HIV and AIDS from UNAIDS / WHO

Slides:



Advertisements
Similar presentations
Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2013 Living (Prevalence)
Advertisements

1 Global AIDS Epidemic The first AIDS case was diagnosed in years later, 20 million people are dead and 37.8 million people (range: 34.6–42.3 million)
GAP Report 2014 Prisoners People left behind: Prisoners Link with the pdf, Prisoners.
00003-E-1 – December 2004 Global summary of the HIV and AIDS epidemic, December 2004 The ranges around the estimates in this table define the boundaries.
Slide 2 Key Points Although HIV/AIDS is found throughout the world, most people living with HIV/AIDS reside in low- and middle-income countries More people.
00002-E-1 – 1 December 2003 Global summary of the HIV/AIDS epidemic, December 2003 The ranges around the estimates in this table define the boundaries.
GAP Report 2014 People left behind: Gay men and other men who have sex with men Link with the pdf, Gay men and other men who have sex with men.
GAP Report 2014 People left behind: Adolescent girls and young women Link with the pdf, Adolescent girls and young women.
UNAIDS, Regional Support Team, Eastern and Southern Africa
Inclusion of Adolescents with Disabilities: Towards an AIDS-Free Generation All In! Rosangela Berman Bieler Senior Adviser, Children with Disabilities,
The Dual Crisis: HIV and Human Rights: Journalism’s Role in the Fight Against Stigma and Discrimination Richard Burzynski, UNAIDS 20 th International AIDS.
People left behind: People living with HIV
UNAIDS World AIDS Day Report | 2011 Core Epidemiology Slides.
Global Awareness Program Women’s Health. What sets women’s health apart from men’s? Two big themes: 1)Women generally need more health care than men because.
Epidemiology of HIV among Asians & Pacific Islanders Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Annual.
Epidemiology of HIV Among Asians and Pacific Islanders Reported in Florida, Through 2014 Florida Department of Health HIV/AIDS Section Division of Disease.
HIV and AIDS from UNAIDS / WHO UNAIDS Report on the Global AIDS Epidemic
1 July 2008 e Global summary of the AIDS epidemic, December 2007 Total33 million [30 – 36 million] Adults30.8 million [28.2 – 34.0 million] Women15.5 million.
HIV/AIDS: A Global and Regional Perspective AIDS in Post 2015 Development Agenda.
GAP Report 2014 People left behind: Children and pregnant women living with HIV Link with the pdf, Children and pregnant women living with HIV.
© 2006 Population Reference Bureau DEMOGRAPHY Demography = the statistical study of population *these stats are used for forming public policy and marketing.
Population-based impact of ART in high HIV prevalence settings Marie-Louise Newell Professor of Global Health Faculty of Medicine, Faculty of Social and.
2009 ECONOMIC AND SOCIAL COUNCIL ANNUAL MINISTERIAL REVIEW HIV in Latin America and the Caribbean Implementing agreed goals and commitments César Antonio.
GAP Report 2014 People left behind: People aged 50 years and older Link with the pdf, People aged 50 years and older.
00002-E-1 – 1 December 2002 The AIDS Pandemic: an Update on the Numbers and Needs l What are the numbers for 2002? l What are the global and regional trends?
Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.
UNAIDS: PANAMA CITY, PANAMA
Ami R. Moore, PhD Department of Sociology University of North Texas 12/01/2011.
00003-E-1 – December 2005 Global summary of the HIV and AIDS epidemic, December 2005 The ranges around the estimates in this table define the boundaries.
Global HIV prevalence in adults, 1985 UNAIDS/WHO, 2006.
HIV and AIDS from UNAIDS / WHO UNAIDS Report on the Global AIDS Epidemic
Reaching Key Populations through Rights-based Workplace Programmes Richard Burzynski, UNAIDS 20 th International AIDS Conference 2014 Melbourne, Australia.
HIV vulnerabilities of sex workers in Europe
The Global HIV/AIDS Epidemic Jennifer Kates, M.A., M.P.A. Vice President and Director, HIV Policy Kaiser Family Foundation KaiserEDU.org Tutorial April.
July 2015 Core Epidemiology Slides.
Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2014 Living (Prevalence)
00002-E-1 – 1 December 2001 Global summary of the HIV/AIDS epidemic, December 2001 Number of people living with HIV/AIDS Total40 million Adults37.2 million.
MDG 6: Combat HIV/AIDS and other diseases. Where are we…  Regionally, “on track” for MDG-6 (only a few countries are progressing slowly or show no progress)
1 Total 33.2 million [30.6 – 36.1 million] Adults 30.8 million [28.2 – 33.6 million] Women 15.4 million [13.9 – 16.6 million] Children under 15 years 2.5.
00002-E-1 – 1 December 2002 Global summary of the HIV/AIDS epidemic, December 2002 Number of people living with HIV/AIDS Total42 million Adults38.6 million.
Epidemiology of HIV Among Asians and Pacific Islanders Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division.
Global HIV Epidemiology Carey Farquhar, MD, MPH Grace John-Stewart MD, PhD Departments of Medicine, Epidemiology and Global Health.
1 July 2008 e Global summary of the AIDS epidemic, December 2007 Total33 million [30 – 36 million] Adults30.8 million [28.2 – 34.0 million] Women15.5 million.
00002-E-1 – 1 December 2001 THE HIV/AIDS PANDEMIC Focus on Africa By Dr. David Elkins HIV/AIDS Prevention and Care Project Nairobi, Kenya September 2002.
2008 International AIDS Conference UNGASS reporting Matthew Warner-Smith Monitoring and Evaluation Division UNAIDS 2008 International AIDS Conference Satellite.
1 Module 1: [Basic] Unit 1: [HIV Epidemics and Key Populations] Lesson 2: [Levels of HIV Epidemic in the World] “Community-Based HIV Surveillance” Online.
1 06/06 e Global HIV epidemic, 1990 ‒ 2005*HIV epidemic in sub-Saharan Africa, 1985 ‒ 2005* Number of people living with HIV % HIV prevalence, adult (15-49)
Global Impact of HIV/AIDS Deborah Lewinsohn, M.D. Infectious Diseases, Pediatrics Vaccine and Gene Therapy Institute Oregon Health & Science University.
Core Epidemiology Slides
Global summary of the HIV and AIDS epidemic, December 2003
Contents - HIV global slides
Global summary of the AIDS epidemic, December 2007
Overview of Global HIV Epidemic
Global summary of the HIV/AIDS epidemic, December 2003
Global summary of the AIDS epidemic, 2008
Global summary of the HIV/AIDS epidemic, December 2003
Global summary of the AIDS epidemic, 2008
Global summary of the HIV and AIDS epidemic, December 2004
Contents - HIV global slides
کلیات آموزش ایدز به زبان ساده
Global summary of the AIDS epidemic, December 2007
Contents - HIV global slides
Global summary of the HIV/AIDS epidemic, December 2003
Global summary of the HIV and AIDS epidemic, 2005
Global Summary of the HIV and AIDS Epidemic December 2004
Contents - HIV global slides
Regional HIV and AIDS statistics and features, end of 2004
Global summary of the HIV and AIDS epidemic, 2005
Core epidemiology slides
July 2018 Core epidemiology slides.
Presentation transcript:

