1. HIV and AIDS from UNAIDS / WHO UNAIDS Report on the Global AIDS Epidemic - 2010

2. AIDS PANDEMIC " We all have AIDS.... The earth has AIDS“ AIDS PANDEMIC " We all have AIDS.... The earth has AIDS“ Donald Berwick, CEO, Institute for Healthcare Improvement The epidemic began in the late 1970’s, peaking in 1997, now fewer people are becoming infected with HIV and fewer are dying from AIDS. New Infections: 2.6 million in 2009 33.3 million were living with HIV in 2009 (68% in sub-Saharan Africa) Young people aged 15-24 account for an estimated 45% of all new HIV infections worldwide. 75% are heterosexual transmissions 1.8 Million Deaths in 2009 Worldwide: Leading cause of death for adults 15-59 Women and girls account for more than half of all people living with HIV worldwide. An estimated 2.5 million children (under age 15) worldwide were living with HIV in 2009. UNAIDS Report on the Global AIDS Epidemic - 2010

3. Global Summary of the HIV/AIDS Epidemic among Adults and Children UNAIDS Report on the Global AIDS Epidemic - 2010

4. Estimated Number of New HIV Infections in 2009 Total: 2.6 (2.3 – 2.8) million Western & Central Europe 31 000 [23 000 – 40 000] Middle East & North Africa 75 000 [61 000 – 92 000] Sub-Saharan Africa 1.8 million [1.6 – 2.0 million] Eastern Europe & Central Asia 130 000 [110 000 – 160 000] South & South-East Asia 270 000 [240 000 – 320 000] Oceania 4 500 3 400 – 6 000] North America 70 000 [44 000 – 130 000] Latin America 92 000 [70 000 – 120 000] East Asia 82 000 [48 000 – 140 000] Caribbean 17 000 [13 000 – 21 000] UNAIDS Report on the Global AIDS Epidemic - 2010 Comment: This is nearly one fifth (19%) fewer than the 3.1 million people newly infected in 1999 and more than one fifth (21%) fewer than the estimated 3.2 million in 1997, the year in which annual new infections peaked.

5. Estimated Number Living with HIV at the end of 2009 Total: 33.3 (31.4 – 35.3) million Western & Central Europe 820 000 [720 000 – 910 000] Middle East & North Africa 460 000 [400 000 – 530 000] Sub-Saharan Africa 22.5 million [20.9 – 24.2 million] Eastern Europe & Central Asia 1.4 million [13 – 1.6 million] South & South-East Asia 4.1 million [3.7 – 4.6 million] Oceania 57 000 [50 000 –64 000] North America 1.5 million [1.2 – 2.0 million] Latin America1.4million [1.2 – 1.6 million] East Asia 770 000 [560 000 – 1.0 million] Caribbean 240 000 [220 000 – 260 000] UNAIDS Report on the Global AIDS Epidemic - 2010

6. Estimated Number of AIDS-Related Deaths in 2009 Total: 1.8 (1.6 – 2.1) million Western & Central Europe 8 500 [6 800 – 19 000] Middle East & North Africa 24 000 [20 000 – 27 000] Sub-Saharan Africa 1.3 million [1.1 – 1.5 million] Eastern Europe & Central Asia 76 000 [60 000 – 95 000] South & South-East Asia 260 000 [230 000 – 300 000] Oceania 1 400 [<1 000 – 2 400] North America 26 000 [22 000 – 44 000] Latin America 58 000 [43 000 – 70 000] East Asia 36 000 [25 000 – 50 000] Caribbean 12 000 [8 500 – 15 000] UNAIDS Report on the Global AIDS Epidemic - 2010 Comment: This is an estimated 14% decline from the 2.1 million AIDS-related deaths in 2004. The decline reflects the increased availability of antiretroviral therapy, as well as care and support to people living with HIV, particularly in middle- and low-income countries.

7. Virtual Elimination of Mother-to-Child Transmission of HIV is Possible In 2009, an estimated 370,000 children contracted HIV during the perinatal and breastfeeding period, down from 500,000 in 2001. The estimated number of children (ages <15) living with HIV increased to 2.5 million in 2009. UNAIDS Report on the Global AIDS Epidemic - 2010

8. THE ROAD AHEAD: FROM CRISIS MANAGEMENT TO STRATEGIC RESPONSE Over the last quarter century nearly 65 million people were infected with HIV and an estimated 25 million have died of AIDS-related illnesses. Today it is estimated that close to 40 million live with HIV—yet the vast majority are unaware of their status. UNAIDS Report on the Global AIDS Epidemic - 2010

9. More than 5 Million People are NOW Receiving HIV Treatment Worldwide In 2009 alone, 1.2 million people received HIV antiretroviral therapy for the first time. More than 5 million are receiving treatment, however this represents only 35% of those who need HIV therapy. Expanding access to treatment has contributed to the decline in deaths among persons with HIV. Efforts to simplify treatment will improve the quality of life for people living with HIV and their families and advert an additional 10 millions deaths by 2025. UNAIDS Report on the Global AIDS Epidemic - 2010

10. HIV Prevention Works: New HIV Infections are Declining in Many Countries Most Affected by the Epidemic In 33 countries, HIV incidence has fallen by more than 25% between 2001 and 2009. Of these countries 22 are sub-Saharan Africa. The biggest epidemics in sub-Saharan Africa – Ethiopia, Nigeria, South Africa, Zambia and Zimbabwe – have either stabilized or are showing signs of decline. UNAIDS Report on the Global AIDS Epidemic - 2010

11. Alternatively, Stigma, Discrimination, Lack of Access to Services and Bad Laws Can Make an Epidemic Worse In seven countries, five of them in Eastern Europe and Central Asia, HIV incidence increased by more than 25% between 2001 and 2009. UNAIDS Report on the Global AIDS Epidemic - 2010

12. Almost 17 million children (ages 0-17) have lost their parents due to HIV. Almost 90% of these children live in sub-Saharan Africa. UNAIDS Report on the Global AIDS Epidemic - 2010

13. Sub-Saharan Africa has two-thirds of the Living HIV Cases World-wide  The total number of people living with HIV/AIDS in Sub-Saharan Africa is 22.5 million, 68% of the global total.  More women than men are living with HIV.  An estimated 2.3 million children (ages <15) are living with HIV, 92% of the global total.  An estimated 1.8 million new infections occurred in 2009.  An estimated 1.3 million AIDS-related deaths occurred in 2009, 72% of the global total. UNAIDS Report on the Global AIDS Epidemic - 2010

14. For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444 Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Julia Fitz, MPH Ext. 2373 Visit Florida’s internet site for: Monthly Surveillance Reports Slide Sets and Fact Sheets Annual Reports and Epi Profiles http://www.doh.state.fl.us/disease_ctrl/aids/trends/trends.html Visit CDC’s HIV/AIDS Internet site for: Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm