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HIV TODAY

HIV TODAY. Waiting for the next big breakthrough?. Stevie Clayton ACON CEO NSW HIV Rural Forum 2007. HIV today. Globally: 40 million living with HIV 30 million have died Another infection every 7 seconds Another death every 11 seconds Nationally: 17,000 living with HIV 7,000 have died

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HIV TODAY

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  1. HIV TODAY Waiting for the next big breakthrough? Stevie Clayton ACON CEO NSW HIV Rural Forum 2007

  2. HIV today Globally: • 40 million living with HIV • 30 million have died • Another infection every 7 seconds • Another death every 11 seconds Nationally: • 17,000 living with HIV • 7,000 have died • Another 1,000 infections a year • Increasing rate of infection NSW: • 10,500 living with HIV • 4,000 have died • 350-400 infections per year • Stable rate of infection

  3. Big Issues in HIV Globally: • Access to treatment • Access to the means of protection • Stigma & discrimination Nationally: • Increasing rates of HIV & STI • Decreasing engagement with HIV • Long term effects of treatment NSW: • Maintaining the plateau in rates of HIV • Increasing STI • Changing concepts of risk • Long term effects of treatment

  4. Diagnoses of HIV infectionin Australia Source: State and Territory health authorities

  5. Newly diagnosed HIV in Australia, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  6. Newly acquired HIV infection, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  7. Proportion of new HIV diagnoses that were newly acquired, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  8. Median age at HIV diagnosis among males, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  9. Median age at diagnosis of newly acquired HIV infection among males, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  10. Median CD4+ cell count at HIV diagnosis 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  11. Median CD4+ cell count at diagnosis of newly acquired HIV infection, 1996 – 2006, by year and State/Territory Source: State and Territory health authorities

  12. Newly diagnosed HIV infection, 1996 – 2006, with an undetermined source of exposure to HIV, by year and State/Territory Source: State and Territory health authorities

  13. * Postcode of residence 2010, 2011, 2042, 2050

  14. * WS, SWS, NS, CS (excluding 2042, 2050), SES, (excluding 2010, 2011)

  15. Key Issues for HIV Prevention • Changing patterns of relationships • Changing concepts of risk • Sero-sorting • Strategic positioning • Withdrawal • Viral-load monitoring • Sexually transmitted infections • Drug & alcohol use

  16. Men who reported no current sex partners Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  17. Men in monogamous relationships Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  18. Men who reported having casual partners Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  19. Proportion of men who had 50+ partners in the past 6 months HIV positive men HIV negative and unknown-serostatus men Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  20. Unprotected anal intercourse with regular partners (UAIR) Note: the sample includes only men who had sex with regular partners Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  21. Is there serosorting in HIV positive regular relationships? Caution: these proportions are based on small numbers of seroconcordant positive relationships UAIR in seroconcordant positive relationships Proportion of relationships that were seroconcordant positive Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  22. Is there serosorting in HIV negative regular relationships? Proportion of relationships that were seroconcordant negative UAIR in seroconcordant negative relationships Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  23. Proportion of relationships that are serodiscordant or serononconcordant Serodiscordant relationships Serononconcordant relationships Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  24. UAIR in serodiscordant and nonconcordant relationships Note: the sample includes only men who had sex with regular partners Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  25. Unprotected sex with casual partners (UAIC) Note: the sample includes only men who had sex with casual partners Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  26. UAIC, by HIV serostatus of respondents HIV positive men HIV negative and unknown-serostatus men Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  27. Men who reported UAIC and always disclosed serostatus Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  28. Men who reported UAIC and never disclosed serostatus Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  29. Men who never disclosed serostatus in the context of UAIC, by serostatus HIV positive men HIV negative and unknown-serostatus men Source: NSW, VIC and QLD Periodic surveys, 1998-2006, men aged 30-49

  30. Recent use of illicit drugs among gay men & men in National Household Survey % National Survey = 12 months

  31. Ecstasy – previous 6 months %

  32. Speed – previous 6 months %

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