HIV and AIDS from UNAIDS / WHO Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap report: UNAIDS report on the global AIDS epidemic

The Gap Report: UNAIDS report on the global AIDS epidemic UNAIDS and WHO 2003.ppt AIDS PANDEMIC “We all have AIDS. ... The earth has AIDS” Donald Berwick, CEO, Institute for Healthcare Improvement Approximately 37% of people living with HIV had access to antiretroviral therapy. The epidemic began in the late 1970’s, peaking in 1997, now fewer people are becoming infected with HIV and fewer are dying from AIDS. In 2013, almost 60% of all new HIV infections among young people aged 15-24 occurred among adolescents girls and young women. 35 million were living with HIV in 2013 (of which 24.7 million are living in sub-Saharan Africa) New Infections: 2.1 million in 2013 AIDS PANDEMIC "We all have AIDS. ... The earth has AIDS“ Donald Berwick, CEO, Institute for Healthcare Improvement The epidemic began in the late 1970’s, peaking in 1997, now fewer people are becoming infected with HIV and fewer are dying from AIDS. 35 million were living with HIV in 2013 (of which 24.7 million are living in sub-Saharan Africa) An estimated 3.2 million children (under age 15) worldwide were living with HIV in 2013. New Infections: 2.1 million in 2013 1.5 Million Deaths in 2013 Worldwide: Leading cause of death for among women of reproductive age (15 – 49 years old). Approximately 37% of people living with HIV had access to antiretroviral therapy. In 2013, almost 60% of all new HIV infections among young people aged 15-24 occurred among adolescents girls and young women. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report 1.5 Million Deaths in 2013 Worldwide: Leading cause of death for women of reproductive age (15 – 49 years old) An estimated 3.2 million children (under age 15) worldwide were living with HIV in 2013. The Gap Report: UNAIDS report on the global AIDS epidemic 2

