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Global summary of the AIDS epidemic

December 2008

Number of people living with HIV in 2008


Total
Adults
Women
Children under 15 years

33.4 million [31.1 35.8 million]


31.3 million [29.2 33.7 million]
15.7 million [14.2 17.2 million]
2.1 million [1.2 2.9 million]

People newly infected with HIV in 2008


Total
Adults
Children under 15 years

2.7 million [2.4 3.0 million]


2.3 million [2.0 2.5 million]
430 000 [240 000 610 000]

AIDS-related deaths in 2008


Total
Adults
Children under 15 years

2.0 million [1.7 2.4 million]


1.7 million [1.4 2.1 million]
280 000 [150 000 410 000]

The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

2009 AIDS epidemic update

Global estimates 19902008


Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


40

1.2

30

0.9

20

10

0.3

0
1990

1993

1996

1999

2002

2005

2008

1990

Number of people newly infected with HIV

1993

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

4
Number (millions)

Number (millions)

0.6

3
2

3
2

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure I

1999

2002

2005

2008

Regional HIV and AIDS statistics


2008 and 2001
(First of 2 parts)

Adults & children living with HIV


2008

SubSaharan Africa
Middle East & North Africa
South and SouthEast Asia
East Asia
Latin America
Caribbean
Eastern Europe & Central Asia
Western & Central Europe

2001

Adults & children newly infected with HIV


2008

2001

22.4 million

19.7 million

1.9 million

2.3 million

[20.8 24.1 million]

[18.3 21.2 million]

[1.6 2.2 million]

[2.0 2.5 million]

310 000

200 000

35 000

30 000

[250 000 380 000]

[150 000 250 000]

[24 000 46 000]

[23 000 40 000]

3.8 million

4.0 million

280 000

310 000

[3.4 4.3 million]

[3.5 4.5 million]

[240 000 320 000

[270 000 350 000]

850 000

560 000

75 000

99 000

[700 000 1.0 million]

[480 000 650 000]

[58 000 88 000]

[75 000 120 000]

2.0 million

1.6 million

170 000

150 000

[1.8 2.2 million]

[1.2 1.6 million]

[150 000 200 000]

[140 000 170 000]

240 000

220 000

20 000

21 000

[220 000 260 000]

[200 000 240 000]

[16 000 24 000]

[17 000 24 000]

1.5 million

900 000

110 000

280 000

[1.4 1.7 million]

[800 000 1.1 million]

[100 000 130 000]

[240 000 320 000]

850 000

660 000

30 000

40 000

[710 000 970 000]

[580 000 760 000]

[23 000 35 000]

[31 000 47 000]

North America

1.4 million

1.2 million

55 000

52 000

[1.2 1.6 million]

[1.1 1.4 million]

[36 000 61 000]

[42 000 60 000]

Oceania

59 000

36 000

3900

5900

[51 000 68 000]

[29 000 45 000]

[ 2900 5100]

[ 4800 7300]

TOTAL

33.4 million

29.0 million

2.7 million

3.2 million

[31.1 35.8 million]

[27.0 31.0 million]

[2.4 3.0 million]

[2.9 3.6 million]

2009 AIDS epidemic update

Regional HIV and AIDS statistics


2008 and 2001
(Last of 2 parts)

Adult prevalence (%)


2008

SubSaharan Africa
Middle East & North Africa
South and SouthEast Asia
East Asia

Adult & child deaths due to AIDS

2001

2008

2001

5.2%

5.8%

1.4 million

1.4 million

[4.9% 5.4%]

[5.5% 6.0%]

[1.1 1.7 million]

[1.2 1.7 million]

0.2%

0.2%

20 000

11 000

[<0.2% 0.3%]

[0.1% 0.2%]

[15 000 25 000]

[7800 14 000]

0.3%

0.3%

270 000

260 000

[0.2% 0.3%]

[<0.3% 0.4%]

[220 000 310 00]

[210 000 320 000]

0.1%

<0.1%

59 000

22 000

[<0.1%]

[<0.1%]

[46 000 71 000]

[18 000 27 000]

Latin America

0.6%

0.5%

77 000

66 000

[0.5% 0.6%]

[<0.5% 0.6%]

[66 000 89 000]

