Update
Myanmar
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Myanmar
HIV/AIDS estimates
In 2003 and during the first quarter of 2004, UNAIDS and WHO worked closely with national governments and
research institutions to recalculate current estimates on people living with HIV/AIDS. These calculations are
based on the previously published estimates for 1999 and 2001 and recent trends in HIV/AIDS surveillance in
various populations. A methodology developed in collaboration with an international group of
experts was used to calculate the new estimates on prevalence and incidence of HIV and AIDS deaths, as well
as the number of children infected through mother-to-child transmission of HIV. Different approaches were
used to estimate HIV prevalence in countries with low-level, concentrated or generalised epidemics. The
current estimates do not claim to be an exact count of infections. Rather, they use a methodology that has thus
far proved accurate in producing estimates that give a good indication of the magnitude of the epidemic in
individual countries. However, these estimates are constantly being revised as countries improve their
surveillance systems and collect more information.
Adults in this report are defined as women and men aged 15 to 49. This age range covers people in their most
sexually active years. While the risk of HIV infection obviously continues beyond the age of 50, the vast
majority of those who engage in substantial risk behaviours are likely to be infected by this age. The 15 to 49
range was used as the denominator in calculating adult HIV prevalence.
Estimated number of adults and children living with HIV/AIDS, end of 2003
These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS,
alive at the end of 2003:
Adults and children
Low estimate
High estimate
Adults (15-49)
Low estimate
High estimate
Children (0-15)
Low estimate
High estimate
Women (15-49)
Low estimate
High estimate
330,000
170,000
620,000
320,000
170,000
610,000
7,600
3,600
16,000
97,000
51,000
180,000
1.2
0.6
2.2
20,000
11,000
35,000
2004
The national adult prevalence of HIV infection is between 1% to 2%. Myanmar is thus characterized as having a "generalized" epidemic. However, the spread of the HIV infection
across the country is heterogenous varying widely by geographical location and by population sub group.
HIV was introduced in Myanmar in mid-to-late 1980s and by the end of 2003, a cumulative 7,174 AIDS cases and 3,324 AIDS deaths have been reported. The male-to-female ratio
among reported cases is 3.6:1. Among cases with known mode of transmission, 65% acquired infection by heterosexual route, 26% by injecting drug use, and 5% by contaminated
blood.
The spread of HIV infection in Myanmar continues to increase. Among military recruits tested in Yangoon and Mandalay, the prevalence of HIV infection has increased from 0.5%
in 1992 to 1.4% in 2000, to 2.09% in 2003. Among blood donors, HIV prevalence has consistently increased from 0.3% in1992, to 1% in 2000, to 1.23% in 2003. The prevalence
among ANC women was 2% and 0.5% in Yangoon and Mandalay, respectively in 2003 and has remained somewhat constant over the past five years in these major urban areas.
Outside major urban areas, the median HIV prevalence in 2003 was 1% with a range of nil to 7.5%.
Among IDUs, the median HIV prevalence in six sentinel sites in 2003 was 48%, ranging from 23% to 77%. Among commercial sex workers the HIV prevalence in Yangoon and
Mandalay was 33% and 53.6% respectively in 2003. Among male and female STD patients, median HIV prevalence in the same year was 6% and 12.55%, respectively.
There are an estimated 330,000 people living with HIV/AIDS as of 2002 of whom 60,000 PLWHAs are in immediate need of antiretroviral treatment. The government of Myanmar
is planning to scale up the antiretroviral programme as funds become available.
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Myanmar
Basic indicators
For consistency reasons the data used in the table below are taken from official UN publications.
DEMOGRAPHIC DATA
YEAR
ESTIMATE
2004
50,101
2004
4,828
2004
26,990
1992-2002
1.5
SOURCE
2003
29.3
2000-2005
3.1
2004
23.2
2004
11.1
2000
360
WHO (WHR2004)/UNICEF
2002
58.9
2002
2.9
2000
83
2000
108
YEAR
ESTIMATE
2001
26
2001
17.8
2000
15.3
UNESCO
2000
11.1
UNESCO
SOCIO-ECONOMIC DATA
SOURCE
2000
19.5
UNESCO
2000/2001
89
UNESCO
2000/2001
89
UNESCO
2000/2001
40
UNESCO
2000/2001
38
UNESCO
Contact address
UNAIDS/WHO Working Group on Global
HIV/AIDS and STI Surveillance
20, Avenue Appia
CH - 1211 Geneva 27
Switzerland
Fax: +41-22-791-4834
email: hivstrategicinfo@who.int or
estimates@unaids.org
website:
http://www.who.int/hiv
http://www.unaids.org
Extracts of the information contained in these fact sheets may be reviewed, reproduced or translated for research or private study but not for sale or for use
in conjunction with commercial purposes. Any use of information in these fact sheets should be accompanied by the following acknowledgment
"UNAIDS/WHO epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update".
