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Ep core slides Global summary of the HIV and AIDS epidemic_ 2005

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									                                                                 25 years of AIDS
          50                                                                                      People
                      1 First cases of unusual immune deficiency are identified among
                                                                                                  living               9   In 1991-1993, HIV prevalence in young
Million




                        gay men in USA, and a new deadly disease noticed                                                   pregnant women in Uganda and in young
          45          2 Acquired Immune Deficiency Syndrome (AIDS) is defined                     with HIV                 men in Thailand begins to decrease, the
                        for the first time                                                                        16       first major downturns in the epidemic in
                                                                                                             15            developing countries
          40          3 The Human Immune Deficiency Virus (HIV) is identified                         14
                        as the cause of AIDS                                                                           10 Highly Active Antiretroviral Treatment
                                                                                                                          launched
          35          4 In Africa, a heterosexual AIDS epidemic is revealed
                      5 The first HIV antibody test becomes available                                                  11 Scientists develop the first treatment
                                                                                             13                           regimen to reduce mother-to-child
          30          6 Global Network of People living with HIV/AIDS                                                     transmission of HIV
                        (GNP+) (then International Steering Committee                   11
                        of People Living with HIV/AIDS) founded                                                        12 UNAIDS is created
          25                                                                                        Children           13 Brazil becomes the first developing
                      7 The World Health Organisation launches
                        the Global Programme on AIDS                            10                  orphaned              country to provide antiretroviral therapy
                                                                                                                          through its public health system
          20          8 The first therapy for AIDS –                                                by AIDS in
                        zidovudine, or AZT -- is approved for            9              12                             14 The UN General Assembly Special

          15            use in the USA                                                              sub-Saharan           Session on HIV/AIDS. Global Fund to
                                                                                                                          fight AIDS, Tuberculosis and Malaria
                                                                                                    Africa                launched

          10                                      7 8
                                                                                                                       15 WHO and UNAIDS launch the "3 x 5"
                                             6                                                                            initiative with the goal of reaching 3
                                        5                                                                                 million people in developing world with
           5          1    2   3 4                                                                                        ART by 2005
                                                                                                                       16 Global Coalition on Women and AIDS
           0                                                                                                              launched

               1980                  1985                   1990                  1995            2000             2005


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                                                                                                                                                1.1
          Global estimates for adults and children, 2005


      • People living with HIV       38.6 million [33.4 – 46.0 million]

      • New HIV infections in 2005   4.1 million [3.4 – 6.2 million]

      • Deaths due to AIDS in 2005   2.8 million [2.4 – 3.3 million]




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     Adults and children estimated to be living with HIV, 2005

                                                    Western &    Eastern Europe
                                                  Central Europe & Central Asia
               North America                         720 000                    1.5 million
                                                                            [1.0 – 2.3 million]
                  1.3 million                     [550 000 – 950 000]                                East Asia
               [770 000 – 2.1 million]                                                                680 000
                     Caribbean               North Africa & Middle East                       [420 000 – 1.1 million]
                      330 000                         440 000
                                                   [250 000 – 720 000]             South & South-East Asia
                  [240 000 – 420 000]
                                                                                       7.6 million
                                                    Sub-Saharan Africa                 [5.1 – 11.7 million]
                           Latin America                 24.5 million                                Oceania
                             1.6 million                [21.6 – 27.4 million]
                                                                                                      78 000
                            [1.2 – 2.4 million]
                                                                                                  [48 000 – 170 000]




                      Total: 38.6 (33.4 – 46.0) million
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                    A global view of HIV infection
          38.6 million people [33.4‒46.0 million] living with HIV, 2005




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                                                                          2.4
          Estimated number of adults and children
               newly infected with HIV, 2005
                                              Western &    Eastern Europe
                                            Central Europe & Central Asia
            North America                       22 000                   220 000
                                                                     [150 000– 650 000]
                43 000                       [18 000 – 33 000]                              East Asia
             [34 000 – 65 000]                                                                97 000
                Caribbean             North Africa & Middle East                          [55 000 – 290 000]
                  37 000                         64 000
                                             [38 000 – 210 000]            South & South-East Asia
               [26 000 – 54 000]
                                                                               830 000
                                              Sub-Saharan Africa               [530 000 – 2.3 million]
                      Latin America                 2.7 million                             Oceania
                          140 000                  [2.3 – 3.1 million]
                                                                                              7200
                      [100 000 – 420 000]
                                                                                          [3500 – 55 000]




                      Total: 4.1 (3.4 – 6.2) million
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          Estimated adult and child deaths from AIDS, 2005