[56 000 77 000]

Caribbean

1.0%

1.1%

12 000

20 000

[0.9% 1.1%]

[1.0% 1.2%]

[9300 14 000]

[17 000 23 000]

Eastern Europe & Central Asia

0.7%

0.5%

87 000

26 000

[0.6% 0.8%]

[0.4% 0.5%]

[72 000 110 000]

[22 000 30 000]

Western & Central Europe

0.3%

0.2%

13 000

7900

[0.2% 0.3%]

[<0.2% 0.3%]

[10 000 15 000]

[6500 9700]

North America

0.6%

0.6%

25 000

19 000

[0.5% 0.7%]

[0.5% 0.7%]

[20 000 31 000]

[16 000 23 000]

Oceania

0.3%

0.2%

2000

<1000

[<0.3% 0.4%]

[<0.2% 0.3%]

[1100 3100]

[<500 1200]

TOTAL

0.8%

0.8%

2.0 million

1.9 million

[<0.8% 0.8%]

[<0.8% 0.8%]

[1.7 2.4 million]

[1.6 2.2 million]

2009 AIDS epidemic update

Estimate of the annual number of infant infections averted through


the provision of antiretroviral prophylaxis to HIV-positive pregnant women,
globally, 19962008
70 000

Infant infections averted

60 000
50 000
40 000
30 000
20 000
10 000
0

1996

1997 1998

1999 2000

2001 2002

2003 2004

2009 AIDS epidemic update Figure II

2005 2006

2007 2008

Estimated number of new child infections at current levels


of antiretroviral prophylaxis and without antiretroviral prophylaxis ,
globally, 19962008
600 000
500 000
400 000
300 000

200 000
100 000
0
1996

1997 1998

1999 2000

2001 2002

2003 2004

2005 2006

No prevention of mother-to-child transmission


At current levels of antiretroviral prophylaxis

2009 AIDS epidemic update Figure III

2007 2008

Regional estimates of the number of infant infections at current levels


of antiretroviral prophylaxis and without antiretroviral prophylaxis
Latin America
6

50

40
30
20

(thousands)

10

6
4
2

10
1998

2000

2002

2004

2006

1996

2008

Caribbean

1998

2000

2002

2004

2006

(thousands)

2.5
2.0
1.5
1.0

500

400

3
2

2000

2002

2004

2006

2008

2000

2002

2004

2006

2008

2006

2008

300
200
100

1998

Sub-Saharan Africa

0.5
1998

1996

Middle East and North Africa

3.5
3.0

1996

2008

(thousands)

1996

4
3

(thousands)

Eastern Europe and Central Asia

60

(thousands)

(thousands)

Asia

0
1996

1998

No prevention of mother-to-child transmission

2000

2002

2004

2006

2008

1996

1998

2000

2002

At current levels of antiretroviral prophylaxis

2009 AIDS epidemic update Figure IV

2004

Estimated number of AIDS-related deaths with and


without antiretroviral therapy, globally, 19962008
3.0

Number (millions)

2.5
2.0
1.5
1.0

0.5
0
1996

1997 1998

1999 2000

2001 2002

2003 2004

2005 2006

Year

No antiretroviral therapy
At current levels of antiretroviral therapy

2009 AIDS epidemic update Figure V

2007 2008

Estimated number of AIDS-related deaths with and


without antiretroviral therapy, by region, 19962008
Caribbean
120

400

20

100

300
200

(thousands)

25

100

15
10
5

0
2000

2002

2004

2006

Latin America

1998

2000

2002

2004

2006

2008

(thousands)

120
80
40
0

25

2.0

20

1.6

15

1.2

10

2002

2004

2006

2008

2000

2002

2004

2006

2008

2006

2008

0.8
0.4

0
2000

1998

Sub-Saharan Africa

5
1998

1996

Middle East and North Africa

160

1996

40

0
1996

2008

(millions)

1998

80
60

20

0
1996

(thousands)

Eastern Europe and Central Asia

500

(thousands)

(thousands)

Asia

0
1996

No antiretroviral therapy

1998

2000

2002

2004

2006

2008

1996

1998

At current levels of antiretroviral therapy

2009 AIDS epidemic update Figure VI

2000

2002

2004

Estimated number of Life-years added due to antiretroviral therapy,


by region, 19962008

8
7.2 million

(millions)

