1. Global epidemiology of injecting drug use
The Reference Group to the United Nations
on HIV and injecting drug use
Dr Bradley Mathers
National Drug and Alcohol Research Centre
University of New South Wales, Australia

2. Reports of injecting drug use in 148 countries
Reference Group to the United Nations on HIV and injecting drug use, 2008
Injecting drug use
Reports of injecting drug use in 148 countries

3. Reference Group to the United Nations on HIV and injecting drug use, 2008
Prevalence of IDU (%) <0.25 (18 countries)

4. Reference Group to the United Nations on HIV and injecting drug use, 2008
Prevalence of IDU (%) <0.25 (18 countries)
<0.50 (22 countries)

5. Reference Group to the United Nations on HIV and injecting drug use, 2008
Prevalence of IDU (%) <0.25 (18 countries)
<0.50 (22 countries)
<1.00 (11 countries)

6. Reference Group to the United Nations on HIV and injecting drug use, 2008
Prevalence of IDU (%) <0.25 (18 countries)
<0.50 (22 countries)
<1.00 (11 countries)
> (10 countries)

7. Reference Group to the United Nations on HIV and injecting drug use, 2008
Prevalence of IDU (%) <0.25 (18 countries)
<0.50 (22 countries)
<1.00 (11 countries)
> (10 countries)
Reports of IDU but no estimate in 87 countries

8. Injecting drug use - Variation within countries
Reference Group to the United Nations on HIV and injecting drug use, 2008
Injecting drug use - Variation within countries
India
Prevalence of IDU (%) <0.25
<0.50
<1.00
>1.00
Source: Resource Centre for Sexual Health and AIDS (RCSHA), 2006

9. Estimates of the number of people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimates of the number of people who inject drugs
Millions
Global estimate:
15.9
million

10. Estimates of the number of people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimates of the number of people who inject drugs
Millions
Global estimate:
15.9
million
11.0
21.2

11. Global estimate of the number of people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
15.9
million
11.0
million
21.2

12. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
Reports of IDU (148 countries)
IDU not reported

13. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
Reports of HIV among IDUs (127 countries)
Reports of IDU but no reports of HIV among IDU identified (21 countries)
IDU not reported

14. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
0.0 – <7.5%
7.5 – <15%
Reports of IDU but no HIV prevalence estimate
15 – <30%
Reports of IDU but not of HIV among IDU
30% or greater
IDU not reported

15. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
South, East & South East Asia a
0.0 – <7.5%
7.5 – <15%
15 – <30%
30% or greater
Reports of IDU but no HIV prevalence estimate
Reports of IDU but not of HIV among IDU
IDU not reported

16. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
Central Asia, Eastern & Western Europe
0.0 – <7.5%
7.5 – <15%
15 – <30%
30% or greater
Reports of IDU but no HIV prevalence estimate
Reports of IDU but not of HIV among IDU
IDU not reported

17. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
Africa & the Middle East
0.0 – <7.5%
7.5 – <15%
15 – <30%
30% or greater
Reports of IDU but no HIV prevalence estimate
Reports of IDU but not of HIV among IDU
IDU not reported

18. HIV among people who inject drugs
Reference Group to the United Nations on HIV and injecting drug use, 2008
HIV among people who inject drugs
Oceania, the Americas & the Caribbean
0.0 – <7.5%
7.5 – <15%
15 – <30%
30% or greater
Reports of IDU but no HIV prevalence estimate
Reports of IDU but not of HIV among IDU
IDU not reported

19. Estimates of the number of people
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimates of the number of people
who inject drugs and are living with HIV
Global estimate:
3.0
million

20. Estimates of the number of people
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimates of the number of people
who inject drugs and are living with HIV
Global estimate:
3.0
million
0.7
6.6

21. 3.0 million HIV+ /15.9 million IDUs
Reference Group to the United Nations on HIV and injecting drug use, 2008
3.0 million HIV+ /15.9 million IDUs
HIV is prevalent among people who inject drugs
3 million IDUs living with HIV requiring access to HIV treatment and care services
12.8 million IDUs potentially at risk of HIV infection
 The scale of HIV prevention and care services required for IDUs is substantial

22. IDU among people living with HIV
Reference Group to the United Nations on HIV and injecting drug use, 2008
IDU among people living with HIV

23. Estimated number of PLWHA
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimated number of PLWHA
Source: UNAIDS (2008) Report on the Global AIDS epidemic

24. Estimated number of PLWHA
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimated number of PLWHA
who are IDUs

25. Estimated proportion of PLWHA who are IDUs
Reference Group to the United Nations on HIV and injecting drug use, 2008
Estimated proportion of PLWHA
who are IDUs
Globally: 9.1% Outside of SSAfrica: 25.8%

26. Reference Group to the United Nations on HIV and injecting drug use