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Introduction: What are HIV and AIDS
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HIV/AIDS in Asia

Call OutWhile not as high as rates in Sub-Saharan Africa, HIV infection in Asian countries has increased by more than 100% since 1994, and some predict that Asia will be at the center of this global epidemic in years ahead. Injection drug use and the commercial sex industry have played a particularly significant role in the increase of HIV infection in Asia.

  • Roughly 6.3 million Asians were living with HIV/AIDS at the end of 2000, and more than 3.1 million have already died from AIDS.
  • HIV prevalence in Asia and the Pacific varies from country to country, ranging from 0% to 2 to 3% in the most affected countries.
  • An estimated 700,000 adults (more than half of them men) became infected with HIV in South and Southeast Asia in 2000.
  • In India, UNAIDS estimates that 3.7 million people were living with HIV/AIDS at the beginning of the millennium—more than in any other country in the world except South Africa.
  • In China, the epidemic is primarily among injection drug users, sex workers, and recipients of tainted blood. It is believed that a million people are infected, and it is estimated that 20 million will become infected in the next decade if action is not taken.

Again, prevention and education efforts can have a profound effect in the face of these statistics. For example, in Thailand, a “100% condom program” in commercial sex establishments helped keep the epidemic in check during the 1990s.

HIV/AIDS in Latin America and the Caribbean

Call OutAccording to UNAIDS, an estimated 150,000 adults and children became infected in Latin America in 2000, and an estimated 1.3 million people in Latin American countries are currently living with HIV.

  • The northern countries of Central America (particularly Honduras) appear to be the hardest hit by HIV. One nationwide 1998 study in Honduras showed that 1.4% of more than 2,700 pregnant women tested positive for HIV.
  • Brazil, the most populous country in the region, also has the largest number of people living with HIV in this region: an estimated 540,000 people at the end of 1999. Recently, Brazil has expanded life-prolonging antiretroviral therapy to people living with HIV, with death rates decreasing as a result.

Although underreporting of HIV/AIDS in this region makes estimation of the infection difficult, the Caribbean in particular is the region hardest hit by HIV/AIDS in the world outside sub-Saharan Africa.

  • Approximately 390,000 adults and children in the Caribbean were reported to be living with HIV/AIDS as of 2000 (although due to underreporting, the real number could be closer to 500,000). This represents 1.96% of sexually active adults, four times higher than the prevalence in North America and Latin America.
  • According to UNAIDS, an estimated 60,000 adults and children became infected during 2000 in the Caribbean.
  • In some areas of Haiti, 13% of anonymously tested pregnant women were found to be HIV-positive. UNAIDS estimated that 74,000 Haitian children had lost their mothers to AIDS by the end of 1999.
  • HIV rates are five times higher in girls than boys aged 15 to 19 in Trinidad and Tobago. At one center for pregnant women in Jamaica, young women in their late teens had almost twice the prevalence rate of older women.

HIV/AIDS in the countries of the former Soviet Union

Call OutAlthough the HIV/AIDS epidemic is newer in the former Soviet Union than in many other parts of the world, there has been a steep increase in infections in this region in recent years. Parallel epidemics of HIV, injection drug use, and STIs are unfolding, with an increasingly greater number of people at risk for HIV infection in this region.

  • As many as 700,000 people in the former Soviet Union were estimated to be living with HIV/AIDS by 2000, compared with an estimated 170,000 at the end of 1997.
  • In the Ukraine, 70% of  HIV infections reported were among injection drug users. New epidemics in drug injectors emerged in Uzbekistan and in Estonia, a country that reported far more HIV cases in 2000 than in any previous year.
  • The HIV/AIDS epidemic in Russia is among the fastest growing in the world.

 

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