Less than 1% in ANC prevalence in all sites during last 3 years with Less than 5% in all STD clinic attendees or any HRG OR No or Poor HIV Data With No Known Hot Spots/Unknown
Districts by category:
A – 156
B – 39
C – 296
D – 118
A+B= 195 (32%) districts