Estimated number of people living with HIV globally, –2007 1990 Number

Millions
Estimated number of people living with HIV globally,
1990–2007
40
30
Number
of people
living
with HIV
20
10
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
This bar indicates the range
2007 AIDS epidemic update
Figure 1
Estimated adult (15–49 years) HIV prevalence rate (%)
globally and in Sub-Saharan Africa, 1990–2007
8
Sub-Saharan Africa
7
6
5
Adult HIV
prevalence 4
rate (%)
3
Global
2
1
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
2007 AIDS epidemic update
Figure 2
Millions
Estimated number of adult and child deaths
due to AIDS globally, 1990–2007
3.0
2.5
2.0
Number
of adult
1.5
and child
deaths due
1.0
to AIDS
0.5
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
This bar indicates the range
2007 AIDS epidemic update
Figure 3
Estimated number of people newly infected with HIV
globally, 1990–2007
Millions
Upper range
Number of
people
newly
infected
with HIV
Estimate
6
Lower range
5
4
3
2
1
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
2007 AIDS epidemic update
Figure 4
Regional HIV and AIDS statistics,
2001 and 2007
(First of 2 parts)
Adults & children living with HIV
2007
Sub-Saharan Africa
Middle East & North Africa
South and South-East Asia
East Asia
Latin America
Caribbean
Eastern Europe & Central Asia
Western & Central Europe
North America
Oceania
TOTAL
2007 AIDS epidemic update
Table 1
2001
Adults & children newly infected with HIV
2007
2001
22.5 million
20.9 million
1.7 million
2.2 million
[20.9 – 24.3 million]
[19.7 – 23.6 million]
[1.4 – 2.4 million]
[1.7 – 2.7 million]
380 000
300 000
35 000
41 000
[270 000 – 500 000]
[220 000 – 400 000]
[16 000 – 65 000]
[17 000 – 58 000]
4.0 million
3.5 million
340 000
450 000
[3.3 – 5.1 million]
[2.9 – 4.5 million]
[180 000 – 740 000
[150 000 – 800 000]
800 000
420 000
92 000
77 000
[620 000 – 960 000]
[350 000 – 510 000]
[21 000 – 220 000]
[4900 – 130 000]
1.6 million
1.3 million
100 000
130 000
[1.4 – 1.9 million]
[1.2 – 1.6 million]
[47 000 – 220 000]
[56 000 – 220 000]
230 000
190 000
17 000
20 000
[210 000 – 270 000]
[180 000 – 250 000]
[15 000 – 23 000]
[17 000 – 25 000]
1.6 million
630 000
150 000
230 000
[1.2 – 2.1 million]
[490 000 – 1.1 million]
[70 000 – 290 000]
[98 000 – 340 000]
760 000
620 000
31 000
32 000
[600 000 – 1.1 million]
[500 000 – 870 000]
[19 000 – 86 000]
[19 000 – 76 000]
1.3 million
1.1 million
46 000
44 000
[480 000 – 1.9 million]
[390 000 – 1.6 million]
[38 000 – 68 000]
[40 000 – 63 000]
75 000
26 000
14 000
3800
[53 000 – 120 000]
[19 000 – 39 000]
[ 11 000 – 26 000]
[ 3000 – 5600]
33.2 million
29.0 million
2.5 million
3.2 million
[30.6 – 36.1 million]
[26.9 – 32.4 million]
[1.8 – 4.1 million]
[2.1 – 4.4 million]
Regional HIV and AIDS statistics,
2001 and 2007
(Last of 2 parts)
Adult prevalence (%)
2007
Sub-Saharan Africa
Middle East & North Africa
South and South-East Asia
East Asia
Latin America
Caribbean
Eastern Europe & Central Asia
Western & Central Europe
North America
Oceania
TOTAL
2007 AIDS epidemic update
Table 1
Adult & child deaths due to AIDS
2001
2007
2001
5.0%
5.8%
1.6 million
1.4 million
[4.6% – 5.5%]
[5.5% – 6.6%]
[1.5 – 2.0 million]
[1.3 – 1.9 million]
0.3%
0.3%
25 000
22 000
[0.2% – 0.4%]
[0.2% – 0.4%]
[20 000 – 34 000]
[11 000 – 39 000]
0.3%
0.3%
270 000
170 000
[0.2% – 0.4%]
[0.2% – 0.4%]
[230 000 – 380 00]
[120 000 – 220 000]
0.1%
<0.1%
32 000
12 000
[<0.2%]
[<0.2%]
[28 000 – 49 000]
[8200 – 17 000]
0.5%
0.4%
58 000
51 000
[0.4% – 0.6%]
