global summary of the aids epidemic december 2008
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2009 AIDS epidemic update
Global summary of the AIDS epidemic December 2008
Number of people living with HIV in 2008
People newly infected with HIV in 2008
AIDS-related deaths in 2008
Total 33.4 million [31.1 – 35.8
million] Adults 31.3 million [29.2 – 33.7
million] Women 15.7 million [14.2 – 17.2
million] Children under 15 years2.1 million [1.2 – 2.9 million]
Total 2.7 million [2.4 – 3.0 million]
Adults 2.3 million [2.0 – 2.5 million]
Children under 15 years 430 000 [240 000 – 610 000]
Total 2.0 million [1.7 – 2.4 million]
Adults 1.7 million [1.4 – 2.1 million]
Children under 15 years 280 000 [150 000 – 410 000]
The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.
2009 AIDS epidemic update
Global estimates 1990–2008
Estimate High and low estimates
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
1990 1993 1996 1999 2002 2005 2008
40
30
20
10
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
1.2
0.9
0.6
0.3
0
1990 1993 1996 1999 2002 2005 2008
5
3
2
1
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
5
3
2
1
0N
um
ber
(mill
ions
)
4 4
Figure I
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
Adults & children living with HIV
TOTAL 33.4 million [31.1 – 35.8 million]
2.7 million [2.4 – 3.0 million]
3.2 million [2.9 – 3.6 million]
29.0 million [27.0 – 31.0 million]
20082008 2001
Adults & children newly infected with HIV
2001
Regional HIV and AIDS statistics2008 and 2001
110 000[100 000 – 130 000]
55 000[36 000 – 61 000]
170 000[150 000 – 200 000]
280 000[240 000 – 320 000
1.9 million[1.6 – 2.2 million]
3900[ 2900 – 5100]
30 000[23 000 – 35 000]
20 000[16 000 – 24 000]
75 000[58 000 – 88 000]
35 000[24 000 – 46 000]
280 000[240 000 – 320 000]
52 000[42 000 – 60 000]
150 000[140 000 – 170 000]
310 000[270 000 – 350 000]
2.3 million[2.0 – 2.5 million]
5900[ 4800 – 7300]
40 000[31 000 – 47 000]
21 000[17 000 – 24 000]
99 000[75 000 – 120 000]
30 000[23 000 – 40 000]
22.4 million[20.8 – 24.1 million]
1.4 million[1.2 – 1.6 million]
1.5 million [1.4 – 1.7 million]
2.0 million [1.8 – 2.2 million]
3.8 million[3.4 – 4.3 million]
59 000[51 000 – 68 000]
850 000[710 000 – 970 000]
240 000[220 000 – 260 000]
850 000[700 000 – 1.0 million]
310 000[250 000 – 380 000]
19.7 million[18.3 – 21.2 million]
1.2 million[1.1 – 1.4 million]
900 000[800 000 – 1.1 million]
1.6 million [1.2 – 1.6 million]
4.0 million[3.5 – 4.5 million]
36 000[29 000 – 45 000]
660 000[580 000 – 760 000]
220 000[200 000 – 240 000]
560 000[480 000 – 650 000]
200 000[150 000 – 250 000]
(First of 2 parts)
North America
Eastern Europe & Central Asia
Latin America
South and South–East Asia
Sub–Saharan Africa
Oceania
Western & Central Europe
Caribbean
East Asia
Middle East & North Africa
2009 AIDS epidemic update
2008 2001
Adult & child deaths due to AIDSAdult prevalence (%)
TOTAL 2.0 million [1.7 – 2.4 million]
1.9 million [1.6 – 2.2 million]
0.8% [<0.8% –
0.8%]
0.8% [<0.8% –
0.8%]
2008 2001
North America
Eastern Europe & Central Asia
Latin America
South and South–East Asia
Sub–Saharan Africa
Oceania
Western & Central Europe
Caribbean
East Asia
Middle East & North Africa
87 000[72 000 – 110 000]
25 000[20 000 – 31 000]
77 000[66 000 – 89 000]
270 000[220 000 – 310 00]
1.4 million[1.1 – 1.7 million]
2000[1100 – 3100]
13 000[10 000 – 15 000]
12 000[9300 – 14 000]
59 000[46 000 – 71 000]
20 000[15 000 – 25 000]
26 000[22 000 – 30 000]
19 000[16 000 – 23 000]
66 000[56 000 – 77 000]
260 000[210 000 – 320 000]
1.4 million[1.2 – 1.7 million]
<1000[<500 – 1200]
7900[6500 – 9700]
20 000[17 000 – 23 000]
22 000[18 000 – 27 000]
11 000[7800 – 14 000]
0.6% [0.5% – 0.7%]
0.5% [0.4% – 0.5%]
0.5% [<0.5% – 0.6%]
0.3% [<0.3% – 0.4%]
5.8% [5.5% – 6.0%]
0.2% [<0.2% – 0.3%]
0.2% [<0.2% – 0.3%]
1.1% [1.0% – 1.2%]
<0.1% [<0.1%]
0.2% [0.1% – 0.2%]
0.6% [0.5% – 0.7%]
0.7% [0.6% – 0.8%]
0.6% [0.5% – 0.6%]
0.3% [0.2% – 0.3%]
5.2% [4.9% – 5.4%]
0.3% [<0.3% – 0.4%]
0.3% [0.2% – 0.3%]
1.0% [0.9% – 1.1%]
0.1% [<0.1%]
0.2% [<0.2% – 0.3%]
(Last of 2 parts)
Regional HIV and AIDS statistics2008 and 2001
2009 AIDS epidemic update
Estimate of the annual number of infant infections averted through the provision of antiretroviral prophylaxis to HIV-positive pregnant women,
globally, 1996–2008
1996 1998 2000 2002 2004 2006 2008
60 000
50 000
40 000
20 000
0
30 000
10 000
70 000
1997 1999 2001 2003 2005 2007
Infa
nt
infe
ctio
ns
avert
ed
Figure II
2009 AIDS epidemic update
No prevention of mother-to-child transmission
At current levels of antiretroviral prophylaxis
Estimated number of new child infections at current levels of antiretroviral prophylaxis and without antiretroviral prophylaxis ,
globally, 1996–2008
600 000
500 000
400 000
200 000
0
300 000
100 000
1996 1998 2000 2002 2004 2006 20081997 1999 2001 2003 2005 2007
Figure III
2009 AIDS epidemic update
Caribbean
3.5
3.0
2.0
1.0
0
(th
ousa
nds
)
1996 1998 2000 2002 2004 2006 2008
2.5
1.5
0.5
Regional estimates of the number of infant infections at current levels of antiretroviral prophylaxis and without antiretroviral prophylaxis
No prevention of mother-to-child transmission At current levels of antiretroviral prophylaxis
Asia Eastern Europe and Central Asia
Middle East and North Africa Sub-Saharan Africa
5
4
2
1
0
500
400
300
100
0
(th
ousa
nds
)
(th
ousa
nds
)
1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008
3
200
Latin America
10
8
6
4
0
(th
ousa
nds
)
1996 1998 2000 2002 2004 2006 2008
2
6
4
2
1
0
(th
ousa
nds
)
(th
ousa
nds
)
1996 1998 2000 2002 2004 2006 2008
5
3
60
1996 1998 2000 2002 2004 2006 2008
50
40
20
0
30
10
Figure IV
2009 AIDS epidemic update
Estimated number of AIDS-related deaths with and without antiretroviral therapy, globally, 1996–2008
Figure V
2.5
2.0
1.5
0.5
1.0
3.0
0
Num
ber
(mill
ions)
Year
1996 1998 2000 2002 2004 2006 20081997 1999 2001 2003 2005 2007
No antiretroviral therapy
At current levels of antiretroviral therapy
2009 AIDS epidemic update
Estimated number of AIDS-related deaths with and without antiretroviral therapy, by region, 1996–2008
Asia Caribbean Eastern Europe and Central Asia
Latin America Middle East and North Africa Sub-Saharan Africa
160
120
80
40
0
25
20
10
5
0
2.0
1.6
1.2
0.4
0
(th
ousa
nds
)
(th
ousa
nds
)
(mill
ions
)
1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008
15
0.8
20
10
0
120
80
40
20
01996 1998 2000 2002 2004 2006 2008 1996 1998 2000 2002 2004 2006 2008
25
15
5
100
60
1996 1998 2000 2002 2004 2006 2008
500
400
200
0
(th
ousa
nds
)
(th
ousa
nds
)
(th
ousa
nds
)
300
100
Figure VI
No antiretroviral therapy At current levels of antiretroviral therapy
2009 AIDS epidemic update
Estimated number of Life-years added due to antiretroviral therapy, by region, 1996–2008
8
7
6
4
5
3
(million
s)
2
1
Sub-SaharanAfrica
Asia Caribbean MiddleEast
and NorthAfrica
WesternEurope
and NorthAmerica
LatinAmerica
EasternEurope
and CentralAsia
Oceania0
Figure VII
7.2 million
2.3 million
1.4 million
590 000
73 000 40 000 49 000 7500
2009 AIDS epidemic update
Adult (aged 15–49) HIV prevalence in (sub-) national population-based surveys which include HIV testing, 2001–2008
Country
Sub–Saharan AfricaBeninBotswana
Burkina FasoBurundi
Cameroon Central African RepublicChadCongoCôte d'IvoireDR CongoDjiboutiEquatorial GuineaEthiopia Ghana GuineaKenya
Lesotho Liberia MalawiMali
Niger
1.2 (2006)25.0 (2008)25.2 (2004)1.8 (2003)3.0 (2007)3.6 (2002)
5.5 (2004)6.2 (2006)3.3 (2005)3.2 (2009)4.7 (2005)1.3 (2007)2.9 (2002)
3.2 (2004)1.4 (2005)2.2 (2003)1.5 (2005)7.8 (2008)6.7 (2003)
23.4 (2004)1.6 (2007)
12.7 (2004)1.3 (2006)1.8 (2001)0.7 (2006)0.9 (2002)
HIV prevalence (%)(Year)
Country
NigeriaRwanda Senegal Sierra Leone
South Africa
Swaziland Uganda UR Tanzania
Zambia
Zimbabwe
AsiaCambodia IndiaPapua province (Indonesia)Hai Phong province (Viet Nam)
CaribbeanDominican Republic
Haiti
3.6 (2007)3.0 (2005)0.7 (2005)1.5 (2008)1.5 (2005)
16.9 (2008)
16.2 (2005)15.6 (2002)25.9 (2006–07)6.4 (2004–05)5.7 (2007)7.0 (2004)
14.3 (2007)
15.6 (2001–02)18.1 (2005–06)
0.6 (2005)0.3 (2005–06)2.4 (2006)0.5 (2005)
0.8 (2007)1.0 (2002)2.2 (2005–06)
HIV prevalence (%)(Year)
2009 AIDS epidemic update
Sub-Saharan Africa
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
22.4 million[20.8 million–24.1 million]
19.7 million[18.3 million–21.2 million]
1.9 million[1.6 million–2.2 million]
2.3 million[2.0 million–2.5 million]
390 000[210 000–570 000]
460 000[260 000–640 000]
1.4 million[1.1 million–1.7 million]
1.4 million[1.2 million–1.7 million]
2009 AIDS epidemic update
Sub-Saharan Africa estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Figure 1
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
25
20
15
10
5
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
10
8
6
4
2
0
%
1990 1993 1996 1999 2002 2005 2008
4
3
2
1
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
4
3
2
1
0N
um
ber
(mill
ions
)
Source: UNAIDS/WHO
2009 AIDS epidemic update
HIV prevalence by marital status and gender in the general populations of nine West African countries
Source: Lowndes et al. (2008).