6
5
4
3
2.3 million

1.4 million

590 000
73 000

40 000

49 000

Eastern
Europe
and Central
Asia

Caribbean

Oceania

7500

Western
Europe
and North
America

SubSaharan
Africa

Latin
America

Asia

2009 AIDS epidemic update Figure VII

Middle
East
and North
Africa

Adult (aged 1549) HIV prevalence in (sub-) national population-based


surveys which include HIV testing, 20012008
Country
SubSaharan Africa
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Central African Republic
Chad
Congo
Cte d'Ivoire
DR Congo
Djibouti
Equatorial Guinea
Ethiopia
Ghana
Guinea
Kenya
Lesotho
Liberia
Malawi
Mali
Niger

HIV prevalence (%)


(Year)
1.2
25.0
25.2
1.8
3.0
3.6
5.5
6.2
3.3
3.2
4.7
1.3
2.9
3.2
1.4
2.2
1.5
7.8
6.7
23.4
1.6
12.7
1.3
1.8
0.7
0.9

(2006)
(2008)
(2004)
(2003)
(2007)
(2002)
(2004)
(2006)
(2005)
(2009)
(2005)
(2007)
(2002)
(2004)
(2005)
(2003)
(2005)
(2008)
(2003)
(2004)
(2007)
(2004)
(2006)
(2001)
(2006)
(2002)

Country
Nigeria
Rwanda
Senegal
Sierra Leone
South Africa

Swaziland
Uganda
UR Tanzania
Zambia
Zimbabwe
Asia
Cambodia
India
Papua province (Indonesia)
Hai Phong province (Viet Nam)
Caribbean
Dominican Republic
Haiti

2009 AIDS epidemic update

HIV prevalence (%)


(Year)
3.6
3.0
0.7
1.5
1.5
16.9
16.2
15.6
25.9
6.4
5.7
7.0
14.3
15.6
18.1

(2007)
(2005)
(2005)
(2008)
(2005)
(2008)
(2005)
(2002)
(200607)
(200405)
(2007)
(2004)
(2007)
(200102)
(200506)

0.6
0.3
2.4
0.5

(2005)
(200506)
(2006)
(2005)

0.8
1.0
2.2

(2007)
(2002)
(200506)

Sub-Saharan Africa
Number of people living with HIV

2008

22.4 million
[20.8 million24.1 million]

2001

19.7 million
[18.3 million21.2 million]

2008

Number of new infections

1.9 million
[1.6 million2.2 million]

2001

2.3 million
[2.0 million2.5 million]

Number of children newly infected

2008

390 000
[210 000570 000]

2001

460 000
[260 000640 000]

Number of AIDS-related deaths

2008

1.4 million
[1.1 million1.7 million]

2001

1.4 million
[1.2 million1.7 million]

2009 AIDS epidemic update

Sub-Saharan Africa estimates 19902008


Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


25

10

20

15

6
%

10

0
1990

1993

1996

1999

2002

2005

2008

1990

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS


4

(millions)

Number

Number (millions)

Number of people newly infected with HIV

1993

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 1

1999

2002

2005

2008

HIV prevalence by marital status and gender


in the general populations of nine West African countries
16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

Burkina Faso

6.3
2.2

1.6

0.8

Single

too
few
cases

2.8

Divorced/
separated/
widowed

Married/
cohabiting

Ghana

6.7

6.2
2.9
1.1

3.3

2.3

too
few
cases

0.3

Single

Married/
cohabiting

Divorced/
separated

Widowed

Niger

6.4
3.6
0.4

0.4

Single

0.5

0.9

Married/
cohabiting

Divorced/
separated

3.9

too
few
cases

Widowed

16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

Benin
10.6
7.2

0.5

1.3

0.2

Single

Married/
cohabiting

too
few
cases

2.3

1.2

Divorced/
separated

Guinea

Widowed

14.8

3.9
1.2

1.6

0.6

Single

1.3

Married/
cohabiting

too
few
cases

0.0

Divorced/
separated

Widowed

Senegal

3.8
0.3

0.0

Single

0.9

0.9

Married/
cohabiting

2.2

Divorced/
separated/
widowed

Source: Lowndes et al. (2008).