[0.3% – 0.5%]
[49 000 – 91 000]
[44 000 – 100 000]
1.0%
1.0%
11 000
14 000
[0.9% – 1.2%]
[0.9% – 1.2%]
[9800 – 18 000]
[13 000 – 21 000]
0.9%
0.4%
55 000
8000
[0.7% – 1.2%]
[0.3% – 0.6%]
[42 000 – 88 000]
[5500 – 14 000]
0.3%
0.2%
12 000
10 000
[0.2% – 0.4%]
[0.1% – 0.3%]
[<15 000]
[<15 000]
0.6%
0.6%
21 000
21 000
[0.5% – 0.9%]
[0.4% – 0.8%]
[18 000 – 31 000]
[18 000 – 31 000]
0.4%
0.2%
1200
<500
[0.3% – 0.7%]
[0.1% – 0.3%]
[<500 – 2700]
[1100]
0.8%
0.8%
3.9 million
3.9 million
[0.7% - 0.9%]
[0.7% - 0.9%]
[3.3 – 5.8 million]
[3.3 – 5.8 million]
Percent of adults (15+) living with HIV who are female,
1990–2007
70
Sub-Saharan Africa
GLOBAL
Caribbean
Asia
E Europe & C Asia
Latin America
60
50
Percent
40
female
(%)
30
20
10
0
1990‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 ‘06 2007
Year
2007 AIDS epidemic update
Figure 5
Adult (aged 15–49 years ) HIV prevalence in countries which have
conducted population-based HIV surveys in recent years
(First of 2 parts)
Population-based
survey prevalence
(%) (year)
COUNTRY
Sub-Saharan
Africa
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Central African Rep.
Chad
Côte d'Ivoire
Equatorial Guinea
Ethiopia
Ghana
Guinea
Kenya
Lesotho
Malawi
2007 AIDS epidemic update
Table 2
1.2
25.2
1.8
3.6
5.5
6.2
3.3
4.7
3.2
1.4
2.2
1.5
6.7
23.5
11.8
(2006)
(2004)
(2003)
(2002)
(2004)
(2006)
(2005)
(2005)
(2004)
(2005)
(2003)
(2005)
(2003)
(2004)
(2004)
* 2002 Report on the global AIDS epidemic
† 2004 Report on the global AIDS epidemic
‡ 2006 Report on the global AIDS epidemic
2001 HIV
prevalence
(%)*
2003 HIV
prevalence
(%)†
3.6
38.8
6.5
8.3
11.8
12.9
3.6
9.7
3.4
6.4
3.0
NA
15.0
31.0
15.0
1.9
38.0
4.2
6.0
7.0
13.5
4.8
7.0
NA
4.4
3.1
2.8
6.7
29.3
14.2
2005 HIV
prevalence
(%)‡
1.8
24.1
2.0
3.3
5.4
10.7
3.5
7.1
3.2
(0.9‒3.5)
2.3
1.5
6.1
23.2
14.1
Adult (aged 15–49 years ) HIV prevalence in countries which have
conducted population-based HIV surveys in recent years
(Last of 2 parts)
COUNTRY
Sub-Saharan
Africa
Asia
Latin America
& Caribbean
Mali
Niger
Rwanda
Senegal
Sierra Leone
South Africa
Swaziland
Uganda
UR Tanzania
Zambia
Zimbabwe
Cambodia
India
Dominican Republic
Haiti
2007 AIDS epidemic update
Table 2
Population-based
survey prevalence
(%) (year)
2001 HIV
prevalence
(%)*
2003 HIV
prevalence
(%)†
2005 HIV
prevalence
(%)‡
1.3 (2006); 1.7 (2001)§
0.7 (2006); 0.9 (2002)
3.0 (2005)
0.7 (2005)
1.5 (2005)
16.2 (2005); 15.6 (2002)
25.9 (2006‒7)
7.1 (2004‒5)
7.0 (2004)
15.6 (2001‒2)
18.1 (2005‒6)
0.6 (2005)
1.7
NA
8.9
0.5
7.0
20.1
33.4
5.0
7.8
21.5
33.7
2.7
0.8
2.5
6.1
1.9
1.2
5.1
0.8
NA
20.9
38.8
4.1
9.0
16.5
24.6
2.6
0.9
1.7
5.6
1.7
1.1
3.1
0.9
1.6
18.8
33.4
6.7
6.5
17.0
20.1
1.6
0.9
1.1
3.8
0.28 (2005‒6)
1.0 (2002)
2.2 (2005‒6)
* 2002 Report on the global AIDS epidemic
† 2004 Report on the global AIDS epidemic
‡ 2006 Report on the global AIDS epidemic
§ Includes male 15-59 years
2006/2007 Analysis of trends among 15‒24-year-olds in high prevalence countries:
HIV prevalence among pregnant women (2000‒2006) in sentinel surveillance systems,
and selected sexual behaviours among men and women (1994‒2006) from national surveys
(First of 3 parts)
Country
Analysis in
2006/2007
Prevalence trend*
Urban
Angola*
Bahamas
Benin**
Botswana
Burkina Faso
Burundi
Cameroon*
C African Rep**
Chad*
Congo*
Côte d’Ivoire
DR Congo*
2006
2007
2007
2007
2006/2007
2006
2006
2007
2006
2006
Rural
Age at sexual
debut**
Sex with
non-regular
partner***
Condom use during
sex with non-regular
partner****
Females
Males
Females
Males
Females
Males