Global Summary of the HIV/AIDS Epidemic Among Adults and Children Living with HIV Newly Infected with HIV 2013 35.0 million 2.1 million 2011 34.0 million 2.5 million 2001 29.4 million 3.2 million AIDS-related Deaths AIDS-related Deaths Adults & Children Children (under age 15) 2013 1.5 million 190,000 2011 1.7 million 230,000 2005 3.1 million 570,000 Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf The Gap Report: UNAIDS report on the global AIDS epidemic

Estimated Number of New HIV Infections in 2013 Middle East & North Africa 25 000 [14 000 – 41 000] Sub-Saharan Africa 1.5 million [1.3 million – 1.6 million] Eastern Europe & Central Asia 110 000 [86 000 – 130 000] Latin America 94 000 [71 000 – 170 000] Caribbean 12 000 [9400 – 14 000] Asia and the Pacific 350 000 [250 000 – 510 000] North America and Western and Central Europe 88 000 [44 000 – 160 000] Estimated Number of New HIV Infections in 2013 Total: 2.1 (1.9 – 2.4) million Comment: This represents nearly one third (32%) decrease from the 3.1 million people newly infected in 1999 and more than one third (34%) decrease from the estimated 3.2 million in 1997, the year in which annual new infections peaked. Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf Total: 2.1 (1.9 – 2.4) million Comment: This represents nearly one third (32%) decrease from the 3.1 million people newly infected in 1999 and more than one third (34%) decrease from the estimated 3.2 million in 1997, the year in which annual new infections peaked. The Gap Report: UNAIDS report on the global AIDS epidemic

Estimated Number Living with HIV at the end of 2013 Middle East & North Africa 230 000 [160 000 – 330 000] Sub-Saharan Africa 24.7 million [23.5 million – 26.1 million] Eastern Europe & Central Asia 1.1 million [980 000– 1.3 million] Asia and the Pacific 4.8 million [4.1 million – 5.5 million] North America and Western and Central Europe 2.3 million [2.0 million – 3.0 million] Latin America 1.6 million [1.4 million – 2.1 million] Caribbean 250 000 [230 000 – 280 000] Estimated Number Living with HIV at the end of 2013 Total: 35.0 (33.2 – 37.2) million Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf Total: 35.0 (33.2 – 37.2) million The Gap Report: UNAIDS report on the global AIDS epidemic

Estimated Number of AIDS-Related Deaths in 2013 Middle East & North Africa 15 000 [10 000 – 21 000] Sub-Saharan Africa 1.1 million [1.0 million – 1.3 million] Eastern Europe & Central Asia 53 000 [43 000 – 69 000] Latin America 47 000 [39 000 – 75 000] Caribbean 11 000 [8300 – 14 000] Asia and the Pacific 250 000 [210 000– 290 000] North America and Western and Central Europe 27 000 [23 000 – 34 000] Estimated Number of AIDS-Related Deaths in 2013 Total: 1.5 (1.4 – 1.7) million Comment: This is an estimated 29% decline from the 2.4 million AIDS-related deaths in 2004. The decline reflects the increased availability of antiretroviral therapy, as well as care and support to people living with HIV, particularly in middle- and low-income countries. Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf Total: 1.5 (1.4 – 1.7) million Comment: This is an estimated 29% decline from the 2.4 million AIDS-related deaths in 2004. The decline reflects the increased availability of antiretroviral therapy, as well as care and support to people living with HIV, particularly in middle- and low-income countries. The Gap Report: UNAIDS report on the global AIDS epidemic