2009 AIDS epidemic update Figure 2

16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

16
14
12
10
% 8
6
4
2
0

Cte dIvoire
14.9
11.0

6.1
4.6

3.6
1.3

Single

Divorced/
separated/
widowed

Married/
cohabiting

Mali
8.2

0.4

0.6

Single

1.4

0.9

Married/
cohabiting

1.8

too
few
cases

2.2

Divorced/
separated

Widowed

Sierra Leone

5.3
1.8

0.9

Single

1.4

1.8

Married/
cohabiting

3.1

Divorced/
separated

2.2

too
few
cases

Widowed

Female
Male

Distribution of new infections by mode of exposure


in Ghana and Swaziland, 2008
100
No risk
Medical injections
80

Blood transfusions
Injecting drug use (IDU)
Partners IDU

60

Sex workers

Clients
Partners of Clients

40

Men who have sex with men (MSM)


Female partners of MSM
Engaged in casual sex (CS)

20

Partners of CS
Low-risk heterosexual
0

Ghana

Swaziland 1

Swaziland 2

Note: sensitivity analysis for Swaziland used different data sources.


Sources: Bosu et al. (2009) and Mngadi et al. (2009).

2009 AIDS epidemic update Figure 3

HIV prevalence among antenatal clinic clients in Swaziland,


19922008
50

HIV prevalence (%)

40

30

20

10

0
1992

1994

1996

1998

2000

2002

Source: Ministry of Health and Social Welfare (2009).

2009 AIDS epidemic update Figure 4

2004

2006

2008

Age at first sexual intercourse by education status


in Swaziland, 2007
100
No education
Lower primary
80

Higher primary
Secondary
High School

60

Tertiary
%
40

20

0
Women
< 15 yrs

Women
< 18 yrs

Men
< 15 yrs

Sources: Central Statistical Office & Macro International (2008).

2009 AIDS epidemic update Figure 5

Men
< 18 yrs

HIV prevalence among men who have sex with men in countries
in sub-Saharan Africa, 20022008
50

HIV prevalence (%)

40

30

20

10

0
Botswana

Malawi

Namibia

South
Africa 1

South
Africa 2

Zambia

Kenya 1

Southern Africa

Kenya 2

East Africa

Source: Smith et al. (2009), Baral et al. (2009), and Sanders et al. (2007)

2009 AIDS epidemic update Figure 6

UR
Tanzania

Nigeria

Senegal

West Africa

Asia
Number of people living with HIV

2008

4.7 million
[3.8 million5.5 million]

2001

4.5 million
[3.8 million5.2 million]

2008

Number of new infections

350 000
[270 000410 000]

2001

400 000
[310 000480 000]

Number of children newly infected

2008

21 000
[13 00029 000]

2001

33 000
[18 00049 000]

Number of AIDS-related deaths

2008

330 000
[260 000400 000]

2001

280 000
[230 000340 000]

2009 AIDS epidemic update

Asia estimates 19902008


Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


8

0.4

0.3

0.1

0
1990

1993

1996

1999

2002

2005

2008

1990

Number of people newly infected with HIV

1993

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

1.0

1.0

0.8

0.8
Number (million)

Number (million)

0.2

0.6
0.4

0.2

0.6
0.4

0.2

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 7

1999

2002

2005

2008

Age-adjusted HIV prevalence among antenatal attendees aged 1524


from 2000 to 2007 in high-prevalence southern states (Andhra Pradesh, Karnataka,
Maharashtra and Tamil Nadu) and northern states of India
2.5

Age-adjusted HIV prevalence (%)

Southern states
2.0

Northern states

1.5

1.0

0.5

0.0
2000

2001

2002

2003

2004

2005

2006

Logarithmic trend line; test for trend by logistic regression, with age adjustment to the entire study population,
n = 202 254 for the south, n = 221 588 for the north.

Source: Arora et al. (2008).

