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May 10, 2008
Saturday
18:21:54
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Sponsored by:
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Innovative BiomedicaLAB
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Global overview
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Sub-Saharan Africa
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Middle East and North Africa
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Eastern Europe, Russia and Central Asia
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Asia and the Pacific
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Latin America and the Caribbean
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More Developed Countries (MDCs)
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A:
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Global overview
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Introduction
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Stronger commitment
-
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Beyond complacency
- (a)
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Prompt, focused prevention
(b)
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Reclaiming the future
- (a)
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Devastating cycles
(b)
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Development and stability threatened
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Coping with crisis
A1:
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Introduction
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Twenty years after the first clinical evidence of
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acquired immunodeficiency syndrome (AIDS)
was reported,
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AIDS
has become the most devastating disease humankind has ever faced. Since the epidemic began, more than 60 million people have been infected with the
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virus
.
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AIDS
is now the leading cause of death in sub-Saharan Africa. Worldwide, it is the fourth-biggest killer.
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In 2003, an estimated 4.8 million people (range: 4.2–6.3 million) became newly infected with
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HIV
. This is more than in any one year before. Today, some 37.8 million people (range: 34.6–42.3 million) are living with
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HIV
, which killed 2.9 million (range: 2.6–3.3 million) in 2003, and over 20 million since the first cases of AIDS were identified in 1981.
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AIDS Epidemic 2003
Total PLWA -- 38 M
New HIV Infections -- 4.8 M
Deaths -- 2.9 M
by Region
Sub-Saharan Africa -- 25 M
Middle East & N. Africa -- 0.48 M
Asia-- 7.4 M
Latin America -- 1.6 M
Caribbean -- 0.43 M
Eastern Europe & CAS -- 1.3 M
High-income countries -- 1.6 M
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Asia and the Pacific
An estimated 7.4 million people (range: 5.0–10.5 million) in
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Asia and the Pacific
are living with
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HIV
. Around half a million (range: 330 000–740 000) are believed to have died of
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AIDS
in 2003, and about twice as many—1.1 million—(range: 610 000–2.2 million) are thought to have become newly infected with
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HIV
. Among young people 15–24 years of age, 0.3% of women (range: 0.2–0.3%) and 0.4% of men (range: 0.3–0.5%) were living with
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HIV
by the end of 2003. Epidemics in this region remain largely concentrated among injecting drug users, men who have sex with men, sex workers, clients of sex workers and their sexual partners.
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Asia and the Pacific
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for more in-depth analysis of the
AIDS epidemic in the region.
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Sub-Saharan Africa
Sub-Saharan Africa has just over 10% of the world’s population, but is home to close to two-thirds of all people living with
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HIV
—some 25 million (range: 23.1–27.9 million). In 2003 alone, an estimated 3 million people (range: 2.6–3.7 million) in the region became newly infected, while 2.2 million (range: 2.0–2.5 million) died of
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AIDS
. Among young people 15–24 years of age, 6.9% of women (range: 6.3–8.3%) and 2.1% of men (range: 1.9–2.5%) were living with
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HIV
by the end of 2003.
Visit
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Sub-Saharan Africa
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for more in-depth analysis of the
AIDS epidemic in the region.
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Middle East and North Africa
With the exception of a few countries, systematic surveillance of the epidemic is not well developed in North Africa and the Middle East. Furthermore, there is inadequate monitoring of the situation among populations at higher risk of
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HIV
exposure, such as sex workers, injecting drug users and men who have sex with men. This means that potential epidemics in these populations are being overlooked.
In many countries, available information is based only on case reporting, and suggests that around 480 000 people (range: 200 000–1.4 million) are living with
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HIV
in the region, which has a prevalence of 0.2% of the adult population (range: 0.1–0.6%). Some 75 000 people (range: 21 000–310 000) are believed to have become newly infected in 2003, and
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AIDS
killed about 24 000 (range: 9900–62 000) that year. Among young people aged 15–24, 0.2% of women (range: 0.2–0.5%) and 0.1% of men (range: 0.1–0.2%) were living with
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HIV
by the end of 2003.
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Middle East and North Africa
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for more in-depth analysis of the
AIDS epidemic in the region.
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Eastern Europe, Russia and Central Asia
Diverse
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HIV
epidemics are under way in Eastern Europe and Central Asia. About 1.3 million people (range: 860 000–1.9 million) were living with
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HIV
at the end of 2003, compared with about 160 000 in 1995. During 2003, an estimated 360 000 people (range: 160 000–900 000) in the region became newly infected, while 49 000 (range: 32 000–71 000) died of
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AIDS
. Among young people aged 15–24, 0.6% of women (range: 0.4–0.8%) and 1.3% of men (range: 0.9–1.8%) were living with
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HIV
by the end of 2003.
Visit
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Eastern Europe, Russia and Central Asia
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for more in-depth analysis of the
AIDS epidemic in the region.
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Latin America and the Caribbean
Around 1.6 million people (range: 1.2–2.1 million) are living with
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HIV
in Latin America. In 2003, around 84 000 people (range: 65 000–110 000) died of
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AIDS
, and 200 000 (range: 140 000–340 000) were newly infected. Among young people 15–24 years of age, 0.5% of women (range: 0.4–0.6%) and 0.8% of men (range: 0.6–0.9%) were living with
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HIV
by the end of 2003. In Latin America,
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HIV
infection tends to be highly concentrated among populations at particular risk, rather than being generalized. In most South American countries, almost all infections are caused by contaminated drug-injecting equipment or sex between men. Low national prevalence is disguising some very serious epidemics. For example, in Brazil—the most populous country in the region, and home to more than one in four of all those living with
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HIV
—national prevalence is well below 1%. But infection levels above 60% have been reported among injecting drug users in some cities. Moreover, the picture varies considerably from one part of the country to another. In Puerto Rico, more than half of all infections in 2002 were associated with injecting drug use, and about one-quarter were heterosexually transmitted.
Visit
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Latin America and the Caribbean
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for more in-depth analysis of the
AIDS epidemic in the region.
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More Developed Countries (MDCs)
An estimated 1.6 million people (range: 1.1–2.2 million) are living with
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HIV
in high-income countries. Around 64 000 (range: 34 000–140 000) became newly infected in 2003, and 22 000 (range: 15 000–31 000) died of
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AIDS
. Among young people 15–24 years of age, 0.1% of women (range: 0.1–0.2%) and 0.2% of men (range: 0.2–0.3%) were living with
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HIV
by the end of 2003.
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More Developed Countries (MDCs)
for more in-depth analysis of the AIDS epidemic in high-income countries, in Western Europe, the United States, and Canada.
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A:
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Global overview
-
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Introduction
-
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Stronger commitment
-
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Beyond complacency
- (a)
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Prompt, focused prevention
(b)
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Reclaiming the future
- (a)
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Devastating cycles
(b)
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Development and stability threatened
-
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Coping with crisis
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The excerpted text and figures integrated herein were mainly from the:
unless indicated, otherwise.
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