AIDS epidemic update Figure 2007

AIDS epidemic update Figure 2007 Estimated adult (15–49 years) HIV prevalence rate (%) globally and in Sub-Saharan Africa, 1990–2007 Year Adult HIV prevalence rate (%) Global Sub-Saharan Africa 2

AIDS epidemic update Figure 2007

AIDS epidemic update Figure 2007

AIDS epidemic update Table 2007 Regional HIV and AIDS statistics, 2001 and million [30.6 – 36.1 million] Adults & children newly infected with HIVAdults & children living with HIV 2.5 million [1.8 – 4.1 million] 3.2 million [2.1 – 4.4 million] 29.0 million [26.9 – 32.4 million] TOTAL [ – ] [ – ] [ – ] [ – million [1.4 – 2.4 million] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] 2.2 million [1.7 – 2.7 million] 3800 [ 3000 – 5600] [ – ] [ – ] [4900 – ] [ – ] million [20.9 – 24.3 million] 1.3 million [ – 1.9 million] 1.6 million [1.2 – 2.1 million] 1.6 million [1.4 – 1.9 million] 4.0 million [3.3 – 5.1 million] [ – ] [ – 1.1 million] [ – ] [ – ] [ – ] North America Eastern Europe & Central Asia Latin America South and South-East Asia Sub-Saharan Africa Oceania Western & Central Europe Caribbean East Asia Middle East & North Africa 20.9 million [19.7 – 23.6 million] 1.1 million [ – 1.6 million] [ – 1.1 million] 1.3 million [1.2 – 1.6 million] 3.5 million [2.9 – 4.5 million] [ – ] [ – ] [ – ] [ – ] [ – ] (First of 2 parts)

AIDS epidemic update Table Adult & child deaths due to AIDSAdult prevalence (%) TOTAL 3.9 million [3.3 – 5.8 million] 0.8% [0.7% - 0.9%] 0.8% [0.7% - 0.9%] Regional HIV and AIDS statistics, 2001 and North America Eastern Europe & Central Asia Latin America South and South-East Asia Sub-Saharan Africa Oceania Western & Central Europe Caribbean East Asia Middle East & North Africa [ – ] [ – ] [ – ] [ – ] 1.6 million [1.5 – 2.0 million] 1200 [<500 – 2700] [<15 000] [9800 – ] [ – ] [ – ] 8000 [5500 – ] [ – ] [ – ] [ – ] 1.4 million [1.3 – 1.9 million] <500 [1100] [<15 000] [ – ] [8200 – ] [ – ] 0.6% [0.4% – 0.8%] 0.4% [0.3% – 0.6%] 0.4% [0.3% – 0.5%] 0.3% [0.2% – 0.4%] 5.8% [5.5% – 6.6%] 0.2% [0.1% – 0.3%] 0.2% [0.1% – 0.3%] 1.0% [0.9% – 1.2%] <0.1% [<0.2%] 0.3% [0.2% – 0.4%] 0.6% [0.5% – 0.9%] 0.9% [0.7% – 1.2%] 0.5% [0.4% – 0.6%] 0.3% [0.2% – 0.4%] 5.0% [4.6% – 5.5%] 0.4% [0.3% – 0.7%] 0.3% [0.2% – 0.4%] 1.0% [0.9% – 1.2%] 0.1% [<0.2%] 0.3% [0.2% – 0.4%] (Last of 2 parts)

AIDS epidemic update Figure 2007

AIDS epidemic update Table 2007 Adult (aged 15–49 years ) HIV prevalence in countries which have conducted population-based HIV surveys in recent years 2 Sub-Saharan Africa COUNTRY Population-based survey prevalence (%) (year) 2001 HIV prevalence (%)* 2003 HIV prevalence (%) 2005 HIV prevalence (%) Benin Botswana Burkina Faso Burundi Cameroon Central African Rep. Chad Côte d'Ivoire Equatorial Guinea Ethiopia Malawi Ghana Guinea Kenya Lesotho 1.2 (2006) 25.2 (2004) 1.8 (2003) 3.6 (2002) 5.5 (2004) 6.2 (2006) 3.3 (2005) 4.7 (2005) 3.2 (2004) 1.4 (2005) 11.8 (2004) 2.2 (2003) 1.5 (2005) 6.7 (2003) 23.5 (2004) NA NA ( ) * 2002 Report on the global AIDS epidemic 2004 Report on the global AIDS epidemic 2006 Report on the global AIDS epidemic (First of 2 parts)