2009 AIDS epidemic update Figure 8

2007

Vulnerability to sexual HIV transmission in commercial sex


in Karachi and Lahore, Pakistan
28

Female sex
workers (FSWs)

60
82
20

Male clients
of FSWs

45
61
42

Male sex
workers

57
63
31
51

Hijras

55

20

40

60

80

Per cent
Has never heard of HIV/AIDS
Does not know that condoms can prevent transmission of HIV
No perceived HIV risk

Source: Bokhari et al. (2007).

2009 AIDS epidemic update Figure 9

100

Saturating prevention coverage through complementary programming.


Avahan has achieved a high coverage of target populations
(routine programme monitoring data)
Injecting
drug users

Manipur

62%

35 000 est.

Nagaland

53%

28 000 est.

Karnataka

Andhra Pradesh
Maharashtra
Tamil Nadu*

High Risk
Men who
have sex
with men

26 000 est.

Andhra Pradesh
46 000 est.

61%

26%

70%

19%

14%
76%

64%

27 000 est.
21 000 est.

36%

15%

Maharashtra
Tamil Nadu*

11%
74%

38%

84 000 est.

Karnataka

20%

26%

72 000 est.

22%

58%

29%

115 000 est.

12%

26%

22%

89 000 est.

Female
sex
workers

26%

24%

5%
36%

49%

26%

Percent of Mapped Urban


Key Population covered**

Government of India and Others

Avahan

Percentages indicate intended coverage through establishment of services in specific geographic areas.
* Includes districts with no intended coverage.
** Mapping and size estimation quality varies by state.
Does not include rural areas

Source: Avahan and State AIDS Control Society programme data (2008).

2009 AIDS epidemic update Figure 10

Uncovered

Comparison of the incidence of syphilis in China


reported from 26 sentinel sites and from the nationwide sexually transmitted
disease surveillance system
35

Incidence (per 100 000)

30
25
20
15
10
5
0
1993

1994

1995

1996

1997

1998

1999 2000

2001

2002

2003

2004

Reported incidence of total syphilis from sentinel sites


Reported incidence of total syphilis from the nationwide sexually transmitted
disease surveillance system

Source: Chen et al. (2007).

2009 AIDS epidemic update Figure 11

2005

Trends in HIV, hepatitis B, hepatitis C and syphilis


in men who have sex with men in Beijing in 2004, 2005 and 2006
14
12

Prevalence (%)

10

HIV
Hepatitis B

Hepatitis C
Syphilis

6
4
2
0
2004

2005

2006

Source: Ma et al. (2007).

2009 AIDS epidemic update Figure 12

Eastern Europe and Central Asia


Number of people living with HIV

2008

1.5 million
[1.4 million1.7 million]

2001

900 000
[800 0001.1 million]

2008

Number of new infections

110 000
[100 000130 000]

2001

280 000
[240 000320 000]

Number of children newly infected

2008

3700
[17006000]

2001

3000
[16004300]

Number of AIDS-related deaths

2008

87 000
[72 000110 000]

2001

26 000
[22 00030 000]

2009 AIDS epidemic update

Eastern Europe and Central Asia


estimates 19902008
Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


2.0

1.0

1.6

0.8

1.2

0.6
%

0.8

0.4

0.4

0.2

0
1990

1993

1996

1999

2002

2005

2008

1990

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

400

400

300

300

Number (thousands)

Number (thousands)

Number of people newly infected with HIV

1993

200
100

200
100

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 13

1999

2002

2005

2008

HIV cases per million population in the WHO Eastern Europe region
by year of notification, 20002007
180

HIV cases per million population

160
140
120
100
80
60
40
20
0
2000

2001

2002

2003

2004

Note: Data from Russian Federation not included.

Source: Van de Laar et al. (2008).

2009 AIDS epidemic update Figure 14

2005

2006

2007

Caribbean
Number of people living with HIV

2008

240 000
[220 000260 000]

2001

220 000
[200 000240 000]

2008

Number of new infections

20 000
16 00024 000

2001

21 000
[17 00024 000]

Number of children newly infected

2008

2300
[14003400]

2001

2800
[17004000]

Number of AIDS-related deaths

2008

12 000
[930014 000]

2001

20 000
[17 00023 000]

2009 AIDS epidemic update

Caribbean estimates 19902008


Adult (1549) HIV prevalence (%)

Number (thousands)

Number of people living with HIV


400

2.0

300

1.5

200

100

0.5

0
1990

1993

1996

1999

2002

2005

2008

1990

Number of people newly infected with HIV

1993

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

80

80

60

60

Number (thousands)

Number (thousands)

1.0

40
20

40
20

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 15

1999

2002

2005

2008

HIV prevalence trends among young people (aged 1524)


in the Dominican Republic, 19912007
2.5
Pregnant women at La Altagracia
Hospital, Santo Domingo

HIV prevalence (%)

2.0

Women in population-based survey


Men in population-based survey

1.5

1.0

0.5

0.0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Source: Halperin, et al (2009).