↔

↔
NS
NS
NS
NS
≥ 25%
≥ 25%
NS
↔
ID
Table 3
[1] Highlighted cells
indicate positive trends
in prevalence or
behaviour.
[2] Year of analysis
indicates the year in
which the analysis was
done, and not
necessarily the last year
of data used in the
analysis.
Legends
↔
↔


*** Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last
12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 2005.
**** Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 2005.
 Statistically significant increase.
 Statistically significant decrease.
≥25% Statistically significant decrease of more than 25%.
NS Decrease over time but not statistically significant.
↔ No evidence of decrease.
*ID Insufficient data, i.e. less than three years of data received for prevalence analysis.
**ND Data not received for prevalence.
# Semi-urban and urban areas were combined in analysis of urban data.
‡ Analysis in Mozambique performed for South, North and Central.
§ No data received in response to WG process; analyses based on data in South Africa surveillance report.
¶ No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined.
2007 AIDS epidemic update
Notes
• Consistent sites used in the analysis of
median prevalence by year for a
minimum of three years. Significance
test based on H0: slope=0. Analyses of
countries with more than three years of
data based on the following number of
consistent urban and rural sites:
Botswana (10,10), Burundi (3,3), Côte
d’Ivoire (9 urban), Kenya (20,13),
Malawi (11,8), Mozambique (5 South, 8
Center, 7 North), Rwanda (6 urban),
United Republic of Tanzania (11,8),
Zimbabwe (7,6).
** Among 15–19-year-olds, proportion
reported having had sex by age 15.
Analyses based on DHS, MICS or
national surveys conducted between
1995 and 2005.
2006/2007 Analysis of trends among 15‒24-year-olds in high prevalence countries:
HIV prevalence among pregnant women (2000‒2006) in sentinel surveillance systems,
and selected sexual behaviours among men and women (1994‒2006) from national surveys
(Second of 3 parts)
Country
Djibouti**
Ethiopia**
Gabon**
Gambia**
Ghana**
Haïti**
Kenya
Lesotho*
Liberia**
Malawi#
Mozambique‡
Namibia
Analysis in
2006/2007
2006
2006
2006
2006
2007
Prevalence trend*
Age at sexual
debut
Sex with
non-regular
partner***
Condom use during
sex with non-regular
partner****
Urban
Rural
Females
Males
Females
Males
Females
Males
≥ 25%
≥ 25%

↔

↔







↔
Table 3
[1] Highlighted cells
indicate positive trends
in prevalence or
behaviour.
[2] Year of analysis
indicates the year in
which the analysis was
done, and not
necessarily the last year
of data used in the
analysis.
Legends
≥ 25%
NS
↔
↔
NS

