Global epidemiology of injecting drug use The Reference Group to the United Nations on HIV and injecting drug use Dr Bradley Mathers National Drug and Alcohol Research Centre University of New South Wales, Australia

Reports of injecting drug use in 148 countries Reference Group to the United Nations on HIV and injecting drug use, 2008 Injecting drug use Reports of injecting drug use in 148 countries

Reference Group to the United Nations on HIV and injecting drug use, 2008 Prevalence of IDU (%) 0.00 - <0.25 (18 countries)

Reference Group to the United Nations on HIV and injecting drug use, 2008 Prevalence of IDU (%) 0.00 - <0.25 (18 countries) 0.25 - <0.50 (22 countries)

Reference Group to the United Nations on HIV and injecting drug use, 2008 Prevalence of IDU (%) 0.00 - <0.25 (18 countries) 0.25 - <0.50 (22 countries) 0.50 - <1.00 (11 countries)

Reference Group to the United Nations on HIV and injecting drug use, 2008 Prevalence of IDU (%) 0.00 - <0.25 (18 countries) 0.25 - <0.50 (22 countries) 0.50 - <1.00 (11 countries) >1.00 (10 countries)

Reference Group to the United Nations on HIV and injecting drug use, 2008 Prevalence of IDU (%) 0.00 - <0.25 (18 countries) 0.25 - <0.50 (22 countries) 0.50 - <1.00 (11 countries) >1.00 (10 countries) Reports of IDU but no estimate in 87 countries

Injecting drug use - Variation within countries Reference Group to the United Nations on HIV and injecting drug use, 2008 Injecting drug use - Variation within countries India Prevalence of IDU (%) 0.00 - <0.25 0.25 - <0.50 0.50 - <1.00 >1.00 Source: Resource Centre for Sexual Health and AIDS (RCSHA), 2006

Estimates of the number of people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimates of the number of people who inject drugs Millions Global estimate: 15.9 million

Estimates of the number of people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimates of the number of people who inject drugs Millions Global estimate: 15.9 million 11.0 21.2

Global estimate of the number of people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 15.9 million 11.0 million 21.2

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs Reports of IDU (148 countries) IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs Reports of HIV among IDUs (127 countries) Reports of IDU but no reports of HIV among IDU identified (21 countries) IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs 0.0 – <7.5% 7.5 – <15% Reports of IDU but no HIV prevalence estimate 15 – <30% Reports of IDU but not of HIV among IDU 30% or greater IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs South, East & South East Asia a 0.0 – <7.5% 7.5 – <15% 15 – <30% 30% or greater Reports of IDU but no HIV prevalence estimate Reports of IDU but not of HIV among IDU IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs Central Asia, Eastern & Western Europe 0.0 – <7.5% 7.5 – <15% 15 – <30% 30% or greater Reports of IDU but no HIV prevalence estimate Reports of IDU but not of HIV among IDU IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs Africa & the Middle East 0.0 – <7.5% 7.5 – <15% 15 – <30% 30% or greater Reports of IDU but no HIV prevalence estimate Reports of IDU but not of HIV among IDU IDU not reported

HIV among people who inject drugs Reference Group to the United Nations on HIV and injecting drug use, 2008 HIV among people who inject drugs Oceania, the Americas & the Caribbean 0.0 – <7.5% 7.5 – <15% 15 – <30% 30% or greater Reports of IDU but no HIV prevalence estimate Reports of IDU but not of HIV among IDU IDU not reported

Estimates of the number of people Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimates of the number of people who inject drugs and are living with HIV Global estimate: 3.0 million

Estimates of the number of people Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimates of the number of people who inject drugs and are living with HIV Global estimate: 3.0 million 0.7 6.6

3.0 million HIV+ /15.9 million IDUs Reference Group to the United Nations on HIV and injecting drug use, 2008 3.0 million HIV+ /15.9 million IDUs HIV is prevalent among people who inject drugs 3 million IDUs living with HIV requiring access to HIV treatment and care services 12.8 million IDUs potentially at risk of HIV infection  The scale of HIV prevention and care services required for IDUs is substantial

IDU among people living with HIV Reference Group to the United Nations on HIV and injecting drug use, 2008 IDU among people living with HIV

Estimated number of PLWHA Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimated number of PLWHA Source: UNAIDS (2008) Report on the Global AIDS epidemic

Estimated number of PLWHA Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimated number of PLWHA who are IDUs

Estimated proportion of PLWHA who are IDUs Reference Group to the United Nations on HIV and injecting drug use, 2008 Estimated proportion of PLWHA who are IDUs Globally: 9.1% Outside of SSAfrica: 25.8%

Reference Group to the United Nations on HIV and injecting drug use www.IDUrefgroup.com IDUreferencegroup@unsw.edu.au