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AIDS Epidemic and Control in China Zeng Yi Chinese Foundation for Prevention of STD and AIDS. Estimated HIV/AIDS in the world. 2003 New infected HIV 5.0 Million Death AIDS Cases 3.0 Million
Chinese Foundation for
Prevention of STD and AIDS
2003 New infected HIV 5.0 Million
Death AIDS Cases 3.0 Million
－2003 Living HIV/AIDS 44.0 Million
Death HIV/AIDS 30.8 Million
Total HIV/AIDS 74.8 Million
2002 New infected HIV 1.0 Million
2002 Death AIDS Cases 0.49 Million
－2002 Comulative Living HIV/AIDS 7.2 Million
Living Young People with HIV(15-24) 2.1 Million
Living Children with HIV 0.225 Million
1982 HIV in factor 8 transmitted into China
1983 1st Chinese haemophiliac patient
infected with HIV
1989 Drug users infected with HIV
1994 Blood donors infected with HIV
－2003.6Cumulative Reported HIV/AIDS Cases45092
AIDS Cases 3532
Death AIDS Cases 1800
－2003.6Living HIV/AIDS 840000
AIDS Cases 80000
Death AIDS Cases 200000
－2003 Estimated HIV/AIDS Cases ＞1 Million
◆Transmit in extensive scope, low transmission
nationwide, high transmission endemic
◆ The nationwide AIDS transmission, symptom,
and death have witnessed an distinct ascending
◆ Transmission pattern and route changed, the
epidemic transfers from the high-risk population
to the general population
HIV/AIDS Epidemic in China
Estimated that the total number of migrants, both temporary and permanent, may be as high as 120 million.
• Injecting drug use (IDU)
The drug users are estimated to be 3-5 million. The HIV infection rates among IDUs has reached 20-30%, and about 60-80% in a few provinces. HIV epidemic continues to spread among and from IDUs in China.
HIV infection rate among blood plasma donors ranged from 16.1-42% in some villages during 1994-1996.
The number of STD cases estimated is about 6 million.The HIV infection rate is 3-4% in STD outpatients clinic of some provinces, even up to 12% in one city.
The number of MSM estimated is 20 million. The HIV infection rate（1-5%）:
Regularly use condom 9.0%
◆Limited information is available about epidemic in
mother-to-child transmission. This does not mean it
is not a problem.
◆Accompany with increased infection caused by
heterosexualcontact， there will be more women
being infected, therefore the mother-to-child
transmission will increase in future.
◆ Mother-to-child transmission mainly occurred in
• Serious lack of nation-wide education and intervention
• Use of mass media: small projects with limited scope and effect mainly in cities
• Because of low awareness of AIDS among the general public, discrimination against people with HIV/AIDS and their families is still a big problem in China.
In order to effectively control the AIDS epidemic in China, We suggest the following:
1. The State Council takes a leading role in AIDS control.
2. Prevention should be first priority of the national strategies for controlling AIDS.
• Sex education has been approved by Ministry Education to begin in junior high school (2000).
• Methadone can be tried among drug users (2001).
• Top leaders of central government discussed and took strong actions in fighting against HIV/AIDS (2001).
• Increase budget for controlling HIV/AIDS to more than 2 billions for 10 years (2001).
• Combining treatment with prevention in 127 counties are being carried out (2002).
• National Committee for Prevention and Treatment of AIDS was established(2004.2).
1. Chinese government will strengthen government efforts to fulfill the responsibility. The Chinese government has considered HIV/AIDS prevention and treatment an important task. Chinese government will further clarify the targets, identify the responsibilities and improve evaluation, supervision and monitoring. Should there be any HIV/AIDS spread caused by ineffective work, the government will hold the person or department in charge accountable for the negligence.
3. Chinese government will improve the laws and regulations and intensify the intervention on dangerous behaviors. Public awareness campaigns will be launched, educating the public and encouraging them to participate in the HIV/AIDS prevention and treatment effort.
5. Chinese government will be more active in international cooperation. The HIV/AIDS prevention and treatment in China have received concern and support from the international community.
6 million people with HIV infection prevented