↔






*** Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last
12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 2005.
**** Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 2005.
 Statistically significant increase.
 Statistically significant decrease.
≥25% Statistically significant decrease of more than 25%.
NS Decrease over time but not statistically significant.
↔ No evidence of decrease.
*ID Insufficient data, i.e. less than three years of data received for prevalence analysis.
**ND Data not received for prevalence.
# Semi-urban and urban areas were combined in analysis of urban data.
‡ Analysis in Mozambique performed for South, North and Central.
§ No data received in response to WG process; analyses based on data in South Africa surveillance report.
¶ No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined.
2007 AIDS epidemic update
Notes
• Consistent sites used in the analysis of
median prevalence by year for a
minimum of three years. Significance
test based on H0: slope=0. Analyses of
countries with more than three years of
data based on the following number of
consistent urban and rural sites:
Botswana (10,10), Burundi (3,3), Côte
d’Ivoire (9 urban), Kenya (20,13),
Malawi (11,8), Mozambique (5 South, 8
Center, 7 North), Rwanda (6 urban),
United Republic of Tanzania (11,8),
Zimbabwe (7,6).
** Among 15–19-year-olds, proportion
reported having had sex by age 15.
Analyses based on DHS, MICS or
national surveys conducted between
1995 and 2005.
2006/2007 Analysis of trends among 15‒24-year-olds in high prevalence countries:
HIV prevalence among pregnant women (2000‒2006) in sentinel surveillance systems,
and selected sexual behaviours among men and women (1994‒2006) from national surveys
(Last of 3 parts)
Country
Nigeria*
Rwanda
Sierra Leone*
South Africa§
Sudan*
Swaziland
Togo*
Uganda**
UR Tanzania
Zambia¶
Zimbabwe
Analysis in
2006/2007
2007
2006
2007
2006
2007
2007
2006
2006
2006
2006
Prevalence trend*
Age at sexual
debut
Sex with
non-regular
partner***
Condom use during
sex with non-regular
partner****
Urban
Rural
Females
Males
Females
Males
Females
Males
NS
ND
↔

