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The challenge of HIV/AIDS to health, security, and economic development in the ECE region

The challenge of HIV/AIDS to health, security, and economic development in the ECE region. Henning Mikkelsen Europe Regional Coordinator Joint United Nations Programme on HIV/AIDS.

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The challenge of HIV/AIDS to health, security, and economic development in the ECE region

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  1. The challenge of HIV/AIDS to health, security, and economic development in the ECE region Henning Mikkelsen Europe Regional Coordinator Joint United Nations Programme on HIV/AIDS

  2. The appalling statistics do not begin to describe the magnitude of the destruction wrought by AIDS. AIDS is more devastating than any terrorist attack, any conflict or any weapon of mass destruction. It kills indiscriminately, and without mercy. As cruel as any tyrant, the virus can crush the human spirit. It is an insidious and relentless foe. AIDS shatters families, tears the fabric of societies, and undermines governments. AIDS can destroy countries and destabilize entire regions. Colin Powell, UN General Assembly, September 2003

  3. Adults and children estimated to be living with HIV/AIDS as of end 2002 Eastern Europe & Central Asia 1.2 million Western Europe 570 000 North America 980 000 East Asia & Pacific 1.2 million North Africa & Middle East 550 000 South & South-East Asia 6 million Caribbean 440 000 Sub-Saharan Africa 29.4 million Latin America 1.5 million Australia & New Zealand 15 000 Total: 42 million

  4. HIV: current prevalence and recent changes, 1996–2001 + 1 300% + 20% + 20% + 160% + 100% + 60% + 40% Adult prevalence rate 15.0% – 36.0% 5.0% – 15.0% 1.0% – 5.0% 0.5% – 1.0% 0.1% – 0.5% 0.0% – 0.1% not available + 30% + 20% World Health Organization

  5. New reported cases of HIV infections by age group, Western Europe and Eastern Europe 2001

  6. Unemployment among youth, 1998 (percent)

  7. Many occasional young injectors

  8. HIV-infection prevalence (per 100,000 persons) in mining territories of Siberia (Russian Federation) Yamalo-Nenetsky AO 118 Taimyr AO 78 Krasnoyarsk krai 127 Evenki AO 5 Khanty-Mansi AO 447 Tyumen oblast 157 Chita oblast 68 Tomsk oblast 53 Irkutsk oblast 465 Kemerovo oblast 141 Altai krai 96 Republic Tiva 5 Republic Khakassia 13 Republic Buryatia 153 Moscow 181 Russia 136 Siberia 166

  9. The economic impact of HIV in Russia (World Bank 2001) • GDP in 2010 would be up to 4.15 percent lower , and in 2020 10.5% • Investment would decline by 5.5 percent in 2010 and 14.5 percent in 2020 • HIV lowers productivity by 13 percent

  10. Demographic and security impact • Life expectancy of men may drop 4 years by 2015 • Russian Ministry of Defense: More than 5000 army recruits found to be HIV infected in 2002

  11. Male life expectancy at birth HIV is a pressing problem for Russia, which goes through a serious demographic crisis. (Igor S.Ivanov, Minister of Foreign Affairs of the Russian Federation, UN General Assembly, September 2003)

  12. GlobalFund and World Bank in Eastern Europe and Central Asia GF : 12 countries approved (total US$ 227.2 million) WB projects: 3 countries approved (around US$ 86 millions)

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