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THE IMPACT OF AIDS ON OUR CONTINENT An overview Slide 2 Global estimates for adults and children, end 2002 Slide 3 Latin America 1 500 000 East Asia & Pacific 1 200 000 Eastern Europe & Central \Asia 1 200 000 Sub Saharan Africa 29 400 000 Australia & New Zealand 15 000 Caribbean 440 000 North America 980 000 North Africa & Middle East 550 000 Western Europe 570 000 South & South-East Asia 6 000 000 Adults and children estimated to be living with HIV/AIDS, end 2002 Total: 42 million Slide 4 Latin America 150 000 East Asia & Pacific 270 000 Eastern Europe & Central \Asia 250 000 Sub Saharan Africa 3 500 000 Australia & New Zealand 500 Caribbean 60 000 North America 45 000 North Africa & Middle East 83 000 Western Europe 30 000 South & South-East Asia 700 000 Estimated number of adults and children newly infected with HIV during 2002 Total: 5 million Slide 5 Latin America 60 000 East Asia & Pacific 45 000 Eastern Europe & Central \Asia 25 000 Sub Saharan Africa 2 400 000 Australia & New ZealandSlide 6 Slide 7 HIV PREVALENCE IN FIVE COUNTRY REGIONS OF AFRICA South Africa BotswanaNamibiaLesothoSwaziland Population (000s) 39,9001,5971,6952,108980 Population Aged 15-49 (000s) 20,9827867951,000468 % of Total Population w/HIV 10.5%18.2%9.4%11.4%13.3% HIV Infected People (000s) 4,200290160240130 Adult Prevalence Rate of HIV 20.0%35.8%19.5%23.6%25.3% Adult Female HIV Population: % of Total 54.8%51.2%53.1%54.2%51.5% Pregnant Women HIV + Prevalence 19.2%43.0%25.9%N/A30.3% AIDS Orphans (Living) 370,95254,94353,02329,46910,705 Slide 8 HIV in SOUTH AFRICA OVER TEN YEARS Slide 9 National HIV Seroprevalence Among Antenatal Attendees Slide 10 HIV AMONG ANTENATAL WOMEN AT KING EDWARD VIII HSP OVER TEN YEARS Slide 11 Slide 12 Slide 13 HeteroHetero IDUIDU MSMMSM MTCMTC Modes of transmission Slide 14 Riskfactors:Riskfactors: High viral load Chorioamnionitis Microtransfusions Slide 15 Modes of transmission Risk factorsRisk factors Maternal fluids Asc. Infection Prolonged ROM Episiotomy Instr. delivery Slide 16 Modes of transmission Protective:Protective: Elective C/S Controlled Assess risk to mother Slide 17 Modes of transmission Riskfactors:Riskfactors: Mastitis Cracked nipple High viral load Duration Slide 18 OPPORTUNISMS Slide 19 Slide 20 Slide 21 Slide 22 Slide 23 Slide 24 HIV/AIDS and MORTALITY SA POPULATION STRUCTURE for 2009