1. Presented By Salaya Phunsiri EVS999887 June 30, 2000 MARKETING RESEARCH FOR HIV/AIDS DRUG : THAILAND

2. AIDS in Thailand AIDS Data from WHO by the year 2000  12 million HIV positive  35 % dying per hour  95,000 children <15 yr as orphans  46,000 Thais will die of AIDs in yr 2000

3. AIDS cases Year Distribution of AIDS Cases in Thailand September 1984 - April 2000

4. Occupation AIDS cases Distribution of AIDS Cases by Occupation and Sex September 1984 - April 2000

5.  Prostitution is illegal, yet police turn and blind eye  20 % of Thailand’s prostitution takes place with foreign men visiting Thailand  75 % of all Thai men visit prostitutes or have “lesser wives” Prostitution’s Status Information

6. Prostitution’s Status Information (Con’d)  87 % of all women & children in prostitution in Chiang Rai and Chiang Mai are HIV positive  > 2,000,000 women & children in prostitution, of which 800,000 are children age < 15 and 20% of these children are boys

7. Prostitution’s Status Information (Con’d)  Many young girls are sold by their parents into prostitution  Some children are kidnapped/ deceived into prostitution  Children who are HIV positive have been left out in the forest to die  Young girls whose been rescued from brothels have been resold again

8. Prostitution’s Status Information (Con’d)  HIV+ children returning to Burma have been shot or injected with cyanide  Because of HIV scare, girls are being forced into prostitution at younger and younger ages

9. Risk Factor AIDS cases Distribution of AIDS Cases by Risk Factor September 1984-April 2000

10. Distribution of Sexual Behavior AIDS cases Sexual Behavior

11. % Time Brothel - based Non brothel-based Combined Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 HIV Prevalence among Commercial Sex Workers (CSWs), Thailand 1989 - 1999

12. % Time Male CSWs Male STD Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 Sentinel sites for Male CSWs were only 3-5 provinces HIV Prevalence among Male Commercial Sex Workers (CSWs), and Male at STD Clinics Thailand 1989 - 1999

13. HIV Prevalence among Injecting Drug Users(IDUs) at Treatement Clinic Thailand 1989-1999 Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 % Ti me

14. HIV Prevalence among Pregnant Women, Male Conscripts, and Donated Blood, Thailand 1989-1999 Source : Sentinel Serosurveillance, Division of Epidemiology, Ministry of Public Health. Remark: Switching from bi-annually (June and December) to annually in June since 1995 Conscript data in November of each year since 1995 were not shown here % Time Pregnant women Donated blood Conscript ( at 21 year old male)

15. Drugs Used Nucleoside -AZT -3TC Non-nucleoside -DDI -D4T Protease inhibitor -Indivir -Efarenz

16. Drugs Used  Traditional herbs  Go to the temple for meditation  Black magic

17. Vaccines Trial  gp 120 vaccines are not useful in preventing HIV infection  > 24 AIDS vaccines have been tested in small-scale human trials