The PHRplus Project is funded by U.S. Agency for International Development and implemented by: Abt Associates Inc. and partners, Development Associates, Inc.; Emory University Rollins School of Public Health; Philoxenia International Travel, Inc. Program for Appropriate Technology in Health; SAG Corp.; Social Sectors Development Strategies, Inc.; Training Resources Group; Tulane University School of Public Health and Tropical Medicine; University Research Co., LLC. URL: CURRENT STATUS OF THE HIV/AIDS PANDEMIC
“Run to its natural course…..Will lead to devastating scale” Peter Piot, UNAIDS Bostwana: 38% of Adults are estimated to be infected by HIV in 2003
Objectives of the presentation Most recent estimatesBotswana HIV epidemic's scope Current status of HIV/AIDS impact beyond human tool
AIDS STATUS IN 2003 AIDS STATUS IN 2003 Number of PLWHA 40 Million ADULTS 37 Million Children under 15 years 3 Million One third are young aged between years People newly infected with HIV 5 Million AIDS deaths in Million In many African countries life expectancy reduced by more than 20 years Source UNAIDS AIDS Epidemic Update, December 2003, AIDS Epidemic Update, December 2003AIDS Epidemic Update, December 2003
HIV/AIDS epidemic growth The number of PLWA is increasing Hardest hits are sub-Saharan Africa with 70% of PLWHA Fastest growing AIDS epidemic in Europe and Central Asia (ECA) region Asia and Pacific region experience expanding epidemic
SUB- SAHARAN AFRICA The worst affected by HIV/AIDS epidemic Highest level of new HIV infection Matched with high level of AIDS mortality 26.6 million people infected Twice as many young women as men are infected HIV Adult prevalence increases from West to East ( from less than 1% to 39%)
HIV/AIDS variations across Africa
AFRICAN TRENDS Average Adult prevalence : % Southern Africa: In Botswana, Lesotho, Namibia and Swaziland, HIV has reached devastating proportion Hope in Eastern and Central Africa: HIV prevalence continue to recede in Uganda Western Africa remains affected at lower levels
Eastern Europe and Central Asia ECA is experiencing the world's fastest- growing HIV/AIDS epidemic 1,5 Million PLWHA in 2003 Adult HIV prevalence: % The vast majority of these reported infections are among young people, chiefly injecting drug users Hardest hits are Russian Federation, Ukraine and the Baltic States
South- East Asia and the Pacific 1 million people acquired HIV in 2003 Adult HIV prevalence in South- East Asia: Adult HIV prevalence in East Asia and Pacific: 0.1% China, India and Indonesia: Three countries with very large population presenting factors for HIV increase
Latin America and the Caribbean 2 Million people were living with HIV/AIDS at the end of 2003 Second most affected region in the world Adult HIV prevalence: % Hardest hit: Haiti with a 6% adult prevalence Low national HIV prevalence in Central and south America
Mode of transmission Bulk in Central America : sexual transmission ( heterosexual and men) Bulk of South American countries: Men having Sex with men and injecting drug use
North Africa and Middle East 600,000 people were estimated to live with HIV/AIDS at the end of 2003 Adult HIV prevalence: % Hardest Hit : Sudan with a national Adult HIV prevalence of 2% Weak Surveillance system for HIV/AIDS Transmission mode through drug use (Iran), blood transfusion and sexual contacts ( main routes)
High-income countries 1.6 million PLWHA at the end of 2003 Adult HIV prevalence in North America % and Western Europe 0.3% AIDS death slow down due to ARV treatments Shift into the poorer and marginalized sub populations ( African-American in the U.S) Transmission mode: unprotected sex ( sex between men and hetero) and drug use JAPAN: increase of HIV among Japanese youth
Current Status of AIDS impact Orphans: 14 Million surviving children under 15 had lost one or both parents due to AIDS Affect the cohesion of family and community life Education: in 1998, Zambia lost the equivalent of 2/3 of the new teachers trained that year
Current Status of AIDS impact on Cities Explosive HIV factors: High population density, transportation hubs and the existence of large groups of vulnerable persons (e.g., sex workers, unemployed youth, drug users) A study in Zambia shows that 2/3 of urban households that lost their main breadwinner to AIDS experienced a loss of income of 80%, 61% of these households had moved to cheaper housing
Current Status of AIDS impact Rural Areas Loss of workers during planting and harvesting periods has been shown to reduce harvest sizes significantly Farmers grow less labor-intensive crops AIDS could affect the production of cash crops as well as food crops.
Current Status of AIDS impact Business sector Firm expenditures are increased by health care costs, burial fees, and the need to replace workers In generalized countries affect human welfare, socio-economic advances, productivity, social cohesion, and even national security
HIV/AIDS threats HIV/AIDS threatens economic and social growth, and could even undermine political stability in some countries AIDS poses serious problems for the health and productivity of many countries Could lead to economic collapse within several generations ( Botswana)
Thank You!