2013 Regional HIV and AIDS statistics Adults and children newly infected with HIV Adults and children living with HIV Adult & child deaths due to AIDS Adult prevalence (15‒49) [%] TOTAL 35.0 million [33.2 million – 37.2 million] 2.1 million [1.9 million – 2.4 million] 1.5 million [1.4 million – 1.7 million] 0.8% [0.7% - 0.8%] Sub-Saharan Africa 24.7 million [23.5 million – 26.1 million] [1.3 million – 1.6 million] 1.1 million [1.0 million – 1.3 million] 4.7% [4.4% – 4.9%] Asia and the Pacific 4.8 million [4.1 million – 5.5 million] 350 000 [250 000 – 510 000] 250 000 [210 000 – 290 000] 0.2% [0.2% – 0.2%] Latin America 1.6 million [1.4 million – 2.1 million] 94 000 [71 000 – 170 000] 47 000 [39 000 – 75 000] 0.4% [0.4% – 0.6%] Eastern Europe and Central Asia [980 000 – 1.3 million] 110 000 [86 000 – 130 000] 53 000 [43 000 – 69 000] 0.6% [0.6% – 0.8%] Middle East and North Africa 230 000 [160 000 – 330 000] 25 000 [14 000 – 41 000] 15 000 [10 000 – 21 000] 0.1% [<0.1% – 0.2%] Caribbean [230 000 – 280 000] 12 000 [9400 – 14 000] 11 000 [8300 – 14 000] 1.1% [0.9% – 1.2%] Western and Central Europe and North America 2 300 000 [2.0 million – 3.0 million] 88 000 [44 000 – 160 000] 27 000 [23 000 – 34 000] 0.3% [0.3% – 0.5%] Source: Core epidemiological slides: HIV/AIDS estimates. Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014 July). Core epidemiological slides: HIV/AIDS estimates. World Health Organization [WHO], HIV Department. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/01_Epi_slides_2014July.pdf Note: The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

Virtual Elimination of Mother-to-Child Transmission of HIV is Possible The Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive was launched in July 2011 at the United Nations General Assembly High-Level Meeting on AIDS. Although the plan is global, it focuses on 22 priority countries. 21 are in Sub-Saharan Africa, where 85% of pregnant women living with HIV reside. Virtual Elimination of Mother-to-Child Transmission of HIV is Possible The Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive was launched in July 2011 at the United Nations General Assembly High-Level Meeting on AIDS. Although the plan is global, it focuses on 22 priority countries. 21 are in Sub-Saharan Africa, where 85% of pregnant women living with HIV reside. * 21 Global Plan countries in sub-Saharan Africa are Angola, Botswana, Burundi, Cameroon, Chad, Côte d’Ivoire, the Democratic Republic of the Congo, Ethiopia, Ghana, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Uganda, the United Republic of Tanzania, Zambia, and Zimbabwe. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap Report: UNAIDS report on the global AIDS epidemic

Virtual Elimination of Mother-to-Child Transmission of HIV is Possible cont’d In 2013, 1.3 million women living with HIV gave birth—a figure which is unchanged from 2009. However, the number of children newly infected fell from 350,000 in 2009 to 199,000 in 2013. The rate of mother-to-child transmission also fell—in 2013, 16% of children born to women living with HIV became infected compared to 25.8% in 2009. Virtual Elimination of Mother-to-Child Transmission of HIV is Possible cont’d In 2013, 1.3 million women living with HIV gave birth—a figure which is unchanged from 2009. However, the number of children newly infected fell from 350,000 in 2009 to 199,000 in 2013. The rate of mother-to-child transmission also fell—in 2013, 16% of children born to women living with HIV became infected compared to 25.8% in 2009. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap Report: UNAIDS report on the global AIDS epidemic

HIV Prevention Works: New HIV Infections are Declining in Many Countries Most Affected by the Epidemic The number of people who are newly infected with HIV is continuing to decline in most parts of the world. There were 2.1 million new HIV infections in 2013—a decline of 38% from 2001, when there were 3.4 million new infections. Among the 82 countries for which the data for determining trends are of sufficient quality, new HIV infections have declined by more than 75% in 10 countries and by more than 50% in 27 countries. HIV Prevention Works: New HIV Infections are Declining in Many Countries Most Affected by the Epidemic The number of people who are newly infected with HIV is continuing to decline in most parts of the world. There were 2.1 million new HIV infections in 2013—a decline of 38% from 2001, when there were 3.4 million new infections. Among the 82 countries for which the data for determining trends are of sufficient quality, new HIV infections have declined by more than 75% in 10 countries and by more than 50% in 27 countries. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap Report: UNAIDS report on the global AIDS epidemic

