1. Central Asia Regional Health Security Workshop George C. Marshall European Center for Security Studies 17-19 April 2012, Garmisch-Partenkirchen, Germany Dr. Freda Vaughan, CAPT, USN, Ret Country Program Manager DoD HIV/AIDS Prevention Program 18 April 2012 Update on the Global HIV Epidemic 2012

2. Introduction Content of Presentation A.Global patterns of HIV/AIDS infection B.Changes in global patterns C.HIV in Central Asian Region

3. Global Patterns of HIV Total: 34.0 million Western & Central Europe 840 000 Middle East & North Africa 470 000 Sub-Saharan Africa 22.9 million Eastern Europe & Central Asia 1.5 million South & South-East Asia 4.0 million Oceania 54 000 North America 1.3 million Latin America 1.5 million East Asia 790 000 Caribbean 200 000 Adults and children estimated to be living with HIV  2010 Source: UNAIDS Report on the Global AIDS Epidemic | 2010

4. Global Patterns of HIV People living with HIV34.0 million New HIV infections in 2010 2.7 million Deaths due to AIDS in 2010 1.8 million Global Estimates for Adults and Children 2010 Source: UNAIDS Report on the Global AIDS Epidemic | 2010

5. Global Patterns of HIV Source: UNAIDS Report on the Global AIDS Epidemic | 2010 Global need for antiretroviral therapy

6. Changes in Global Patterns of HIV Increasing >25% Stable Decreasing >25% Not included in analysis Source: UNAIDS Report on the Global AIDS Epidemic | 2010

7. Changes in Global HIV Patterns % Adult PrevalenceAdults and Children (15-49 years)Newly Infected w/HIV North America 20090.570,000 20010.466,000 South and South-East Asia 20090.3270,000 20010.4380,000 Oceania 20090.34,500 20010.24,700 Middle East and North Africa 20090.275,000 20010.136,000

8. Changes in Global Patterns of HIV % Adult Prevalence Adults and children (15-49 years) newly infected w/HIV Sub-Saharan Africa 20095.01.8 Million 20015.91.4 Million Caribbean 20091.012000 20011.119000 Eastern Europe and Central Asia 20090.876000 20010.418000 Central and South America 20090.558000 20010.553000 Source: UNAIDS Report on the Global AIDS Epidemic | 2010

9. Changes in Global Patterns of HIV % Adult Prevalence Adults and children (15-49 years) newly infected w/HIV Western and Central Europe 20090.231,000 20010.231,000 East Asia 20090.182,000 2001 <0.164,000 Source: UNAIDS Report on the Global AIDS Epidemic | 2010

10. HIV in Central Asian Regi on PLHIV has tripled since 2000 IDU is main driver 90% of new cases come from Ukraine and Russia Four-fold increase in deaths ART coverage is 23%, most affected people – IDUs are not accessing treatment

11. Questions Questions?

12. Dr. Freda Vaughan, CAPT, USN, Ret Country Program Manager, DHAPP Freda.Vaughan@med.navy.mil 619.553.8396