AIDS epidemic update Table 2007 Adult (aged 15–49 years ) HIV prevalence in countries which have conducted population-based HIV surveys in recent years Asia Sub-Saharan Africa COUNTRY 2001 HIV prevalence (%)* 2003 HIV prevalence (%) 2005 HIV prevalence (%) Population-based survey prevalence (%) (year) 1.3 (2006); 1.7 (2001) § 0.7 (2006); 0.9 (2002) 3.0 (2005) 0.7 (2005) 1.5 (2005) 16.2 (2005); 15.6 (2002) 25.9 ( ) 7.1 (2004 5) 7.0 (2004) 15.6 (2001 2) 18.1 (2005 6) 0.6 (2005) 0.28 (2005 6) 1.0 (2002) 2.2 (2005 6) 1.7 NA NA Haiti Dominican Republic South Africa Rwanda Senegal Sierra Leone Swaziland Uganda UR Tanzania Zambia Zimbabwe Cambodia India Mali Niger Latin America & Caribbean * 2002 Report on the global AIDS epidemic 2004 Report on the global AIDS epidemic 2006 Report on the global AIDS epidemic § Includes male years 2 (Last of 2 parts)

AIDS epidemic update Table /2007 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women ( ) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys Country Bahamas Benin** Botswana Burundi C African Rep** Burkina Faso Cameroon* Chad* Angola* Congo* Côte dIvoire DR Congo* Analysis in 2006/ / Prevalence trend* UrbanRural NS 25% NS Condom use during sex with non-regular partner**** FemalesMales Sex with non-regular partner*** FemalesMales Age at sexual debut** FemalesMales % ID Notes Legends [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] Year of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H0: slope=0. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (10,10), Burundi (3,3), Côte dIvoire (9 urban), Kenya (20,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). **Among 15–19-year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and ***Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and ****Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and Statistically significant increase. Statistically significant decrease. 25%Statistically significant decrease of more than 25%. NSDecrease over time but not statistically significant. No evidence of decrease. *IDInsufficient data, i.e. less than three years of data received for prevalence analysis. **NDData not received for prevalence. #Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. §No data received in response to WG process; analyses based on data in South Africa surveillance report. ¶No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined. 3 (First of 3 parts)

AIDS epidemic update Table /2007 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women ( ) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys Country Ethiopia** Gabon** Gambia** Haïti** Lesotho* Ghana** Kenya Liberia** Djibouti** Malawi # Mozambique Namibia Analysis in 2006/ Prevalence trend* UrbanRural 25% Condom use during sex with non-regular partner**** FemalesMales Sex with non-regular partner*** FemalesMales Age at sexual debut FemalesMales % NS NS Notes Legends [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] Year of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H0: slope=0. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (10,10), Burundi (3,3), Côte dIvoire (9 urban), Kenya (20,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). **Among 15–19-year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and ***Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and ****Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and Statistically significant increase. Statistically significant decrease. 25%Statistically significant decrease of more than 25%. NSDecrease over time but not statistically significant. No evidence of decrease. *IDInsufficient data, i.e. less than three years of data received for prevalence analysis. **NDData not received for prevalence. #Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. §No data received in response to WG process; analyses based on data in South Africa surveillance report. ¶No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined. 3 (Second of 3 parts)

AIDS epidemic update Table /2007 Analysis of trends among year-olds in high prevalence countries: HIV prevalence among pregnant women ( ) in sentinel surveillance systems, and selected sexual behaviours among men and women ( ) from national surveys Country Rwanda Sierra Leone* South Africa § Swaziland Uganda** Sudan* Togo* UR Tanzania Nigeria* Zambia ¶ Zimbabwe Analysis in 2006/ Prevalence trend* UrbanRural NS NS ND NS Condom use during sex with non-regular partner**** FemalesMales Sex with non-regular partner*** FemalesMales Age at sexual debut FemalesMales % NS Notes Legends [1] Highlighted cells indicate positive trends in prevalence or behaviour. [2] Year of analysis indicates the year in which the analysis was done, and not necessarily the last year of data used in the analysis. Consistent sites used in the analysis of median prevalence by year for a minimum of three years. Significance test based on H0: slope=0. Analyses of countries with more than three years of data based on the following number of consistent urban and rural sites: Botswana (10,10), Burundi (3,3), Côte dIvoire (9 urban), Kenya (20,13), Malawi (11,8), Mozambique (5 South, 8 Center, 7 North), Rwanda (6 urban), United Republic of Tanzania (11,8), Zimbabwe (7,6). **Among 15–19-year-olds, proportion reported having had sex by age 15. Analyses based on DHS, MICS or national surveys conducted between 1995 and ***Among 15–24-year-olds, proportion reported having had sex with a non-regular partner in the last year. In South Africa, the proportion among 15–24 year olds reporting more than one sexual partner in the last 12 months. Analyses based on DHS, and South Africa national surveys conducted between 1995 and ****Among 15–24-year-olds, proportion reporting having used condoms the last time they had sex with a non-regular partner. Analyses based on DHS, MICS or national surveys conducted between 1995 and Statistically significant increase. Statistically significant decrease. 25%Statistically significant decrease of more than 25%. NSDecrease over time but not statistically significant. No evidence of decrease. *IDInsufficient data, i.e. less than three years of data received for prevalence analysis. **NDData not received for prevalence. #Semi-urban and urban areas were combined in analysis of urban data. Analysis in Mozambique performed for South, North and Central. §No data received in response to WG process; analyses based on data in South Africa surveillance report. ¶No data received in response to WG process; analyses based on data reported in Zambia 2005 surveillance report. Analysis based on urban and rural data combined. 3 (Last of 3 parts)

