1. ‘Gaps in the global HIV/AIDS success story Copenhagen December 2 nd 2013 Gaps in the global HIV/AIDS success story Briefing on HIV/AIDS in Europe Martin Donoghoe, Programme Manager, HIV/AIDS, STIs and viral hepatitis

2. HIV epidemic steadily growing East/West divide (new cases; AIDS and AIDS deaths) Treatment gap in East HIV concentrated in key populations (East and West) Insufficient testing and counselling (East and West) Insufficient prevention for key populations (East and West) Response HIV epidemic in Europe

3. New HIV infections 2003-2012: Global (estimated) Western and Eastern Europe (estimated and reported)

4. AIDS related deaths 2001-2012: Global,Western and Eastern Europe (estimated)

5. HIV epidemic in Europe not yet under control Cumulative number of diagnosed cases (in thousands), WHO European Region, 1986–2012 2011 1 543

6. People living with HIV: numbers fast growing in eastern Europe and central Asia Estimated number of people living with HIV in Europe, 1990-2011 Source: UNAIDS. Global report: UNAIDS report on the global AIDS epidemic 2012. Europe (total estimated) 2.4 million [2.1 million – 2.7 million] Eastern Europe and central Asia 1.5 million [1.3 million – 1.8 million] Western and central Europe 860 000 [780 000 – 960 000]

7. Estimated ART coverage* in eastern Europe and central Asia among the worst globally (2012) Source: UNAIDS. Global Report 2013 * coverage based on 2010 WHO guidelines

8. Treatment increasing but HIV infection increasing faster

9. HIV testing and prevention services in eastern Europe and central Asia Not accessible to key populations Poor coverage Poorly integrated

10. Percentage of people who inject drugs receiving opioid substitution therapy: eastern Europe and central Asia (2011) Source: WHO/UNAIDS/UNICEF monitoring and reporting on the Health Sector response to HIV/AIDS * 2010 data

11. WHO response to HIV/AIDS in Eastern Europe and Central Asia

12. Reduce vulnerability and address structural barriers to accessing services Build strong and sustainable systems Leverage broader health outcomes through HIV response Optimize HIV prevention, diagnosis, treatment and care outcomes Four strategic directions of the European Action Plan for HIV/AIDS 2012–2015

15. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection

16. Martin C. Donoghoe Programme Manager HIV/AIDS, STIs & Viral Hepatitis Division of Communicable Diseases, Health Security & Environment WHO Regional Office for Europe mdo@euro.who.int http://www.euro.who.int/aids