EUROPEAN COMMISSION
MEMO
Brussels, 30 November 2012
Q&A: The Fight Against HIV/AIDS by the EU
What are the latest figures
neighbouring countries?
on
HIV/AIDS
in
the
EU
and
Today, on the eve of World AIDS Day, the European Centre for Disease Prevention and
Control (ECDC) and the World Health Organisation Regional Office for Europe (WHO Euro)
have released their joint report "HIV/AIDS Surveillance in Europe 2011", with the latest
data on HIV/AIDS cases in the EU and neighbouring countries.
In 2011, there were more than 28,000 new HIV infections reported in EU and EEA
countries. HIV epidemics were concentrated among key populations: men who have sex
with men (Western Europe), people who inject drugs (Eastern Europe) and people
originating from countries with generalised HIV epidemics. In addition, HIV infection rates
are still expanding in Eastern neighbouring countries.
Overall, the new surveillance data demonstrates no decline in HIV transmissions. While
the number of new infections has remained stable in the European Union - between 27000
and 29000 new HIV cases per year in 2006-2011 - the total number of people living with
HIV is increasing across Europe. The most recent increase of HIV among people who inject
drugs illustrates that even low numbers of HIV infections can rapidly evolve into an
outbreak when public health interventions are insufficient.
What is the situation regarding HIV/AIDS in the world?
Sub-Saharan Africa is the region most affected by the disease and is home to 69% of all
people living with HIV worldwide and 91% of all new infections among children. AIDS is
the leading cause of death in sub-Saharan Africa and the fourth-leading cause of death
worldwide.
Since the beginning of the epidemic, more than 60 million people worldwide have been
infected with HIV and more than 30 million people have died from AIDS. Today,
more than 34 million people are living with HIV/AIDS.
More than eight million people in low and middle income countries receive life-saving
antiretroviral treatment, but another seven million people still do not have access to this.
Globally in low and middle income countries, 54% of people in need benefitted from
antiretroviral therapy in 2011, including 56% in Sub-Saharan Africa.
MEMO/12/929
The most recent figures of UNAIDS (the joint United Nations Programme on HIV/AIDS)
reveal that in 2011 about 7,000 people were infected by HIV infections each day,
out of which 800 were children under the age of 15 years. The vast majority of
infected people – about 97% - live in low and middle income countries.
Despite an overall decrease in the number of new infections, the total number of people
living with HIV worldwide continues to grow (partly due to increased survival because of
increased coverage with anti-retroviral treatment).
How is the European Commission involved in the fight against
HIV/AIDS?
A number of policies and funds contribute to fighting HIV/AID, on a complementary
fashion.
Development policy and funding


The Commission - in cooperation with partner countries all over the worldincreasingly channels funds through budget support to strengthen third
countries' health systems. This use of funds is regarded as particularly efficient.
In the discussions with partner countries, the Commission advocates for the
implementation of programmes that have already proved successful. Protection of
mother to child transmission and condom promotion and distribution are two
examples of evidence-based programmes.
The European Commission is also a founding member of the Global Fund to Fight
AIDS, Tuberculosis and Malaria (GFATM), and has been providing strong political
and financial support to the fund since 2002. EU Member States and the European
Commission have provided more than $11 billion between 2001 and 2011 to the
GFATM, which equals 52% of the GFATM resources. Around 4 million people with
HIV have received life-saving antiretroviral (ARV) treatment through Global Fund
support. So far, the Commission's contribution to the fund exceeded€1
billion. This support is complemented by additional funding of around €250 to
various social organisations, during the last decade.
2
Health policy, agencies and funding




Specialised Agencies such as the European Centre for Diseases Prevention and
Control (ECDC) and the European Monitoring Centre for Drugs and Drug Addiction
(EMCDDA) act in support of Member States towards efficient surveillance and
better prevention and preparedness strategies.
The 2009 Commission Communication "on combating HIV/AIDS in the EU and
neighbouring countries" and its action plan set out EU action to address the HIV
challenge with a focus on effective prevention, priority groups and priority regions,
in particular Eastern Europe. Activities are being implemented in cooperation with
Member States, Civil Society, UN organisations and EU agencies.
The HIV/AIDS Think Tank (national authorities from EU Member States,
neighbouring countries and international organisations) and the HIV/AIDS Civil
Society Forum (NGOs and networks from all over Europe), bring together national
authorities, academia, International organisations and Civil Society to implement
EU HIV action plan.
A series of actions and projects are co-funded through the Health Programme
fostering cooperation among Member States and enhancing the exchange of good
practise. One example is the SIALON I project concluded in 2010 which has
gathered data on the prevalence of HIV among men having sex with men, their
risk patterns and the availability of access to voluntary counselling and testing.
This generated reliable data to help design targeted prevention policies. Its follow
up, the on-going SIALON II project, is helping to promote combined and targeted
prevention complemented by surveillance among men having sex with men.
Another example is the BORDERNETwork project 2010-2012, based in Germany,
which focuses on prevention, treatment and care of vulnerable groups, such as
migrants, sex workers and ethnic minorities, in the border regions of central,
eastern and south-eastern Europe.
Research
 In the context of the Seventh Framework Programme for Research and Innovation
more than €121 million were spent on research for therapeutic and preventive
approaches for HIV so far, and under the European and Developing Countries
Clinical Trials Partnership (EDCTP) €118 million were invested in clinical studies on
new or improved medical interventions
Trade policy
 The EU supports a flexible use of TRIPS (Agreement on Trade Related Aspects of
Intellectual Property Rights, 1991, WTO) provisions, to allow low-income countries
to procure lifesaving generic medicines (produced under compulsory licences) from
third countries. The EU has consistently led efforts to widen access to vital
medicines in developing countries and to strike a balance between intellectual
property rights of pharmaceutical companies and the need to ensure that
medicines are available for poor countries facing public health crises.
3
What are the main challenges remaining in Europe?
Firstly, in several European regions there remains a shortfall in structures, means and/or
access to HIV prevention, testing and treatment. Secondly, the expanding HIV epidemic in
neighbouring countries is very worrying and needs to be curtailed. Finally, there is still
stigma and discrimination in Europe directed at people living with HIV/AIDS, which drives
people away from seeking help and care, fuelling an increase in HIV transmission. To
address this issue, the Commission is organising a conference on "HIV/AIDS and human
rights" in May 2013, in cooperation with UNAIDS and with support of members of the
European Parliament.
For Further Information:
MEMO/12/928
http://ec.europa.eu/health/sti_prevention/hiv_aids/index_en.htm
http://ec.europa.eu/europeaid/what/health/index_en.htm
http://ec.europa.eu/research/health/infectious-diseases/poverty-diseases/aids_en.html
http://www.edctp.org
4