Figure 2
1.12.9
6.2 6.7
0.3
2.33.3
Single Married/cohabiting
Divorced/separated
Widowed
1.2 1.6
3.9
0.6 1.30.0
14.8
Single Married/cohabiting
Divorced/separated
Widowed
0.41.4 1.8
8.2
0.6 0.92.2
Single Married/cohabiting
Divorced/separated
Widowed
Ghana Guinea
2.2 1.6
6.3
0.8
2.8
Single Married/cohabiting
Divorced/separated/widowed
0.51.3
7.2
10.6
0.21.2
2.3
Single Married/cohabiting
Divorced/separated
Widowed
4.66.1
1.3
3.6
11.0
14.9
Single Married/cohabiting
Divorced/separated/widowed
Burkina Faso Benin Côte d’Ivoire
Mali1614121086420
%
1614121086420
%
1614121086420
%
0.4 0.5
6.4
3.9
0.4 0.9
3.6
0.3 0.9
3.8
0.00.9
2.2
Single Married/cohabiting
Divorced/separated/widowed
Single Married/cohabiting
Divorced/separated
Widowed
1.8 1.4
5.3
2.20.9
1.83.1
Single Married/cohabiting
Divorced/separated
Widowed
toofew
cases
toofew
cases
toofew
cases
toofew
cases
toofew
cases
toofew
cases
toofew
cases
Niger Senegal Sierra Leone
1614121086420
%
1614121086420
%
1614121086420
%
1614121086420
%
1614121086420
%
1614121086420
%
Female
Male
2009 AIDS epidemic update
Distribution of new infections by mode of exposure in Ghana and Swaziland, 2008
Sources: Bosu et al. (2009) and Mngadi et al. (2009).
Figure 3
0
20
40
60
80
100
No risk
Medical injections
Blood transfusions
Injecting drug use (IDU)
Partners IDU
Sex workers
Clients
Partners of Clients
Men who have sex with men (MSM)
Female partners of MSM
Engaged in casual sex (CS)
Partners of CS
Low-risk heterosexual
%
Ghana Swaziland 1Swaziland 2
Note: sensitivity analysis for Swaziland used different data sources.
2009 AIDS epidemic update
HIV prevalence among antenatal clinic clients in Swaziland, 1992–2008
Source: Ministry of Health and Social Welfare (2009).
Figure 4
10
20
30
40
50
1992 1994 1996 1998 2000 2002 2004 2006 2008
HIV
pre
vale
nce
(%
)
0
2009 AIDS epidemic update
Age at first sexual intercourse by education status in Swaziland, 2007
Sources: Central Statistical Office & Macro International (2008).
Figure 5
0
20
40
60
80
100
Women < 15 yrs
Women < 18 yrs
Men < 15 yrs
Men < 18 yrs
No education
Lower primary
Higher primary
Secondary
High School
Tertiary%
2009 AIDS epidemic update
Source: Smith et al. (2009), Baral et al. (2009), and Sanders et al. (2007)
HIV prevalence among men who have sex with men in countries
in sub-Saharan Africa, 2002–2008
Figure 6
BotswanaMalawi Namibia South Africa 1
Zambia Kenya 2 UR Tanzania
Nigeria Senegal0
10
20
30
40
50
HIV
pre
vale
nce (
%)
Southern Africa East Africa West Africa
South Africa 2
Kenya 1
2009 AIDS epidemic update
Asia
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
4.7 million[3.8 million–5.5 million]
4.5 million[3.8 million–5.2 million]
350 000[270 000–410 000]
400 000[310 000–480 000]
21 000[13 000–29 000]
33 000[18 000–49 000]
330 000[260 000–400 000]
280 000[230 000–340 000]
2009 AIDS epidemic update
Asia estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Figure 7
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
8
6
4
2
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
0.4
0.2
0.1
0
0.3
1990 1993 1996 1999 2002 2005 2008
1.0
0.6
0.4
0.2
0
Nu
mb
er (m
illio
n)
1990 1993 1996 1999 2002 2005 2008
1.0
0.6
0.4
0.2
0N
um
ber
(mill
ion)
0.8 0.8
Source: UNAIDS/WHO
%
2009 AIDS epidemic update Figure 8
Age-adjusted HIV prevalence among antenatal attendees aged 15–24 from 2000 to 2007 in high-prevalence southern states (Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu) and northern states of India
Source: Arora et al. (2008).
