1. State of the Art The Status and Trends of HIV/AIDS Epidemics
Karen Stanecki,
US Census Bureau and
Chair of Monitoring the AIDS Pandemic Network

2. Topics for discussion HIV epidemics are emerging across the region
No society is immune
Epidemics are inter-related and not self-contained

3. Recent trends in HIV infection, 1996–2001
+ 100% %
+ 60%
+ 160%
+ 30%
+ 40%
+ 20%
Recent trends in HIV infection, 1996–2001
The global view of HIV, end 2001
15 – 39%
5 – 15%
1 – 5%
0.5 – 1.0%
0.1 – 0.5%
0.0 – 0.1%
not available
HIV prevalence in adults, end 2001
Source: UNAIDS/WHO July 2002
outside region

4. Rising rates among injectors in Vietnam

5. HIV infections in Japanese men by transmission mode

6. HIV prevalence in sex workers and STI clinic patients in Vietnam

7. Prevalence among sex workers in Chinese provinces

8. Rising rates among sex workers in Indonesia

9. Indonesia HIV infection rates
= 0 %
= 1 -
5 %
= < 1%
= > 5 % SW
1.5%
IDUs
40%
26.5%
53%
6.4%
8 % 6%
24.5%
SW = sex worker
IDUs = injecting drug users

10. MSM in Cambodia sex with different partner types

11. Potential spread of HIV from high risk groups to the general
Population, Central Bangladesh
Rickshawpullers
(76% married) SM
9 Percent are IDU
69% visit FSW
MSM
34% )
(46% married
Visit
33%
FSW
Visit
IDU
FSW
FSW
(40% married)
(9% married )
2 Percent are IDU
1 Percent are IDU

12. Cumulative reported HIV infections per million population in Eastern European countries: 1993-2001
300
600
900
1,200
1,500
1,800
Estonia*
Russian Federation
Cases per million population
Ukraine
Latvia
Belarus
Moldova, Republic of
Kazakhstan
Lithuania
1993
1994
1995
1996
1997
1998
1999
2000
2001
Projected
* actual 2001 year-end data
Source: National AIDS Programmes (2001) HIV/AIDS surveillance in Europe. Mid-year report. Data compiled by the European Centre for the Epidemiological Monitoring of AIDS