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Myanmar
Area
Major urban
areas
Outside major
urban areas
Sex workers
Major urban
areas
Outside major
urban areas
1987
1988
1992
1993
1994
1995
1996
1997
1998
1999
2000
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
Minimum
0.30
0.30
0.80
1.00
1.30
2.00
Median
0.40
0.80
0.80
0.65
1.00
1.80
2.75
Maximum
0.50
1.30
0.80
1.30
1.00
2.30
3.50
5.00
8.00
11.00
12.00
12.00
13.00
3.00
18.00
16.00
N-Sites
N-Sites
Minimum
1989
1990
1991
0.50
0.30
0.80
Median
0.50
1.00
0.80
1.00
1.00
1.50
2.30
1.75
1.76
Maximum
5.50
10.00
8.40
7.80
8.00
4.80
3.80
7.50
5.29
N-Sites
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
Minimum
1.80
7.80
11.00
11.70
15.50
17.50
11.70
26.00
Median
3.60
9.90
13.75
18.10
21.00
25.50
13.25
38.00
Maximum
5.40
12.00
16.50
24.50
26.50
33.50
14.80
50.00
N-Sites
1.00
Minimum
16.00
Median
16.00
Maximum
Injecting drug
users
Major urban
areas
Outside major
urban areas
STI patients
Major urban
areas
Outside major
urban areas
Tuberculosis
patients
Major urban
areas
Major urban
areas
Outside major
urban areas
16.00
N-Sites
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
Minimum
57.00
70.30
57.50
39.50
59.00
65.50
53.80
47.80
37.10
Median
61.55
77.55
70.50
45.50
65.60
69.00
68.30
66.60
47.60
Maximum
66.10
84.80
83.50
51.50
72.20
72.50
82.80
85.40
58.11
N-Sites
2.00
4.00
4.00
4.00
3.00
3.00
3.00
3.00
2.00
Minimum
46.30
28.00
30.30
26.50
34.70
20.50
25.00
12.00
76.00
Median
61.90
62.20
61.15
71.64
83.00
30.20
53.80
65.00
83.08
Maximum
77.50
94.00
96.40
91.20
86.60
76.10
79.50
70.60
90.16
N-Sites
4.00
4.00
4.00
4.00
4.00
4.00
3.00
4.00
4.00
Minimum
1.90
0.50
4.10
3.50
5.90
6.94
9.30
6.50
11.39
Median
3.35
3.80
6.50
6.05
7.10
13.15
13.20
14.50
12.56
Maximum
11.80
13.80
13.50
12.50
15.50
19.50
14.50
18.50
13.00
N-Sites
18.00
21.00
22.00
22.00
22.00
22.00
4.00
26.00
24.00
0.50
0.60
Median
4.45
4.60
4.75
4.50
6.00
8.00
5.65
6.75
6.00
Maximum
18.40
18.50
22.00
27.00
23.00
Minimum
21.20
32.70
29.50
21.60
N-Sites
1.00
1.00
1.00
1.00
Minimum
15.00
21.00
31.78
33.33
Median
15.00
21.00
31.78
33.33
Maximum
15.00
21.00
31.78
33.33
N-Sites
2.00
2.00
2.00
Minimum
1.30
3.00
1.46
Median
1.50
3.35
3.09
Maximum
1.70
3.70
4.71
N-Sites
10.00
13.00
13.00
Minimum
0.50
Median
4.00
4.90
3.92
Maximum
22.00
15.00
18.00
2001
2002
2003
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Myanmar
Median prevalence and ranges are shown in areas with more than one sentinel site.
The boundaries and names shown and the designations used on the map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country,
territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.
WHO 2004, all rights reserved.