0.0
0.5
1.0
1.5
2.0
2.5
2000 2001 2002 2003 2004 2005 2006 2007
Age-a
dju
sted H
IV p
revale
nce
(%
) Southern states
Northern states
Logarithmic trend line; test for trend by logistic regression, with age adjustment to the entire study population, n = 202 254 for the south, n = 221 588 for the north.
2009 AIDS epidemic update
Vulnerability to sexual HIV transmission in commercial sex in Karachi and Lahore, Pakistan
Source: Bokhari et al. (2007).
Figure 9
Has never heard of HIV/AIDS
Does not know that condoms can prevent transmission of HIV
No perceived HIV risk
0 20 40 60 80 100
55
63
61
82
51
57
45
60
31
42
20
28
Per cent
Female sex workers (FSWs)
Male clientsof FSWs
Male sex workers
Hijras
2009 AIDS epidemic update
Saturating prevention coverage through complementary programming.Avahan has achieved a high coverage of target populations
(routine programme monitoring data)
Source: Avahan and State AIDS Control Society programme data (2008).
Figure 10
Tamil Nadu*21 000 est.
Maharashtra27 000 est.
Andhra Pradesh46 000 est.
Karnataka26 000 est.
Injecting drug users Nagaland
28 000 est.
Manipur35 000 est.
49% 26%24%
36%64%
76% 5%19%
70% 14%15%
26% 22%53%
26% 12%62%
36% 26%38%
74%26%
61% 11%29%
58% 20%22%
Tamil Nadu*84 000 est.
Maharashtra72 000 est.
Andhra Pradesh115 000 est.
Karnataka89 000 est.
Femalesexworkers
High Risk – Men who have sexwith men
Percent of Mapped UrbanKey Population covered**
Government of India and Others Avahan Uncovered
Percentages indicate intended coverage through establishment of services in specific geographic areas.* Includes districts with no intended coverage.** Mapping and size estimation quality varies by state.Does not include rural areas
2009 AIDS epidemic update
Comparison of the incidence of syphilis in China reported from 26 sentinel sites and from the nationwide sexually
transmitted disease surveillance system
Source: Chen et al. (2007).
Figure 11
Reported incidence of total syphilis from sentinel sites
Reported incidence of total syphilis from the nationwide sexually transmitted disease surveillance system
0
5
10
15
20
25
30
35
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Inci
dence
(per
10
0 0
00
)
2009 AIDS epidemic update
Trends in HIV, hepatitis B, hepatitis C and syphilis in men who have sex with men in Beijing in 2004, 2005 and
2006
Source: Ma et al. (2007).
Figure 12
0
2
4
6
8
10
12
14
HIV
Hepatitis B
Hepatitis C
Pre
vale
nce
(%
)
Syphilis
2004 2005 2006
2009 AIDS epidemic update
Eastern Europe and Central Asia
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
1.5 million[1.4 million–1.7 million]
900 000[800 000–1.1 million]
110 000[100 000–130 000]
280 000[240 000–320 000]
3700[1700–6000]
3000[1600–4300]
87 000[72 000–110 000]
26 000[22 000–30 000]
2009 AIDS epidemic update
Eastern Europe and Central Asia estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
1990 1993 1996 1999 2002 2005 2008
2.0
1.6
1.2
0.8
0.4
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
1.0
0.8
0.6
0.4
0.2
0
1990 1993 1996 1999 2002 2005 2008
400
300
200
100
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
400
300
200
100
0N
um
ber
(th
ousa
nds
)
Figure 13
Estimate High and low estimates
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
HIV cases per million population in the WHO Eastern Europe region
by year of notification, 2000–2007
Source: Van de Laar et al. (2008).
Figure 14
0
20
40
60
80
100
120
140
160
180
2000 2001 2002 2003 2004 2005 2006 2007
HIV
case
s per
mill
ion p
opula
tion
Note: Data from Russian Federation not included.
