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State of the Art

State of the Art

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State of the Art

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  1. 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

  2. Topics for discussion • HIV epidemics are emerging across the region • No society is immune • Epidemics are inter-related and not self-contained

  3. Recent trends in HIV infection, 1996–2001 + 1 300% + 20% + 20% + 160% + 100% + 60% + 40% HIV prevalence in adults, end 2001 + 30% 15 – 39% 5 – 15% 1 – 5% 0.5 – 1.0% + 20% 0.1 – 0.5% 0.0 – 0.1% not available The global view of HIV, end 2001 Source:UNAIDS/WHO July 2002 outside region

  4. Rising rates among injectors in Vietnam

  5. HIV infections in Japanese menby transmission mode

  6. HIV prevalence in sex workers and STI clinic patients in Vietnam

  7. Prevalence among sex workersin Chinese provinces

  8. Rising rates among sex workersin Indonesia

  9. SW SW 6.4% 6% 8 % IDUs IDUs 40% SW IDUs SW 1.5% 53% 26.5% = 0 % = < 1% = 1 - 5 % = > 5 % Indonesia HIV infection rates 24.5% SW = sex worker IDUs = injecting drug users

  10. MSM in Cambodia sex with different partner types

  11. Potential spread of HIV from high risk groups to the general Population, Central Bangladesh Rickshawpullers (76% married) SM 9 Percent are IDU 69% visit FSW MSM 34% ) (46% married Visit 33% FSW Visit IDU FSW FSW (40% married) ) (9% married 2 Percent are IDU 1 Percent are IDU

  12. 1,800 1,500 1,200 900 600 300 0 Cumulative reported HIV infections per million population in Eastern European countries: 1993-2001 Estonia* Russian Federation Ukraine Cases per million population Latvia Belarus Moldova, Republic of Kazakhstan Lithuania 1993 1994 1995 1996 1997 1998 1999 2000 2001 Projected * 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