2009 AIDS epidemic update Figure 16

Latin America
Number of people living with HIV

2008

2.0 million
[1.8 million2.2 million]

2001

1.6 million
[1.5 million1.8 million]

2008

Number of new infections

170 000
[150 000200 000]

2001

150 000
[140 000170 000]

Number of children newly infected

2008

6900
[42009700]

2001

6200
[38009100]

Number of AIDS-related deaths

2008

77 000
[66 00089 000]

2001

66 000
[56 00077 000]

2009 AIDS epidemic update

Latin America estimates 19902008


Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


2.5

1.0

2.0

0.8

1.5

0.6
%

1.0

0.4

0.5

0.2

0
1990

1993

1996

1999

2002

2005

2008

1990

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

250

250

200

200

Number (thousands)

Number (thousands)

Number of people newly infected with HIV

1993

150
100

50

150
100

50
0

1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 17

1999

2002

2005

2008

Distribution of HIV incidence by mode of exposure in Peru:


estimate for 2010
Men who have sex with men

54.97%

Risk groups

Low-risk heterosexual
Partners of clients of female sex workers

6.36%

Casual heterosexual sex

6.30%

Female partners of men who have sex with men

6.22%

Partners (casual heterosexual sex)

5.54%

Injecting drug users

1.98%

Clients of female sex workers

1.33%

Female sex workers

0.89%

Medical injections

0.23%

Partners (injecting drug users)

0.22%

Blood transfusions

0.0%

Without risk

0.0%

10

Source: Alarcn Villaverde (2009).

2009 AIDS epidemic update Figure 18

20

30
%

40

50

60

Estimated HIV-1 seroprevalence and 95% confidence interval for HIV


among men who have sex with men and female sex workers by country

25
Men who have sex with men

Female sex workers

HIV seroprevalence (%)

20
15.3

15

12.4

12.1

10

11.7
9.6

8.9
7.6

4.3

3.6

3.2

0.2
n:

281

484

El Salvador

157

511

Guatemala

267

493

Honduras

145

460

Nicaragua

Source: Soto et al. (2007).

2009 AIDS epidemic update Figure 19

0.2
235

418

Panama

1085

2366

All countries

Condom use among female sex workers who attend VICITS (Vigilancia Centinela de ITS) in
Tegucigalpa, San Pedro Sula and La Ceiba, Honduras, in 2008

100

96.7%

80

60
%
40.7%

40

20
10.6%

0
With clients

With casual
partners

With regular
partners

Condom use
(n= 463)

Source: Secretaria de Salud Honduras (2008).

2009 AIDS epidemic update Figure 20

North America and


Western and Central Europe
Number of people living with HIV

2008

2.3 million
[1.9 million2.6 million]

2001

1.9 million
[1.7 million2.1 million]

2008

Number of new infections

75 000
[49 00097 000]

2001

93 000
[76 000110 000]

Number of children newly infected

2008

<500
[<200<500]

2001

<500
[<200<500]

Number of AIDS-related deaths

2008

38 000
[27 00061 000]

2001

27 000
[18 00042 000]

2009 AIDS epidemic update

North America and Western and Central Europe


estimates 19902008

Adult (1549) HIV prevalence (%)

Number (millions)

Number of people living with HIV


3

0.6

0.4
%

0.2

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates

Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 21

1999

2002

2005

2008

Yearly number of new HIV and AIDS cases and related deaths
in Switzerland, 19952008
1200

Number of people

1000
800
600
400

200
0
1995

1996 1997

1998

1999

2000

2001 2002

2003

2004

2005

HIV

Death with AIDS

AIDS cases

Death without AIDS

Source: Federal Office of Public Health (2009).

