MAP Network State of the Art The Status and Trends of HIV/AIDS Epidemics Karen Stanecki, US Census Bureau and Chair of Monitoring the AIDS Pandemic Network.

MAP Network

State of the Art

The Status and Trends of HIV/AIDS Epidemics

Karen Stanecki,

US Census Bureau and

Chair of Monitoring the AIDS Pandemic Network

MAP Network

Topics for discussion

• HIV epidemics are emerging across the region

• No society is immune

• Epidemics are inter-related and not self-contained

MAP Network

Source: UNAIDS/WHO July 2002

15 – 39% 5 – 15% 1 – 5%

0.5 – 1.0%0.1 – 0.5%

0.0 – 0.1% not available

HIV prevalence in adults, end 2001

+ 100%

+ 1 300%

+ 60%

+ 160%

+ 30%

+ 40%

+ 20% + 20%

+ 20%

Recent trends in HIV infection, 1996–2001Recent trends in HIV infection, 1996–2001

The global view of HIV, end 2001

MAP Network

Rising rates among injectors in Vietnam

0

10

20

30

40

50

60

70

80

1993 1994 1995 1996 1997 1998 1999 2000 2001

Haiphong Binh Dinh Ho Chi Minh City

MAP Network

HIV infections in Japanese menby transmission mode

0

50

100

150

200

250

Heterosexual contact (Male) MSM

MAP Network

HIV prevalence in sex workers and STI clinic patients in Vietnam

0

1

2

3

4

5

1994 1995 1996 1997 1998 1999 2000

Sex workers STI patients

MAP Network

Prevalence among sex workers in Chinese provinces

0

5

10

15

1993 1994 1995 1996 1997 1998 1999 2000

Guangxi Guangzhou Yunnan

MAP Network

Rising rates among sex workers in Indonesia

0

2

4

6

8

10

94/95 95/96 96/97 97/98 98/99 99/00 00/01

Sorong, Irian Jaya Kodya Batam, Riau Karimun, Riau

MAP Network

Indonesia HIV infection rates

= 0 % = 1 - 5 % = < 1% = > 5 %

SW 1.5%

IDUs 40%

SW 26.5%

IDUs 53%

SW 6.4%

8 %

SW

6%

IDUs 24.5% SW = sex worker

IDUs = injecting drug users

MAP Network

MSM in Cambodia sex with different partner types

0

10

20

30

40

50

60

70

80

90

Had sex with Sold sex to Bought sex from Multiple partners of thissex (last month)

Man Woman

MAP Network

FSW(9% married)

IDU(40% married)

69% visit FSW

33%VisitFSW

34%VisitFSW

Potential spread of HIV from high risk groups to the general Population, Central Bangladesh

SM

Rickshawpullers(76% married)

MSM(46% married)

9 Perc

ent

are

IDU

2 Percent are IDU

1 Percent are IDU

MAP Network

Cumulative reported HIV infections per million population in Eastern European countries:

1993-2001

Belarus

Estonia*

Kazakhstan

Latvia

Lithuania

Moldova, Republic of

Russian Federation

Ukraine

0

300

600

900

1,200

1,500

1,800

1993 1994 1995 1996 1997 1998 1999 2000 2001Projected

Ca

se

s p

er

mil

lio

n p

op

ula

tio

n

* actual 2001 year-end data

Source: National AIDS Programmes (2001) HIV/AIDS surveillance in Europe. Mid-year report. Data compiled by the European Centre for the Epidemiological Monitoring of AIDS

MAP Network

Number of orphans by region, year, and cause

Africa

19901995200120052010

Asia

19901995200120052010

Latin America

19901995200120052010

0 20 40 60 80

Millions

All other causes AIDS

MAP Network

Percent of children less than 15 that are orphans by region, year, and cause

Africa

19901995200120052010

Asia

19901995200120052010

Latin America

19901995200120052010

0 2 4 6 8 10 12 14

All other causes AIDS