Epidemiology of HIV/AIDS in Moldova, Russia and Ukraine

1. Epidemiology of HIV/AIDS in Moldova, Russia and Ukraine Dr Irina Eramova World Health Organization Regional Office for Europe Copenhagen

2. Adults and children estimated to be living with HIV/AIDS as of end 2003 Eastern Europe & Central Asia 1.2 – 1.8 m Western Europe 520 000 – 680 000 North America 790 000 – 1.2 million East Asia & Pacific 700 000 – 1.3 m North Africa & Middle East 470 000 – 730 000 South & South-East Asia 4.6 – 8.2 m Caribbean 350 000 – 590 000 Sub-Saharan Africa 25.0 – 28.2 m Latin America 1.3 – 1.9 m Australia & New Zealand 12 000 – 18 000 Total: 34 – 46 million

3. Definition of Geographic Areas East West Centre Source: EuroHIV

4. HIV infections, newly diagnosed in Europe, 1997-2003* Eastern Europe Western Europe Central Europe Source: EuroHIV

5. East Population: 292 million Source: EuroHIV

6. Newly reported HIV cases in adults by transmission, 1993-2003*,Eastern Europe IDUs Unknown HS transmission MSM Source: EuroHIV

7. HIV infections newly diagnosed in males by transmission groups, 1997-2002, Eastern Europe Injecting drug users Unknown Infected heterosexually MSM Source: EuroHIV

8. HIV infections newly diagnosed in females by transmission groups, 1997-2002, Eastern Europe IDUs Unknown MTCT Infected heterosexually Source: EuroHIV

9. HIV infections newly diagnosed in Moldova, Russia and Ukraine 1997-2003* RUS UKR MDA Source: EuroHIV

10. HIV infection rate per million in Moldova, Russia and Ukraine 1997-2003* RUS UKR MDA Source: EuroHIV

11. HIV infections newly diagnosed in IDUs in Moldova, Russia and Ukraine 1997-2003* RUS UKR MDA Source: EuroHIV

12. HIV infections newly diagnosed by transmission groups, 1997-2003*, Moldova Injecting drug users Infected HS MSM MTCT Source: EuroHIV

13. HIV infections newly diagnosed by transmission groups, 1997-2003*, Russia Injecting drug users Infected HS MTCT MSM Source: EuroHIV

14. HIV infections newly diagnosed by transmission groups, 1996-2003*, Ukraine Injecting drug users Infected HS MTCT MSM Source: EuroHIV

15. Male/female ratio in newly diagnosed HIV cases 1996-2003*, Ukraine Source: MOH Ukraine

16. HIV prevalence rates in IDU, SW, IDU SW, non IDU SW 2002, Ukraine Source: MOH Ukraine

17. AIDS incidence (per million population) WHO EuropeanRegion, 1986-2002 Cases per million 60 40 West 20 East Centre Update at 31 December2002 0 1986 1988 1990 1992 1994 1996 1998 2000 2002 Year of diagnosis

18. Newly Reported HIV/AIDS Cases - Western Europe Introduction of Antiretroviral Treatment

19. AIDS cases in Moldova, Russia and Ukraine 1997-2003* UKR RUS MDA Source: EuroHIV

20. Need and Access to ARV March 2003 • PLWHA Need ARV Receive ARV West 600,000 300,000 270,000 (90%) Centre 64,000 11,000 6,400 (58%) East 1,200,000 70,000 900 (1,3%) Total: 1,864,000 381,000 277,300

21. Access to HAART RUS EST LAT LIT BEL UKR KAZ MOL ROM GEO UZB KYZ BUL AZE ALB ARM TKM TJK TUR BIH, FYM, YUG no access to HAARTindividuals on HAART poor access ( <10%)partial access (10-70%) good access (over 70%)

22. ART for IDUs • In many countries in Eastern Europe and Central Asia the majority who need ART are IDUs • IDUs are often excluded from ART • Stigma • Adherence

23. Persons receiving ARV (%) by Transmission (Ukraine)