‘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.

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Presentation transcript:

‘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

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

New HIV infections : Global (estimated) Western and Eastern Europe (estimated and reported)

AIDS related deaths : Global,Western and Eastern Europe (estimated)

HIV epidemic in Europe not yet under control Cumulative number of diagnosed cases (in thousands), WHO European Region, 1986–

People living with HIV: numbers fast growing in eastern Europe and central Asia Estimated number of people living with HIV in Europe, Source: UNAIDS. Global report: UNAIDS report on the global AIDS epidemic 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 [ – ]

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

Treatment increasing but HIV infection increasing faster

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

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

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

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

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

Martin C. Donoghoe Programme Manager HIV/AIDS, STIs & Viral Hepatitis Division of Communicable Diseases, Health Security & Environment WHO Regional Office for Europe