↔






↔
↔




↔
↔
↔

↔
↔
↔
NS
NS
↔
 NS
≥ 25%
↔
NS


↔
↔
↔
↔

↔

↔


*** Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last
12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and 2005.
**** Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and 2005.
 Statistically significant increase.
 Statistically significant decrease.
≥25% Statistically significant decrease of more than 25%.
NS Decrease over time but not statistically significant.
↔ No evidence of decrease.
*ID Insufficient data, i.e. less than three years of data received for prevalence analysis.
**ND Data not received for prevalence.
# Semi-urban and urban areas were combined in analysis of urban data.
‡ Analysis in Mozambique performed for South, North and Central.
§ No data received in response to WG process; analyses based on data in South Africa surveillance report.
¶ No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined.
2007 AIDS epidemic update
Table 3
Notes
[1] Highlighted cells
indicate positive trends
in prevalence or
behaviour.
[2] Year of analysis
indicates the year in
which the analysis was
done, and not
necessarily the last year
of data used in the
analysis.
Legends
• Consistent sites used in the analysis of
median prevalence by year for a
minimum of three years. Significance
test based on H0: slope=0. Analyses of
countries with more than three years of
data based on the following number of
consistent urban and rural sites:
Botswana (10,10), Burundi (3,3), Côte
d’Ivoire (9 urban), Kenya (20,13),
Malawi (11,8), Mozambique (5 South, 8
Center, 7 North), Rwanda (6 urban),
United Republic of Tanzania (11,8),
Zimbabwe (7,6).
** Among 15–19-year-olds, proportion
reported having had sex by age 15.
Analyses based on DHS, MICS or
national surveys conducted between
1995 and 2005.
Median HIV prevalence among women (15-49 years) attending antenatal
clinics in consistent sites in southern African countries, 1998–2006
45
40
35
30
25
% HIV
prevalence 20
15
10
5
0
Botswana
Lesotho
Namibia
South Africa
Swaziland
Zimbabwe
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Sources: Various antenatal clinic surveys.
2007 AIDS epidemic update
Figure 6
HIV prevalence from population-based surveys
in countries in West and Central Africa, 2003–2006
Mali
Niger
Chad
Senegal
Gambia
Guinea-Bissau
Adult HIV
prevalence %
Sierra Leone
Cote
Liberia d’Ivoire
6.0 – 8.0%
4.0 – <6.0%
2.0 – <4.0%
0 – <2.0%
No available data
Sources: Various surveys and reports.
2007 AIDS epidemic update
Figure 7
Guinea
Burkina
Faso
Benin Nigeria
Ghana
Togo
Equatorial Guinea
Central African
Republic
Cameroon
Gabon
Congo Democratic
Republic of
Congo
Estimated adult (15-49 years) HIV prevalence
in the states of India, 2006
Jammu
and Kashmir
Adult HIV prevalence %
1.0 – 2.0%
0.5 – <1.0%
0.2 – <0.5%
0 – <0.2%
No available data
Source: National AIDS Control
Organization, 2007.
Chandigarh
Gujarat
Lakshadweep
Arunachal Pradesh
Sikkim
Uttar
Pradesh
Madhya
Pradesh
Bihar
Jharkand
Chhatisgarh
Orissa
Maharashtra
Goa
Figure 8a
Punjab Uttaranchal
Haryana
Delhi
Rajasthan
Daman
and Diu
Dadra and
Nagar Haveli
2007 AIDS epidemic update
Himachal Pradesh
Andhra
Pradesh
Karnataka
Tamil
Kerala Nadu
Pondicherry
Assam
Meghalaya
West
Tripura
Bengal
Nagaland
Manipur
Mizoram
Trends in HIV prevalence among pregnant women
in consistent sites, selected states in India, 2003–2006
Selected States
2.0
(Number of consistent sites)
Andhra Pradesh (43)
Karnataka (53)
Maharashtra (70)
Gujarat (8)
Tamil Nadu (52)
Bihar (6)
Uttar Pradesh (16)
Madhya Pradesh (13)
1.5
Median HIV
prevalence 1.0
(%)
0.5
0
2003
2004
2005
Year
2007 AIDS epidemic update
Figure 8b
2006
Source: National AIDS Control
Organization, 2007.
HIV prevalence among pregnant women in Viet Nam,
1994–2005
0.40
0.30
% HIV
0.20
prevalence
0.10
0
1994 ‘95
‘96
‘97
‘98
‘99
‘00
Year
Source: Ministry of Health, Sentinel Surveillance Survey Data.
2007 AIDS epidemic update
Figure 9
‘01
‘02
‘03
‘04 2005
HIV prevalence among general population in Cambodia,
1995–2006
Total
Urban
Rural
3.0
2.0
% HIV
prevalence
1.0
0.0
1995 ‘96
‘97
‘98
‘99
‘00
‘01
‘02
Year
Source: National Center for HIV/AIDS, Dermatology and STDs (NCHADS).
2007 AIDS epidemic update
Figure 10
‘03
‘04
‘05 2006
HIV prevalence among various groups in Myanmar,
1992–2006
80
2007 AIDS epidemic update
% HIV prevalence
Figure 11
60
Injecting drug
users
40
Commercial sex
workers
20
STD clinic male
attendees
0
1992 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 2006
Year
% HIV prevalence
3
2
Antenatal clinic
attendees
1
New military
recruits
0
1992 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 2006
Year
Source: Progress of HIV Epidemic in
Myanmar, International Congress on
AIDS in Asia & the Pacific. Colombo,
Sri Lanka, August 2007.
HIV-infection in Ukrainian Regions*, 2007
Number of
registered cases
< 1,000
1,000 – 3,999
4,000 – 8,999
> 9,000
Chernigiv
Volyn
Rivne
Sumy
Zhytomyr
Kyiv
Lviv
Kharkiv
Ternopil
Khmelnytskiy
Poltava
Luhansk
Cherkasy
Iv.-Frank.
Vinnytsia
Zakarpatska
Kirovograd
Chernivtsi
Dnipropetrovsk
Donetsk
Source: Ukrainian AIDS Centre,
2007.
Odessa
Zaporizhia
Mykolaiv
Kherson
* Data on number of officially
registered cases of HIV-infection
currently under medical care at the
regional level in Ukraine as of July
01, 2007.
2007 AIDS epidemic update
Figure 12
AR Crimea
HIV prevalence among pregnant women
in Dominican Republic, 1991–2005
La Romana
Puerto Plata
San Vicente de Paul (Duarte)
Nuestra Señora de la Altagracia
H. Alejandro Cabral (San Juan)
7.0
6.0
5.0
% HIV
prevalence
4.0
3.0
2.0
1.0
0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Year
Source: Ministry of Health surveillance reports, 1991–2006.
2007 AIDS epidemic update
Figure 13
HIV prevalence in female sex workers
in various cities in Honduras, 1996–2006
1996
1998
2001
2006
16
14
12
10
% HIV
prevalence
8
6
4
2
0
Tegucigalpa
San Pedro Sula
La Ceiba
Source: Secretaria de salud de Honduras et al. (2007). Estudio Centroamericano de vigilancia de comportamiento sexual y
prevalencia de VIH/ITS en poblaciones vulnerables: Trabajadoras Sexuales. Agosto. Tegucigalpa, Secretaria de salud de Honduras.
2007 AIDS epidemic update
Figure 14