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1. HIV/AIDS surveillance. Describes the HIV epidemic and its characteristics, and identifies population groups at risk and in need for targeted prevention measures.Monitors trends in HIV/AIDS over time in order to assess the situation and compare trends across Europe.Improves and harmonises Europe
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1. 2009 HIV/AIDS surveillance in Europe
2. 1 HIV/AIDS surveillance Describes the HIV epidemic and its characteristics, and identifies population groups at risk and in need for targeted prevention measures.
Monitors trends in HIV/AIDS over time in order to assess the situation and compare trends across Europe.
Improves and harmonises European HIV/AIDS surveillance methods and catalyses national efforts to improve HIV/AIDS surveillance.
Supplies relevant data for evidence-based public health policies.
3. 2 HIV/AIDS surveillance in Europe Framework for data collection
4. HIV infections diagnosed in 2009 per 100 000 population: all cases 3
5. HIV infections diagnosed in 2009 per 100 000 male population: men who have sex with men 4
6. HIV infections diagnosed in 2009 per 100 000 population: injecting drug users 5
7. HIV infections diagnosed in 2009 per 100 000 population: heterosexual cases 6
8. 7 HIV infections diagnosed in 2009, WHO European Region and EU/EEA
9. 8 European Union, Iceland and Norway
10. HIV infections diagnosed 1984 –2009, EU/EEA 9
11. HIV infection by transmission group and origin in EU/EEA countries, 2004–09 10
12. 11 Heterosexually acquired HIV infections in EU/EEA, in persons originating from countries with generalised epidemics, 2009
13. Conclusions HIV infection is of major public health importance in Europe, with evidence of continuing transmission and no clear signs of decrease.
Large heterogeneity exists in HIV epidemics in the EU/EEA:
Predominant mode of transmission is sex between men.
Considerable proportion among heterosexually acquired cases comes from countries with a generalised epidemic.
Continued HIV transmission among IDUs in eastern EU countries. 12
14. 13 WHO European Region
15. HIV infections diagnosed 1982–2009, WHO European Region 14
16. Geographical areas: WHO European Region 15
17. 16 HIV infections diagnosed in 2009 WHO European Region
18. 17 HIV infection in the three geographical areas and EU/EEA, WHO European Region, 2004–09
19. 18 HIV infections, 2004–09: transmission groups in WHO European Region, East
20. HIV infections, 2004–09: transmission groups in WHO European Region, Centre 19
21. HIV infections, 2004–09: transmission groups in WHO European Region, West 20
22. AIDS diagnoses, 2004–09 WHO European Region 21
23. Limitations of data Coverage:
Data from a number of countries is not reported to TESSy;
Data from several countries are at sub-national level.
Reporting and testing:
Reporting systems may differ across countries;
Testing patterns may have changed over time.
Data quality
Completeness is insufficient for several variables;
Reporting delays influence interpretation of recent trends.
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24. Conclusions (1) HIV infection is a disease of major public health importance in Europe, with evidence of increasing HIV transmission in several European countries.
Overall, the number of diagnosed cases of HIV infection has shown no clear sign of decrease, while AIDS diagnoses continue to decline in the WHO European Region, except in the East. 23
25. Conclusions (2) Heterosexual transmission:
increasing in many countries in the East;
in the West, a considerable proportion are individuals originating from countries with generalised epidemic.
Transmission among injecting drug users:
continuing transmission in many countries in the East;
low-level epidemic in the West.
Transmission among men who have sex with men:
increasing and predominant epidemic in many countries in the West;
increasing transmission in Central Europe. 24
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