2009 AIDS epidemic update
Caribbean
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
240 000[220 000–260 000]
220 000[200 000–240 000]
20 00016 000–24 000
21 000[17 000–24 000]
2300[1400–3400]
2800[1700–4000]
12 000[9300–14 000]
20 000[17 000–23 000]
2009 AIDS epidemic update
Caribbean estimates 1990–2008
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Figure 15
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
400
300
200
100
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
2.0
1.0
0.5
0
1.5
1990 1993 1996 1999 2002 2005 2008
80
60
40
20
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
80
60
40
20
0N
um
ber
(th
ousa
nds
)
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
HIV prevalence trends among young people (aged 15–24)in the Dominican Republic, 1991–2007
Source: Halperin, et al (2009).
Figure 16
0.0
0.5
1.0
1.5
2.0
2.5
19911992199319941995199619971998199920002001200220032004200520062007
HIV
pre
vale
nce
(%
)
Women in population-based survey
Pregnant women at La Altagracia Hospital, Santo Domingo
Men in population-based survey
2009 AIDS epidemic update
Latin America
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
2.0 million[1.8 million–2.2 million]
1.6 million[1.5 million–1.8 million]
170 000[150 000–200 000]
150 000[140 000–170 000]
6900[4200–9700]
6200[3800–9100]
77 000[66 000–89 000]
66 000[56 000–77 000]
2009 AIDS epidemic update
Latin America estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Figure 17
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
2.5
2.0
1.5
1.0
0.5
0
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
1.0
0.8
0.6
0.4
0.2
0
1990 1993 1996 1999 2002 2005 2008
250
150
100
50
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
250
150
100
50
0N
um
ber
(th
ousa
nds
)200 200
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
Distribution of HIV incidence by mode of exposure in Peru: estimate for 2010
Source: Alarcón Villaverde (2009).
Figure 18
6.36%
6.30%
6.22%
5.54%
1.98%
1.33%
0.89%
0.23%
0.22%
0.0%
0.0%
54.97%
0 10 20 30 40 50 60
Without risk
Blood transfusions
Partners (injecting drug users)
Medical injections
Female sex workers
Clients of female sex workers
Injecting drug users
Partners (casual heterosexual sex)
Female partners of men who have sex with men
Casual heterosexual sex
Partners of clients of female sex workers
Low-risk heterosexual
Men who have sex with men
%
Ris
k g
roups
2009 AIDS epidemic update
Estimated HIV-1 seroprevalence and 95% confidence interval for HIV among men who have sex with men and female sex workers by
country
Source: Soto et al. (2007).
Figure 19
0
El Salvador Guatemala Honduras Nicaragua Panama All countries
HIV
sero
pre
vale
nce
(%
)
n: 281 484 157 511 267 493 145 460 235 418 1085 2366
5
10
15
20
25
Men who have sex with men
Female sex workers
15.3
3.2
12.1
4.3
12.4
9.6
7.6
0.2
8.9
0.2
11.7
3.6
2009 AIDS epidemic update
Condom use among female sex workers who attend VICITS (Vigilancia Centinela de ITS) in Tegucigalpa, San Pedro Sula and La Ceiba, Honduras, in
2008
Source: Secretaria de Salud Honduras (2008).
Figure 20
100
10.6%
40.7%
96.7%
With clients With casualpartners
With regularpartners
Condom use
%
80
60
40
20
0
(n= 463)
2009 AIDS epidemic update
North America and Western and Central Europe
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
2.3 million[1.9 million–2.6 million]
1.9 million[1.7 million–2.1 million]
75 000[49 000–97 000]
93 000[76 000–110 000]
<500[<200–<500]
<500[<200–<500]
38 000[27 000–61 000]
27 000[18 000–42 000]
2009 AIDS epidemic update
North America and Western and Central Europe estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Nu
mb
er (m
illio
ns)
1990 1993 1996 1999 2002 2005 2008
3
2
1
01990 1993 1996 1999 2002 2005 2008
0.6
0.4
0.2
0
Figure 21
Estimate High and low estimates
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
Yearly number of new HIV and AIDS cases and related deaths in Switzerland, 1995–2008
Source: Federal Office of Public Health (2009).
