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