1. Global Summary of the HIV and AIDS Epidemic December 2004
Number of people living with HIV in Total: million (35.9 – 44.3 million) Adults 37.2 million (33.8 – 41.7 million) Women 17.6 million (16.3 – 19.5 million) Children under 15 years 2.2 million (2.0 – 2.6 million)
People newly infected with HIV in Total: million (4.3 – 6.4 million) Adults 4.3 million (3.7 – 5.7 million) Children under 15 years ( – )
AIDS deaths in Total: million (2.8 – 3.5 million) Adults 2.6 million (2.3 – 2.9 million) Children under 15 years ( – )
Suggested main points for this slide:
The total number of people living with the human immunodeficiency virus (HIV) rose in 2004 to reach its highest level ever: an estimated 39.4 million.
Early in the epidemic, men vastly outnumbered women among people infected with HIV. Now the AIDS epidemic is increasingly affecting women and girls. Globally, just under half of all people living with HIV are female.
Note:
Adults are defined as being 15 to 49 years of age.
The ranges following each prevalence estimate define the boundaries within which the actual numbers lie, based on the best available information.
The included presentation notes have been added by the Population Reference Bureau.
The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

2. Regional HIV and AIDS statistics and features, end of 2004
Adult &
child deaths due to AIDS
Adult prevalence [%] *
Adults & children newly infected with HIV
Adults & children living with HIV
TOTAL
Oceania
North America
Western & Central Europe
E. Europe & Central Asia
Caribbean
Latin America
East Asia
South and South-East Asia
North Africa & Middle East
Sub-Saharan Africa
25.4 million
[23.4 – 28.4 million]
3.1 million
[2.7 – 3.8 million]
7.4 [6.9 – 8.3]
2.3 million
[2.1 – 2.6 million]
[ – 1.5 million]
92 000
[ – ]
0.3 [0.1 – 0.7]
28 000
[ – ]
7.1 million
[4.4 – 10.6 million]
[ – 2.0 million]
0.6 [0.4 – 0.9]
[ – ]
1.1 million
[ – 1.8 million]
[ – ]
0.1 [0.1 – 0.2]
51 000
[ – ]
1.7 million
[1.3 – 2.2 million]
[ – ]
0.6 [0.5 – 0.8]
95 000
[ – ]
[ – ]
53 000
[ – ]
2.3 [1.5 – 4.1]
36 000
[ – ]
1.4 million
[ – 2.1 million]
[ – ]
0.8 [0.5 – 1.2]
60 000
[ – ]
[ – ]
21 000
[ – ]
0.3 [0.2 – 0.3]
6 500
[ <8 500]
Sub-Saharan Africa has just over 10% of the world’s population, but is home to more than 60% of all people living with HIV—some 25.4 million. Adult HIV prevalence has been roughly stable in recent years. But stabilization does not necessarily mean the epidemic is slowing. On the contrary, it can disguise the worst phases of an epidemic—when roughly equal numbers of people are being newly infected with HIV and are dying of AIDS.
National HIV infection levels in Asia are low compared with some other continents, notably Africa. But the populations of many Asian nations are so large that even low national HIV prevalence means large numbers of people are living with HIV. Latest estimates show some 8.2 million people in Asia (2.3 million adult women) were living with HIV at the end of 2004.
1.0 million
[ – 1.6 million]
44 000
[ – ]
0.6 [0.3 – 1.0]
16 000
[8 400 – ]
35 000
[ – ]
5 000
[2 100 – ]
0.2 [ ]
700
<1 700]
39.4 million [35.9 – 44.3 million]
4.9 million [4.3 – 6.4 million]
1.1 %
[ %]
3.1 million [2.8 – 3.5 million]
* The proportion of adults [15 to 49 years of age] living with HIV in 2004, using 2004 population numbers
The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

3. Global Estimates for Adults and Children end 2004
People living with HIV
New HIV infections in 2004
Deaths due to AIDS in 2004
39.4 million [35.9 – 44.3 million]
4.9 million [4.3 – 6.4 million]
3.1 million [2.8 – 3.5 million]
Globally, an estimated 39.4 million people are living with HIV. This figure includes the 4.9 million people who acquired HIV in The global AIDS epidemic killed 3.1 million people in the past year.

4. Adults and Children Estimated to be Living with HIV as of end 2004
Western & Central Europe
[ – ]
Eastern Europe & Central Asia
1.4 million
[ – 2.1 million]
North America
1.0 million
[ – 1.6 million]
East Asia
1.1 million
[ – 1.8 million]
North Africa & Middle East
[ – 1.5 million]
Caribbean
[ – ]
South & South-East Asia
7.1 million
[4.4 – 10.6 million]
Sub-Saharan Africa
25.4 million
[23.4 – 28.4 million]
Latin America
1.7 million
[1.3 – 2.2 million]
Oceania
35 000
[ – ]
Sub-Saharan Africa remains by far the worst-affected region, with 25.4 million people living with HIV at the end of 2004, compared to 24.4 million in Just under two thirds (64%) of all people living with HIV are in sub-Saharan Africa, as are more than three quarters (76%) of all women living with HIV.
HIV prevalence in the Caribbean is the second-highest in the world, exceeding 2% in five countries. As of the end of 2004, an estimated 3.1% of women and 1.7% of men in the ages of were living with HIV. Haiti has the highest HIV prevalence in the Caribbean and Cuba, as an exception for the region, has very low HIV prevalence. Expanding access to antiretroviral treatment is helping a handful of Caribbean island countries make small yet significant progress in fighting the epidemic.
Total: 39.4 (35.9 – 44.3) million