Figure 22
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
HIV Death with AIDS
AIDS cases Death without AIDS
Num
ber
of
people
1200
1000
800
600
400
200
0
2009 AIDS epidemic update
Estimated new HIV infections by transmission category, extended back calculation model, 50 US states and the District of Columbia,
1977–2006
Source: Hall et al. (2008a).
80 000
70 000
60 000
50 000
40 000
30 000
20 000
10 000
01977-1979
1980-1981
1982-1983
1984-1985
1986-1987
1988-1990
1991-1993
1994-1996
1997-1999
2000-2002
2003-2006
Infe
ctio
ns
Period
Men who have sex with men (MSM)
Injecting drug use (IDU)
MSM / IDU
Heterosexual
Figure 23
Tick marks denote the beginning and end of a year. The model specified periods within which the number of HIV infections was assumed to be approximately constant.
2009 AIDS epidemic update
Middle East and North Africa
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
310 000[250 000–380 000]
200 000[150 000–250 000]
35 00024 000–46 000
30 000[23 000–40 000]
4600[2300–7500]
3800[1900–6400]
20 000[15 000–25 000]
11 000[7800–14 000]
2009 AIDS epidemic update
Middle East and North Africa estimates 1990–2008
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Figure 24
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
400
300
200
100
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
0.4
0.2
0.1
0
0.3
1990 1993 1996 1999 2002 2005 2008
50
30
20
10
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
50
30
20
10
0N
um
ber
(th
ousa
nds
)40 40
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
Percentage of condom use as reported by street children, male injecting drug users, female sex workers and men who have sex with
men in Egypt
Source: Shawky et al. (2009).
Figure 25
9.2%
6.8%
11.8%
13.0%12.0%
0
5
10
15
Street boys Street girls Male injectingdrug users
Female sexworkers
Men who havesex with men
%
At least once in 12 months prior to survey Last practice
2009 AIDS epidemic update
Oceania
Number of people living with HIV 2008
2001
Number of new infections 2008
2001
Number of children newly infected 2008
2001
Number of AIDS-related deaths 2008
2001
59 000[51 000–68 000]
36 000[29 000–45 000]
39002900–5100
5900[4800–7300]
<500[<500–<1000]
<500[<200–<500]
2000[1100–3100]
<1000[<5000–1200]
2009 AIDS epidemic update
Oceania estimates 1990–2008
Number of people newly infected with HIV Number of adult and child deaths due to AIDS
Number of people living with HIV Adult (15–49) HIV prevalence (%)
Figure 26
Estimate High and low estimates
1990 1993 1996 1999 2002 2005 2008
80
60
40
20
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
0.4
0.2
0.1
0
0.3
1990 1993 1996 1999 2002 2005 2008
8
6
4
2
0
Nu
mb
er (t
hou
san
ds)
1990 1993 1996 1999 2002 2005 2008
8
6
4
2
0N
um
ber
(th
ousa
nds
)
Source: UNAIDS/WHO
%
2009 AIDS epidemic update
Proportion of all HIV and AIDS cases in different Pacific island countries and territories, 1984–2007
Sources: The Secretariat of the Pacific Community and the Papua New Guinea Department of Health.
French Polynesia 1.1%
New Caledonia 1.2%
All others 0.8%
Guam 0.8%
Fiji 1.1%
Papua New Guinea 95.0%
Figure 27
2009 AIDS epidemic update
Annual newly diagnosed HIV infections in Australia, 1999–2008
Source: National Centre in HIV Epidemiology and Clinical Research (2009).
Figure 28
0
200
400
600
800
1000
1200
20082000 2001 2002 2003 2004 2005 2006 2007
Num
ber
of
people
1999
2009 AIDS epidemic update
HIV infections detected in Papua New Guinea, by age, 1987–2006
Source: Papua New Guinea National AIDS Council and Department of Health.
Figure 29
0
500
1000
1500
2000
2500
3000
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 Over 60Unknown
Male Female Sex not Stated
Num
ber
Age group
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