2009 AIDS epidemic update Figure 22

2006 2007

2008

Estimated new HIV infections by transmission category, extended back calculation


model, 50 US states and the District of Columbia, 19772006

Infections

80 000
70 000

Men who have sex with men (MSM)


Injecting drug use (IDU)

60 000

MSM / IDU
Heterosexual

50 000
40 000

30 000
20 000
10 000
0
19771979

1980- 1982- 1984- 1986- 19881981 1983 1985 1987 1990

19911993

19941996

19971999

20002002

20032006

Period
Tick marks denote the beginning and end of a year. The model specified periods within which the number of HIV infections
was assumed to be approximately constant.
Source: Hall et al. (2008a).

2009 AIDS epidemic update Figure 23

Middle East and North Africa


Number of people living with HIV

2008

310 000
[250 000380 000]

2001

200 000
[150 000250 000]

2008

Number of new infections

35 000
24 00046 000

2001

30 000
[23 00040 000]

Number of children newly infected

2008

4600
[23007500]

2001

3800
[19006400]

Number of AIDS-related deaths

2008

20 000
[15 00025 000]

2001

11 000
[780014 000]

2009 AIDS epidemic update

Middle East and North Africa estimates 19902008

Number (thousands)

Number of people living with HIV

Adult (1549) HIV prevalence (%)

400

0.4

300

0.3

200

100

0.1

0
1990

1993

1996

1999

2002

2005

2008

1990

Number of people newly infected with HIV

1993

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

50

50

40

40

Number (thousands)

Number (thousands)

0.2

30
20

10
0

30
20

10
0

1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 24

1999

2002

2005

2008

Percentage of condom use as reported by street children, male injecting drug users,
female sex workers and men who have sex with men in Egypt

15
13.0%
12.0%

11.8%

9.2%

10
%

6.8%

0
Street boys

Street girls

Male injecting
drug users

At least once in 12 months prior to survey

Source: Shawky et al. (2009).

2009 AIDS epidemic update Figure 25

Female sex
workers

Men who have


sex with men

Last practice

Oceania
Number of people living with HIV

2008

59 000
[51 00068 000]

2001

36 000
[29 00045 000]

2008

Number of new infections

3900
29005100

2001

5900
[48007300]

Number of children newly infected

2008

<500
[<500<1000]

2001

<500
[<200<500]

Number of AIDS-related deaths

2008

2000
[11003100]

2001

<1000
[<50001200]

2009 AIDS epidemic update

Oceania estimates 19902008

Number (thousands)

Number of people living with HIV

Adult (1549) HIV prevalence (%)

80

0.4

60

0.3

40

20

0.1

0
1990

1993

1996

1999

2002

2005

2008

1990

Number of people newly infected with HIV

1993

1996

1999

2002

2005

2008

Number of adult and child deaths due to AIDS

Number (thousands)

Number (thousands)

0.2

4
2

4
2

0
1990

1993

1996

1999

2002

2005

Estimate

2008

1990

1993

1996

High and low estimates


Source: UNAIDS/WHO

2009 AIDS epidemic update Figure 26

1999

2002

2005

2008

Proportion of all HIV and AIDS cases in different Pacific island


countries and territories, 19842007
New Caledonia 1.2%
French Polynesia 1.1%
Fiji 1.1%
Guam 0.8%
All others 0.8%

Papua New Guinea 95.0%

Sources: The Secretariat of the Pacific Community and the Papua New Guinea Department of Health.

2009 AIDS epidemic update Figure 27

Annual newly diagnosed HIV infections in Australia,


19992008
1200

Number of people

1000

800

600

400

200

0
1999

2000

2001

2002

2003

2004

2005

Source: National Centre in HIV Epidemiology and Clinical Research (2009).

2009 AIDS epidemic update Figure 28

2006

2007

2008

HIV infections detected in Papua New Guinea, by age,


19872006

3000
2500

Male

Female

Sex not Stated

Number

2000
1500
1000
500
0
0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

Age group

Source: Papua New Guinea National AIDS Council and Department of Health.

2009 AIDS epidemic update Figure 29

45-49 50-54

55-59 Over 60 Unknown

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