5. Western & Central Europe
Estimated Number of Adults and Children Newly Infected with HIV during 2004
Western & Central Europe
21 000
[ – ]
Eastern Europe & Central Asia
[ – ]
North America
44 000
[ – ]
East Asia
[ – ]
North Africa & Middle East
92 000
[ – ]
Caribbean
53 000
[ – ]
South & South-East Asia
[ – 2.0 million]
Latin America
[ – ]
Sub-Saharan Africa
3.1 million
[2.7 – 3.8 million]
Oceania
5 000
[2 100 – ]
The number of people living with HIV has been rising in every region, compared with two years ago, with the steepest increases occurring in East Asia, and in Eastern Europe and Central Asia.
The number of people living with HIV in East Asia rose by almost 50% between 2002 and In Eastern Europe and Central Asia, there were 40% more people living with HIV in 2004 than in 2002.
Total: 4.9 (4.3 – 6.4) million

6. Estimated Adult and Child Deaths from AIDS during 2004
Western & Central Europe
6 500
[<8 500]
Eastern Europe
& Central Asia
60 000
[ – ]
North America
16 000
[8 400 – ]
East Asia
51 000
[ – ]
North Africa & Middle East
28 000
[ – ]
Caribbean
36 000
[ – ]
South & South-East Asia
[ – ]
Sub-Saharan Africa
2.3 million
[2.1 – 2.6 million]
Latin America
95 000
[ – ]
Oceania
700
[<1 700]
Southern Africa is firmly in the grip of the AIDS epidemic, as more people suffer from HIV-related illnesses and die. Life expectancy at birth has dropped below 40 years in nine African countries. AIDS has killed one or both parents of an estimated 12 million children in sub-Saharan Africa.
In the Caribbean, AIDS has become the leading cause of death among adults aged 15–44 years.
However, with the introduction of antiretrovirals, survival time can be increased. On the treatment front, Brazil remains a beacon among developing countries. It continues to offer all people living with HIV access to antiretroviral drugs via its national health system. As a result, the survival time of AIDS patients has increased dramatically.
Total: 3.1 (2.8 – 3.5) million

7. About 14 000 New HIV Infections per Day in 2004
More than 95% are in low and middle income countries
Almost 2000 are in children under 15 years of age
About are in persons aged 15 to 49 years, of whom:
almost 50% are women
about 50% are 15–24 year olds
Given the number of new infections, the need for continued prevention efforts is clear. Virtually every region, including sub-Saharan Africa, has several countries where the epidemic is still at a low level or at an early enough stage to be held in check by effective action.
As women are increasingly affected, strategies are needed to address the structural dynamics of the AIDS epidemic—particularly the wide-ranging gender inequalities that help power the spread of HIV. It is important that women are more closely involved in designing and guiding programs that are meant to serve them.

8. Children (<15 years) Estimated to be Living with HIV as of end 2004
Eastern Europe
& Central Asia
8 800
[7 100 – ]
Western & Central Europe
6 200
[4 900 – 7 900]
North America
11 000
[5 600 – ]
East Asia
9 400
[3 300 – ]
North Africa & Middle East
24 000
[7 100 – ]
Caribbean
23 000
[ – ]
South & South-East Asia
[ – ]
Latin America
26 000
[ – ]
Sub-Saharan Africa
1.9 million
[1.7 – 2.3 million]
Oceania
700
[< 2 500]
The overwhelming majority of children with HIV contract the infection from their mothers, during pregnancy, delivery, or through breastfeeding. In sub-Saharan Africa, about 1.9 million children (younger than 15 years) were living with HIV at the end of 2004—almost 8% of the total number of people living with HIV in the region.
Total: 2.2 (2.0 – 2.6) million

9. Western & Central Europe
Estimated Number of Children (<15 years) Newly Infected with HIV during 2004
Western & Central Europe
< 100
[< 200]
Eastern Europe
& Central Asia
1 800
[1 200 – 3 700]
North America
< 100
[< 200]
East Asia
4 100
[1 500 – ]
Caribbean
6 100
[3 100 – ]
North Africa & Middle East
9 100
[2 800 – ]
South & South-East Asia
51 000
[ – ]
Sub-Saharan Africa
[ – ]
Latin America
6 800
[5 400 – ]
Oceania
< 300
[< 1 000]
Of the 2.2 million children (under the age of 15) worldwide living with HIV, 640,000 are estimated to be newly infected during 2004.
Total: ( – )

10. Estimated Deaths in Children (<15 years) from AIDS during 2004
Western & Central Europe
< 100
[< 200]
Eastern Europe
& Central Asia
1 100
[800 – 2 200]
North America
< 100
[< 200]
East Asia
2 400
[900 – 6 900]
Caribbean
5 300
[2 700 – ]
North Africa & Middle East
5 600
[1 700 – ]
South & South-East Asia
37 000
[ – ]
Sub-Saharan Africa
[ – ]
Latin America
6 000
[4 800 –9 800]
Oceania
< 200
[< 600]
It is estimated that 510,000 children died from AIDS during 2004.
Total: ( – )

11. End-2004 Global HIV and AIDS Estimates Children (<15 years)
Children living with HIV
New HIV infections in 2004
Deaths due to AIDS in 2004
2.2 million [2.0 – 2.6 million]
[ – ]
[ – ]
It is estimated that:
2.2 million children (under the age of 15) worldwide are living with HIV
640,000 were newly infected during 2004
510,000 children died from AIDS during 2004