AIDS epidemic update Figure 2007 Median HIV prevalence among women (15-49 years) attending antenatal clinics in consistent sites in southern African countries, 1998–2006 Botswana Lesotho Namibia South Africa Swaziland Zimbabwe Year % HIV prevalence Sources: Various antenatal clinic surveys. 6

AIDS epidemic update Figure 2007 HIV prevalence from population-based surveys in countries in West and Central Africa, 2003–2006 Mali Burkina Faso Cameroon Central African Republic Chad Cote dIvoire Democratic Republic of Congo Guinea Nigeria Senegal Sierra Leone Togo Niger Gambia Guinea-Bissau Equatorial Guinea Gabon Congo Ghana Benin Liberia Adult HIV prevalence % 6.0 – 8.0% 4.0 – <6.0% 2.0 – <4.0% 0 – <2.0% No available data 7 Sources: Various surveys and reports.

AIDS epidemic update Figure 2007 Estimated adult (15-49 years) HIV prevalence in the states of India, 2006 Manipur Jammu and Kashmir Nagaland Andhra Pradesh Karnataka Mizoram Maharashtra Goa Pondicherry Gujarat Tamil Nadu Chandigarh West Bengal Haryana Uttar Pradesh Uttaranchal Delhi Himachal Pradesh Orissa Kerala Rajasthan Chhatisgarh Madhya Pradesh Bihar Jharkand Tripura Punjab Sikkim Meghalaya Arunachal Pradesh Assam Lakshadweep Daman and Diu Dadra and Nagar Haveli Adult HIV prevalence % 1.0 – 2.0% 0.5 – <1.0% 0.2 – <0.5% 0 – <0.2% No available data 8a Source : National AIDS Control Organization, 2007.

AIDS epidemic update Figure 2007 Trends in HIV prevalence among pregnant women in consistent sites, selected states in India, 2003– Year Median HIV prevalence (%) 8b Selected States (Number of consistent sites) Andhra Pradesh (43) Karnataka (53) Maharashtra (70) Gujarat (8) Tamil Nadu (52) Bihar (6) Uttar Pradesh (16) Madhya Pradesh (13) Source : National AIDS Control Organization, 2007.

AIDS epidemic update Figure 2007 HIV prevalence among pregnant women in Viet Nam, 1994– % HIV prevalence Year 9 Source : Ministry of Health, Sentinel Surveillance Survey Data.

AIDS epidemic update Figure 2007 HIV prevalence among general population in Cambodia, 1995– Year % HIV prevalence TotalUrbanRural 10 Source : National Center for HIV/AIDS, Dermatology and STDs (NCHADS).

AIDS epidemic update Figure 2007

AIDS epidemic update Figure 2007 HIV-infection in Ukrainian Regions*, 2007 Volyn Rivne Zhytomyr Kyiv Chernigiv Sumy Poltava Kharkiv Donetsk Zaporizhia Kherson AR Crimea Kirovograd Mykolaiv Odessa Vinnytsia Lviv Ternopil Khmel- nytskiy Iv.-Frank. Zakarpatska Chernivtsi Cherkasy Dnipropetrovsk Luhansk * Data on number of officially registered cases of HIV-infection currently under medical care at the regional level in Ukraine as of July 01, < 1,000 – 1,000 – 3,999 – 4,000 – 8,999 > 9,000 Number of registered cases 12 Source : Ukrainian AIDS Centre, 2007.

AIDS epidemic update Figure 2007 HIV prevalence among pregnant women in Dominican Republic, 1991–2005 La RomanaPuerto Plata San Vicente de Paul (Duarte)Nuestra Señora de la Altagracia H. Alejandro Cabral (San Juan) Year % HIV prevalence 13 Source : Ministry of Health surveillance reports, 1991–2006.

AIDS epidemic update Figure 2007 HIV prevalence in female sex workers in various cities in Honduras, 1996– TegucigalpaSan Pedro SulaLa Ceiba % HIV prevalence 14 Source : Secretaria de salud de Honduras et al. (2007). Estudio Centroamericano de vigilancia de comportamiento sexual y prevalencia de VIH/ITS en poblaciones vulnerables: Trabajadoras Sexuales. Agosto. Tegucigalpa, Secretaria de salud de Honduras.