Progress with Regard to HIV Treatment Worldwide Almost 12.9 million people were receiving antiretroviral therapy globally at the end of 2013. Of these 12.9 million people, 5.6 million were added since 2010. The percentage of people living with HIV who are not receiving antiretroviral therapy has been reduced from 90% in 2006 to 63% in 2013. Since 1995, antiretroviral therapy has averted 7.6 million deaths globally, including 4.8 million deaths in sub-Saharan Africa. These life-saving medicines have gained approximately 40.2 million life-years since the epidemic started. Receiving HIV Treatment Worldwide Almost 12.9 million people were receiving antiretroviral therapy globally at the end of 2013. Of these 12.9 million people, 5.6 million were added since 2010. The percentage of people living with HIV who are not receiving antiretroviral therapy has been reduced from 90% in 2006 to 63% in 2013. Since 1995, antiretroviral therapy has averted 7.6 million deaths globally, including 4.8 million deaths in sub-Saharan Africa. These life-saving medicines have gained approximately 40.2 million life-years since the epidemic started. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap Report: UNAIDS report on the global AIDS epidemic

Lack of Access to Antiretroviral Therapy Remains a Cause for Concern 22 million people living with HIV are still NOT accessing antiretroviral therapy. The proportions of people who DO NOT have access to treatment are 58% in South Africa, 64% in India and 80% in Nigeria. 76% of children living with HIV are NOT receiving HIV treatment. Lack of Access to Antiretroviral Therapy Remains a Cause for Concern 22 million people living with HIV are still not accessing antiretroviral therapy. The proportions of people who DO NOT have access to treatment are 58% in South Africa, 64% in India and 80% in Nigeria. 76% of children living with HIV are NOT receiving HIV treatment. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

12 Populations that Have Been Left Behind by the AIDS Response People living with HIV Adolescent girls and young women Prisoners Migrants People who inject drugs Sex workers Gay men and other men who have sex with men Transgender people Children and pregnant women living with HIV Displaced persons People with disabilities People aged 50 years or older 12 Populations that Have Been Left Behind by the AIDS Response Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report People living with HIV Adolescent girls and young women Prisoners Migrants People who inject drugs Sex workers Gay men and other men who have sex with men Transgender people Children and pregnant women living with HIV Displaced persons People with disabilities People aged 50 years or older

People Living with HIV Top 4 reasons why people living with HIV are left behind: 1. Human rights violations, stigma and discrimination 2. Access to treatment and services 3. Gender-based inequalities 4. Criminalization and exclusion How to close the gap: 1. Meaningful participation of people living with HIV 2. Improve services, including community-based services 3. Scale up antiretroviral therapy and integrated health services 4. Increase treatment and rights awareness Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Adolescent Girls and Young Women Top 4 reasons why adolescent girls and young women are left behind: 1. Gender-based violence 2. Lack of access to health services 3. Lack of access to education 4. Policies that do not translate into action How to close the gap: 1. End all forms of gender-based violence 2. Ensure access to quality health services 3. Keep girls in school 4. Empower young women and girls and challenge and change social norms Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Prisoners Top 4 reasons why prisoners are left behind: 1. Unmet health-care needs 2. Overcrowding 3. Sexual violence, unsafe sexual practices and unsafe drug injection practices 4. Inappropriate, ineffective and excessive laws How to close the gap: 1. Improve health-care provision, including harm reduction services 2. Reduce prison overcrowding 3. Address unsafe sex and sexual violence 4. Reform inappropriate laws Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Migrants Top 4 reasons why migrants are left behind: 1. Restrictive laws and policies 2. Limited access to health information and services 3. Vulnerability to exploitation 4. Stigma and discrimination How to close the gap: 1. End restrictions and ensure rights 2. Provide access to health services, including cross-border initiatives 3. Protection from sexual and labor exploitation 4. Non-discrimination laws and strengthened civil society leadership Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

