1 HIV Testing & Treatment as Prevention in China Zunyou Wu National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention

Annual Reported HIV/AIDS cases remain high Testing Campaign

3 % People Tested HIV in 2010 Province 2010 Subjects Pop Size (10,000) Test (%) Total64,462,212130, BJ2,486, SH2,447, ZJ5,814, GX4,886, TJ790, YN2,771, GD5,536, LN2,438, NX340, XJ1,134, JS4,055, SD4,672, SX1,527, BT112, HN4,060, QH240, SaX1,480, HuN2,455, FJ1,355, GZ1,390, JL986, HaN287, JX1,524, HLJ1,318, SC2,802, HB1,787, NMG755, GS757, HeB1,966, CQ739, AH1,536, XZ2,

4 ART Program  Adult ： Covers AIDS 106,600 in 1871 Counties, 32% increased compared to  Children ： Covers 2175 children in 340 counties  2 nd Line ： Covers 7129 patients

5 ART Program ART 20,45330,46041,77758,79579,946108,788  10,00711,31717,01821,15128,842  %  % +48.9%+37.2%+40.7%+36.0%+36.1% Death 7, Increase by 36%-49%, good progress ! Our pace is slower than HIV spreading !!

China’s New AIDS Policy 5 Expansions -Education -Testing -PMTCT -Intervention -ART 6 Strengthening -Blood safety -Medical services -Care & support -Rights -Leadership -Personnel

7 Weather Forecast

Prediction of newly identified HIV cases Linear model Log-linear model

YearHIV New AIDS totalLate% L L-L Example1 ： GX 13200

YearHIV New AIDS Total New Late % L LL Example 2, HN 3200

Newly Detected% Total HN AH GX JX FJ HuN JL HB SX SaX GS SH ZJ QH HLJ GD HeB TJ JS YN CQ NX SC BJ GZ HaN SD NMG BT XJ LN XZ300.0 HIV identified in 2011

12 ART as Prevention ART 108,788  28,  %  % 37%

13 ART as Prevention CD CD4<200 80%>80% 200<CD4<350 30%50% 350<CD4<500 0Dis. C CD4>500 0Dis. C

14 ART as Prevention HIV continue to increase among MSM Many cities request to TasP

15 ART as Prevention Challenges: Training of Doctors Education of patients Regimen options