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Myanmar
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
41
142
286
618
890
554
231
1999
2000
2001
2002
2003
802
816
668
Total
5190
UNK
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Myanmar
STI syndromes
Reported cases
1996
1997
1998
1999
2000
2001
2002
2003
Incidence 2003
Comments:
Source:
Area
Rate
Range
Comments:
Source:
Area
Rate
Range
Year
Area
Rate
Range
Comments:
Source:
- Gonorrhoea
Comments:
Source:
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Myanmar
Area
Rate
Range
Year
Area
Rate
Range
Comments:
Source:
- Trichomoniasis
Comments:
Source:
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Myanmar
Year
Estimate
1997
32.7
Source
UNICEF/UNPOP
56.4
2002
77
WHO/UNICEF
2001
73
WHO/UNICEF
Number of adults (15-49) with advanced HIV infection receiving ARV therapy as of June 2004
Adults on treatment
Number:
200
Source:
WHO
42,000
Source:
WHO/UNAIDS
Area
N=
2004
All
40
Comments:
There is a plan to expand in MOH clinics, TB clinics, and drug treatment centers
Source:
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10
Myanmar
Male
Female
Comments:
Source:
Reported condom use at last higher risk sex (young people 15-24)
Prevention indicator: Proportion of young people reporting the use of a condom during sex with a non-regular partner.
Year
Comments:
Male
Female
For this indicator only data will be shown if they were collected after 1998.
Source:
Year
Area
Age group
Male
Female
Comments:
Source:
Year
Male
Female
Comments:
Source:
All
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11
Myanmar
Year
Area
Age group
Male
Comments:
Source:
Adolescent pregnancy
Percentage of teenagers 15-19 who are mothers or pregnant with their first child.
Year
Percentage
Comments:
Source:
Year
Male
Female
Comments:
Source:
Female
All
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Myanmar
Prevention indicators
Male and female condoms are the only technology available that can prevent sexual transmission of HIV and other STIs. Persons exposing themselves to
the risk of sexual transmission of HIV should have consistent access to high quality condoms. AIDS Programs implement activities to increase both
availability of and access to condoms. Thes activities should be monitored and have resources directed to problem aresas. The indicator below highlights
the availability of condoms. However, even if condoms are widely available, this does not mean that individuals can or do acess them.
2001-2002
16.6 Million
Rate
Comments:
NAP free distribution 1.5 Million; PSI social market 12 Million; private sector shops and pharmacies 3 Million.
Source:
NAP, PSI.
Year
2002
12 Pilot sites
Rate
Comments:
90% of women coming for an ANC were educated and group counselling in pilot areas.
Source:
NAP, MoH.
Blood safety programs aim to ensure that the majority of blood units are screened for HIV and other infectious agents. This indicator gives an idea of the
overall percentage of blood units that have been screened to high enough standards that they can confidently be declared free of HIV.
Comments:
Source:
Year
Rate
2001
140,000 BL units
100
Up to township level
Private sector, health outlets data not complete.
NAP, MoH.
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13
Myanmar
Sources
Data presented in this Epidemiological Fact Sheet come from several sources, including global, regional and country reports, published documents and
articles, posters and presentations at international conferences, and estimates produced by UNAIDS, WHO and other United Nations agencies. This
section contains a list of the more relevant sources used for the preparation of the Fact Sheet. Where available, it also lists selected national Web sites
where additional information on HIV/AIDS and STI are presented and regularly updated. However, UNAIDS and WHO do not warrant that the information
in these sites is complete and correct and shall not be liable whatsoever for any damages incurred as a result of their use.
