World AIDS Day 1 December 2013 New HIV infections rising across EuropeScaling-up testing and better treatment coverage recommended Name of the presenter goes here
“We know that providing antiretroviral therapy earlier will allow people with HIV to live longer and healthier lives, and will reduce the risk that they transmit HIV to others. While we are not at the end of the HIV epidemic in Europe, our goal of halting and reversing the spread of HIV by 2015 is still achievable in many countries”. ZsuzsannaJakab WHO Regional Director for Europe
HIV on the rise • Over 131 000 newly diagnosed HIV infections were reported in 2012 • 55 000 from 51 countries in the European Region • 76 000 from the Russian Federation • The rates: • East (22.0 per 100 000) • West (6.6 per 100 000) • Centre (1.9 per 100 000) The new WHO/ECDC HIV/AIDS surveillance report in Europe marks the World Aids Day 2013.
Transmission varies across Europe • In the West and Centre, HIV is still highly concentrated in: • men who have sex with men • people originating from countries with generalized epidemics • In the East, HIV is still highly concentrated in: • people who inject drugs and their sexual partners Heterosexual transmission has reached 60% in the East, likely associated with sexual transmission from people who inject drugs.
Earlier diagnosis & scaling up of timely treatment and care essential • 50% of people are diagnosed late across Europe (CD4 cell count lower than 350/mm3) • In eastern Europe and central Asia, only one out of three people estimated to be in need of antiretroviral treatment (ART) were receiving it in 2012 While the number of new AIDS cases and deaths is declining in the West, late diagnosis and low treatment coverage lead to a continuing increase in the East.
2013 WHO guidelines on ART • The new WHO guidelines call on countries to initiate treatment in adults living with HIV when their CD4 cell count falls below 500 cells/mm³. • Implementation of the new guidelines will result in more people receiving ART in the Region, especially in the Eastern part where ART coverage rates are still low. • Increasing the number of people on ART will lead to a reduction in AIDS-related mortality and will prevent further transmission of HIV infection.
Priority interventions The HIV/AIDS surveillance report 2012 highlights the need to: • Promote HIV counselling and testing services and ensure they are accessible and targeted at key populations at higher risk. • Ensure equal access to HIV prevention, testing, treatment and care for all population groups in order for countries to reach the global goal of universal access for all in need. The new report supports the European Action Plan for HIV/AIDS 2012-2015
World AIDS Day zero new HIV infections zero AIDS-related deaths zero discrimination Thank you!