1. THE IMPACT OF AIDS ON OUR CONTINENT An overview

2. Global estimates for adults and children, end 2002

3. Latin America 1 500 000 East Asia & Pacific 1 200 000 Eastern Europe & Central \Asia 1 200 000 Sub Saharan Africa 29 400 000 Australia & New Zealand 15 000 Caribbean 440 000 North America 980 000 North Africa & Middle East 550 000 Western Europe 570 000 South & South-East Asia 6 000 000 Adults and children estimated to be living with HIV/AIDS, end 2002 Total: 42 million

4. Latin America 150 000 East Asia & Pacific 270 000 Eastern Europe & Central \Asia 250 000 Sub Saharan Africa 3 500 000 Australia & New Zealand 500 Caribbean 60 000 North America 45 000 North Africa & Middle East 83 000 Western Europe 30 000 South & South-East Asia 700 000 Estimated number of adults and children newly infected with HIV during 2002 Total: 5 million

5. Latin America 60 000 East Asia & Pacific 45 000 Eastern Europe & Central \Asia 25 000 Sub Saharan Africa 2 400 000 Australia & New Zealand <100 Caribbean 42 000 North America 15 000 North Africa & Middle East 37 000 Western Europe 8 000 South & South-East Asia 440 000 Estimated adult and child deaths due to HIV/AIDS during 2002 Total: 3.1 million

7. HIV PREVALENCE IN FIVE COUNTRY REGIONS OF AFRICA South Africa BotswanaNamibiaLesothoSwaziland Population (000s) 39,9001,5971,6952,108980 Population Aged 15-49 (000s) 20,9827867951,000468 % of Total Population w/HIV 10.5%18.2%9.4%11.4%13.3% HIV Infected People (000s) 4,200290160240130 Adult Prevalence Rate of HIV 20.0%35.8%19.5%23.6%25.3% Adult Female HIV Population: % of Total 54.8%51.2%53.1%54.2%51.5% Pregnant Women HIV + Prevalence 19.2%43.0%25.9%N/A30.3% AIDS Orphans (Living) 370,95254,94353,02329,46910,705

8. HIV in SOUTH AFRICA OVER TEN YEARS

9. National HIV Seroprevalence Among Antenatal Attendees

10. HIV AMONG ANTENATAL WOMEN AT KING EDWARD VIII HSP OVER TEN YEARS

13. HeteroHetero IDUIDU MSMMSM MTCMTC Modes of transmission

14. Riskfactors:Riskfactors: –High viral load –Chorioamnionitis –Microtransfusions

15. Modes of transmission Risk factorsRisk factors –Maternal fluids –Asc. Infection –Prolonged ROM –Episiotomy –Instr. delivery

16. Modes of transmission Protective:Protective: –Elective C/S –Controlled –Assess risk to mother

17. Modes of transmission Riskfactors:Riskfactors: –Mastitis –Cracked nipple –High viral load –Duration

18. OPPORTUNISMS

24. HIV/AIDS and MORTALITY SA POPULATION STRUCTURE for 2009