                                                 Western &    Eastern Europe
                                               Central Europe & Central Asia
                North America                      12 000                      53 000
                                                                            [36 000 – 75 000]
                    18 000                         [<15 000]                                     East Asia
                 [11 000 – 26 000]                                                                 33 000
                    Caribbean             North Africa & Middle East                            [20 000 – 49 000]
                      27 000                        37 000
                                                 [20 000 – 62 000]                South & South-East Asia
                   [19 000 – 36 000]
                                                                                      560 000
                                                 Sub-Saharan Africa                   [370 000 – 810 000]
                          Latin America                2.0 million                               Oceania
                               59 000                 [1.7 – 2.3 million]
                                                                                                    3400
                           [47 000 – 76 000]
                                                                                                 [1900 – 5500]




                          Total: 2.8 (2.4 – 3.3) million
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     Children (<15 years) estimated to be living with HIV, 2005

                                               Western &    Eastern Europe
                                             Central Europe & Central Asia
               North America                      4000                        6900
                                                                          [3400 – 14 000]
                  11 000                          [<8000]                                    East Asia
                [3500 – 27 000]                                                                  6400
                  Caribbean             North Africa & Middle East                           [2000 – 16 000]
                    22 000                        31 000
                                               [12 000 – 75 000]               South & South-East Asia
                  [9800 – 43 000]
                                                                                   170 000
                                               Sub-Saharan Africa                  [70 000 – 380 000]
                        Latin America                2.0 million                             Oceania
                             32 000                 [1.5 – 3.0 million]
                                                                                                3000
                         [19 000 – 59 000]
                                                                                             [830 – 7900]




                        Total: 2.3 (1.7 – 3.5) million
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     Estimated deaths in children (<15 years) from AIDS, 2005

                                                  Western &    Eastern Europe
                                                Central Europe & Central Asia
               North America                         <100                     1200
                                                                            [620 – 2300]
                   <100                               [<200]                                  East Asia
                   [<200]                                                                        1400
                  Caribbean                 North Africa & Middle East                        [530 – 2700]
                     3100                              4900
                                                    [2000 – 9500]              South & South-East Asia
                  [1600 – 5100]
                                                                                   29 000
                                                   Sub-Saharan Africa              [14 000 – 54 000]
                       Latin America                      330 000                             Oceania
                               2900                   [250 000 – 440 000]
                                                                                                 600
                            [1800 – 4900]
                                                                                             [200 – 1800]




                Total: 380 000 (290 000 – 500 000)
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          Estimated number of children (<15 years)
               newly infected with HIV, 2005
                                                Western &    Eastern Europe
                                              Central Europe & Central Asia
            North America                           200                      2300
                                                                          [1400 – 3900]
                 500                                [<400]                                   East Asia
                [<1000]                                                                         2300
               Caribbean                  North Africa & Middle East                         [1000 – 4100]
                  3700                               6900
                                                 [3200 – 12 000]              South & South-East Asia
               [2100 – 5800]
                                                                                  44 000
                                                 Sub-Saharan Africa               [23 000 – 75 000]
                    Latin America                       470 000                              Oceania
                             5000                   [370 000 – 590 000]
                                                                                               1100
                          [3500 – 8000]
                                                                                            [400 – 2800]




             Total: 540 000 (420 000 – 670 000)
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          Over 11 000 new HIV infections a day in 2005

          •   More than 95% are in low and middle income countries

          •   About 1500 are in children under 15 years of age

          •   About 10 000 are in adults aged 15 years and older
              of whom:
               — almost 50% are among women
               — over 40% are among young people (15-24)



06/06 e                                                              10
               2005 global HIV and AIDS estimates
                           Children (<15 years)


      • Children living with HIV         2.3 million [1.7 – 3.5 million]

      • New HIV infections in 2005       540 000 [420 000 – 670 000]

      • Deaths due to AIDS in 2005       380 000 [290 000 – 500 000]




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  Impact of AIDS on life expectancy in five African countries, 1970–2010


                      70
                      65
                      60                                                                                                       Botswana
                      55
    Life                                                                                                                       South Africa
                      50
    expectancy
                      45                                                                                                       Swaziland
    at birth
    (years)           40
                      35                                                                                                       Zambia
                      30
                                                                                                                               Zimbabwe
                      25
                      20
                           1970–1975       1980–1985       1990–1995       2000–2005
                                   1975–1980       1985–1990       1995–2000       2005–2010




06/06 e          Source: United Nations Population Division (2004). World Population Prospects: The 2004 Revision, database.
                                                                                                                                     4.1
                                                                                                                                              12
          People in sub-Saharan Africa on antiretroviral treatment
                as percentage of those in need, 2002–2005




                                                                                                                       2005

 2002
                                  2003
                                                                               2004




06/06 e   Source: WHO/UNAIDS (2005). Progress on global access to HIV antiretroviral therapy: An update on “3 by 5.”
                                                                                                                              7.2
                                                                                                                                    13
       Regional HIV and AIDS statistics and features, 2003 and 2005
REGION                   Adults (15+) and children                     Adults (15+) and children                         Adult (15-49)            Adult (15+) and child
                              living with HIV                           newly infected with HIV                         prevalence (%)             deaths due to AIDS

                             2005                    2003                   2005                    2003                2005        2003             2005                  2003
                          24.5 million          23.5 million               2.7 million             2.6 million            6.1         6.2          2.0 million           1.9 million
Sub-Saharan Africa       [21.6‒27.4 million]   [20.8‒26.3 million]        [2.3‒3.1 million]       [2.3‒3.0 million]     [5.4‒6.8]   [5.5‒7.0]     [1.7‒2.3 million]     [1.7‒2.3 million]

North Africa and                440 000                380 000                    64 000                  54 000          0.2         0.2               37 000                34 000
Middle East              [250 000‒720 000]     [220 000‒620 000]        [38 000‒210 000]         [31 000‒150 000]       [0.1‒0.4]   [0.1‒0.3]     [20 000‒62 000]       [18 000‒57 000]

                            8.3 million           7.6 million                   930 000                 860 000           0.4         0.4              600 000               500 000
Asia                      [5.7‒12.5 million]    [5.2‒11.3 million]      [620 000‒2.4 million]   [560 000‒2.3 million]   [0.3‒0.6]   [0.2‒0.6]   [400 000‒850 000]     [340 000‒710 000]

                                  78 000                 66 000                      7200                    9000         0.3         0.3                  3400                  2300
Oceania                   [48 000‒170 000]      [41 000‒140 000]            [3500‒55 000]           [4300-69 000]       [0.2‒0.8]   [0.2‒0.7]        [1900‒5500]           [1300‒3600]

                            1.6 million           1.4 million                   140 000                 130 000           0.5         0.5               59 000                51 000
Latin America              [1.2‒2.4 million]     [1.1‒2.0 million]     [100 000‒420 000]         [95 000‒310 000]       [0.4‒1.2]   [0.4‒0.7]     [47 000‒76 000]       [40 000‒67 000]

                                330 000                310 000                    37 000                  34 000          1.6         1.5               27 000                28 000
Caribbean                [240 000‒420 000]     [230 000‒400 000]          [26 000‒54 000]         [24 000‒47 000]       [1.1‒2.2]   [1.1‒2.0]     [19 000‒36 000]       [19 000‒38 000]

Eastern Europe and          1.5 million           1.1 million                   220 000                 160 000           0.8         0.6               53 000                28 000
Central Asia               [1.0‒2.3 million]   [790 000‒1.7 million]   [150 000‒650 000]        [110 000‒440 000]       [0.6‒1.4]   [0.4‒1.0]     [36 000‒75 000]       [19 000‒39 000]

North America, Western      2.0 million           1.8 million                     65 000                  65 000          0.5         0.5               30 000                30 000
and Central Europe         [1.4‒2.9 million]     [1.3‒2.7 million]        [52 000‒98 000]         [52 000‒98 000]       [0.4‒0.7]   [0.3‒0.6]     [24 000‒45 000]       [24 000‒45 000]

                          38.6 million          36.2 million               4.1 million             3.9 million            1.0         1.0          2.8 million           2.6 million
TOTAL                    [33.4‒46.0 million]   [31.4‒42.9 million]        [3.4‒6.2 million]       [3.3‒5.8 million]     [0.9‒1.2]   [0.8‒1.2]     [2.4‒3.3 million]     [2.2‒3.1 million]




06/06 e                                                                                                                                                                          14
 Global summary of the HIV and AIDS epidemic, 2005
 Number of people living   Total                     38.6 million [33.4 – 46.0 million]
 with HIV in 2005          Adults                    36.3 million [31.4 – 43.4 million]
                           Women                     17.3 million [14.8 – 20.6 million]
                           Children under 15 years   2.3 million [1.7 – 3.5 million]


 People newly infected     Total                     4.1 million [3.4 – 6.2 million]
 with HIV in 2005          Adults                    3.6 million [3.0 – 5.4 million]
                           Children under 15 years   540 000 [420 000 – 670 000]


 AIDS deaths               Total                     2.8 million [2.4 – 3.3 million]
 in 2005                   Adults                    2.4 million [2.0 – 2.8 million]
                           Children under 15 years   380 000 [290 000 – 500 000]




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