Websites:
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14
Myanmar
1992
1993
1994
1995
1996
1997
1998
1999
2000
Major urban
areas
Area
Mandalay
1987
1988
1989
1990
1991
0.30
1.30
0.80
1.30
1.00
2.30
3.50
Rangoon
0.50
0.30
0.80
1.00
1.30
2.00
Outside major
urban areas
Bago
0.50
0.50
0.40
0.30
0.80
1.70
2.00
1.40
2.70
2.50
1.50
2.50
1.52
0.50
1.00
1.00
2.00
1.80
5.29
Bamaw
Dawei
2.50
Haka
Kawthaung
0.60
5.40
2.00
3.80
3.00
1.30
Lashio
4.80
7.50
1.30
0.50
3.00
0.80
1.00
Loikaw
Magway
Mawlamyaing
0.50
1.10
1.00
2.30
2.00
3.00
0.50
1.30
0.50
1.00
0.50
4.00
1.00
Meiktila
Monywa
0.50
Muse
Myitkyina
0.50
1.00
0.80
0.80
2.20
1.70
0.50
1.80
0.50
1.50
1.30
5.80
3.00
2.30
1.00
0.80
1.50
3.50
3.00
0.50
1.00
1.30
1.50
2.30
Pathein
Pyay
1.00
0.30
0.30
Sittway
Tachileik
Sex workers
Injecting drug
users
5.50
10.00
8.40
8.00
4.30
3.80
4.10
3.61
Taunggyi
1.00
0.80
0.50
2.00
2.00
2.50
Major urban
areas
Mandalay
5.40
12.00
16.50
24.50
26.50
33.50
14.80
50.00
Rangoon
1.80
7.80
11.00
11.70
15.50
17.50
11.70
26.00
Outside major
urban areas
Magway
Major urban
areas
Mandalay
57.00
84.80
83.50
39.50
72.20
72.50
82.80
85.40
58.11
Rangoon
66.10
70.30
57.50
51.50
59.00
65.50
53.80
47.80
37.10
Outside major
urban areas
Bamaw
94.00
96.40
Lashio
28.00
32.30
60.92
83.00
30.20
53.80
65.00
76.00
90.16
16.00
Muse
STI patients
7.80
82.36
Myitkyina
77.50
93.00
90.00
91.20
86.60
76.10
79.50
70.60
Taunggyi
46.30
31.40
30.30
26.50
34.70
20.50
25.00
12.00
Major urban
areas
Mandalay
7.00
7.15
9.35
8.00
10.70
16.50
11.25
12.50
11.76
Rangoon
3.20
3.80
5.95
6.05
7.10
9.87
14.50
14.50
13.00
Outside major
urban areas
Bago
3.70
5.85
4.35
6.00
3.35
5.25
6.00
14.50
10.61
6.50
8.60
3.00
6.50
9.00
9.00
6.00
7.65
4.25
5.25
8.55
4.00
9.50
Bamaw
Dawei
8.00
Haka
Kawthaung
16.40
21.20
32.70
Lashio
29.50
21.60
18.50
11.59
4.90
3.50
22.00
Mawlamyaing
2.23
Meiktila
22.17
16.00
19.40
Loikaw
Magway
2.19
1.00
3.00
5.60
4.00
4.00
12.00
8.50
4.50
2.00
3.00
4.00
2.20
4.50
2.00
10.00
2.00
4.60
5.00
5.50
7.00
14.10
9.00
15.00
5.50
4.00
Monywa
4.10
9.10
3.50
4.75
12.25
7.25
Muse
4.00
3.00
3.00
4.00
17.00
16.40
11.20
9.00
Myitkyina
13.30
7.10
7.60
10.10
9.90
14.80
10.60
19.00
0.80
0.50
0.50
1.50
2.00
0.60
1.10
0.50
Pa-an
Pathein
Pyay
4.50
0.60
1.50
2.00
9.00
2.50
4.50
0.50
5.50
6.50
7.70
Sittway
6.67
1.30
2.50
2.00
Tachileik
11.75
11.50
13.50
12.60
20.50
11.80
6.50
6.00
Taunggyi
4.50
3.50
6.40
4.25
8.25
12.80
6.00
2.50
31.78
33.33
Tavoy
5.00
Major urban
areas
Mandalay
15.00
21.00
Tuberculosis
patients
Major urban
areas
Mandalay
1.70
3.70
4.71
Rangoon
1.30
3.00
1.46
Outside major
urban areas
Bago
1.98
Kalay
3.40
Kawthaung
22.00
7.60
13.21
Kyaingtong
9.26
10.80
18.00
Lashio
4.00
5.50
2.00
Mawlamyaing
4.00
3.50
3.92
Meiktila
4.00
3.60
8.74
Monywa
4.90
4.90
2.00
Myitkyina
7.77
13.30
11.70
Pathein
1.90
0.50
1.94
Sittway
1.00
15.00
1.92
Tachileik
Tamu
Taunggyi
3.70
1.80
4.00
11.40
12.00
6.80
2001
2002
2003