People Who Inject Drugs Top 4 reasons why people who inject drugs are left behind: 1. Criminalization and punitive laws 2. Absent or inadequate prevention services 3. Widespread societal stigma 4. Lack of investment How to close the gap: 1. Transform punitive laws that criminalize the use of drugs 2. Expand evidence-informed services 3. Address institutionalized stigma and discrimination 4. Increase domestic funding for harm reduction programs Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Sex Workers Top 4 reasons why sex workers are left behind: 1. Violence 2. Criminalization 3. Stigma and discrimination 4. Lack of programs and funding How to close the gap: 1. Address violence 2. Decriminalize sex work 3. Empower sex work communities 4. Scale up and fund health and social services for sex workers Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Gay Men and Other Men who Have Sex with Men Top 4 reasons why gay men and other men who have sex with men are left behind: 1. Violence 2. Criminalization, stigma, discrimination and social exclusion 3. Poor access to HIV and other health services 4. Inadequate investments How to close the gap: 1. Protective social and legal environments, including decriminalization 2. Access to quality, discrimination-free health services 3. Data collection on HIV and gay men and other men who have sex with men 4. Strengthening community systems Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Top 4 reasons why transgender people are left behind: 1. Family rejection and violation of the right to education and employment 2. Violence, criminalization and transphobia 3. Lack of recognition of gender identity 4. Discrimination in health systems How to close the gap: 1. Community leadership 2. Recognition of rights and freedom from violence 3. Quality health services and access to work 4. Better research Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Children and Pregnant Women Living with HIV Top 4 reasons why children and pregnant women living with HIV are left behind: 1. Limited access to sexual and reproductive health and HIV services 2. Limited access to HIV treatment 3. Failure to prioritize children 4. Poorly integrated health-care services How to close the gap: 1. Improve access to health and HIV services for all women and children 2. Ensure treatment is available for all in need 3. Invest in pediatric commodities and approaches 4. Scale up integrated, family-centered health care services and information Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Top 4 reasons why displaced persons are left behind: 1. Restrictive laws, policies and practices 2. Limited access to quality health services 3. Stigma and discrimination 4. HIV services not prioritized in humanitarian responses How to close the gap: 1. Reform punitive laws and policies 2. Ensure access to treatment 3. Address stigma and discrimination 4. Integrate HIV into national disaster preparedness and response plans Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

People with Disabilities Top 4 reasons why people with disabilities are left behind: 1. Lack of awareness by society 2. Violence and sexual abuse 3. Discrimination in health-care settings 4. Low awareness and risk perception about HIV How to close the gap: 1. Ending violence and sexual abuse 2. Including people with disabilities fully in national HIV responses 3. Data collection on disability and HIV 4. Access to sexual and reproductive health services and information Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

People Aged 50 Years or Older Top 4 reasons why people aged 50 years or older are left behind: 1. Low perception of HIV risk 2. Managing HIV and other health issues is complicated 3. Access to services 4. Stigma and discrimination How to close the gap: 1. Early HIV detection and treatment 2. Integration of services 3. Psychological and medical support 4. Social protection Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report

Sub-Saharan Africa has Three-Fourth of the Living HIV Cases World-Wide At the end of 2013, there were 35 million people living with HIV globally. Approximately 70% of the people living with HIV are located in sub-Saharan Africa. Women represent 50% of all adults living with HIV globally. However, in sub-Saharan Africa, 59% of people living with HIV are women. Some 87% of people living with HIV who know their status in sub-Saharan Africa are receiving antiretroviral therapy, and nearly 76% of them have achieved viral suppression. In sub-Saharan Africa although the number of AIDS-related deaths fell by 39% between 2005 and 2013, the region still accounted for 74% of all the people dying from AIDS-related causes in 2013. Sub-Saharan Africa has Three-Fourth of the Living HIV Cases World-Wide At the end of 2013, there were 35 million people living with HIV globally. Approximately 70% of the people living with HIV are located in sub-Saharan Africa. Women represent 50% of all adults living with HIV globally. However, in sub-Saharan Africa, 59% of people living with HIV are women. Some 87% of people living with HIV who know their status in sub-Saharan Africa are receiving antiretroviral therapy, and nearly 76% of them have achieved viral suppression. In sub-Saharan Africa although the number of AIDS-related deaths fell by 39% between 2005 and 2013, the region still accounted for 74% of all the people dying from AIDS-related causes in 2013. Source: Joint United Nations Programme on HIV/AIDS [UNAIDS]. (2014). The gap report. Geneva, Switzerland. Retrieved on March 9, 2015 from http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report The Gap Report: UNAIDS report on the global AIDS epidemic

For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444 Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373 Visit Florida’s internet site for: Monthly Surveillance Reports Slide Sets and Fact Sheets Annual Reports and Epi Profiles http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html Visit CDC’s HIV/AIDS internet site for: Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444 Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373 Visit Florida’s internet site for: Monthly Surveillance Reports Slide Sets and Fact Sheets Annual Reports and Epi Profiles http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html Visit CDC’s HIV/AIDS internet site for: Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm