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Latin America HIV/AIDS Update 2019: New Infections, Deaths, and Prevention Efforts

This update provides an overview of the HIV/AIDS situation in Latin America, including new infections, AIDS-related deaths, and the progress of prevention efforts. It also highlights the distribution of HIV among key populations and the status of HIV testing and treatment cascade in the region.

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Latin America HIV/AIDS Update 2019: New Infections, Deaths, and Prevention Efforts

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  1. GLOBAL AIDS UPDATE 2019 • REGION PROFILES • LATIN AMERICA

  2. Self-testing in national policies, Latin America, 2018 Yes No • Source: 2019 Global AIDS Monitoring.

  3. Number of new HIV infections and AIDS-relateddeaths, and incidence-prevalence ratio Latin America, 2000–2018 New HIV infections AIDS-related deaths Incidence-prevalence ratio 16 160 000 70 000 Number of AIDS-related deaths Percentage change in new HIV infections since 2010 Percentage change in AIDS- related deaths since 2010 2018 Incidence- prevalence ratio Number of new HIV infections Incidence-prevalence ratio 14 140 000 • 60 000 12 120 000 • 50 000 10 100 000 • 40 000 +7% -14% 5.4% [4.1–6.8%] 8 80 000 • 30 000 6 60 000 • 20 000 4 40 000 3 • 10 000 2 20 000 0 0 0 2000 2010 2018 2000 2010 2018 2000 2005 2010 2015 2018 • New HIV infections • AIDS-related deaths • Incidence-prevalence ratio • Target value Source: UNAIDS 2019 estimates.

  4. Percentage change in new HIV infections, by country, • Latin America, 2010–2018 40 34 30 22 21 21 20 9 7 10 6 2 0 0 Per cent -6 -10 -8 -11 -12 -20 -22 -30 -29 -40 -50 -48 -60 El Salvador Nicaragua Colombia Ecuador Paraguay Panama Peru Mexico Argentina Guatemala Honduras Uruguay Costa Rica Brazil Bolivia (Plurinational State of) Chile Source: UNAIDS 2019 estimates.

  5. HIV prevalence among key populations Distribution of new HIV infections (aged 15–49 years), by population group • Latin America, 2014–2018 • Latin America, 2018 40 35 30 25 20 15 10 5 0 Sex workers 3% Peoplewho inject drugs 3% 22.2 Percent Remaining population 35% Gay men and other men who have sex with men 40% 12.6 3.6 0.7 1.2 Clients of sex workers and sex partners of other key populations 15% Sex workers, n = 13 Gay men and other men who have sex with men, n = 15 Transgenderwomen4% People who inject drugs, n = 2 Transgender people, n = 3 Prisoners, n = 13 Source: UNAIDS Global AIDS Monitoring, 2014–2018. Source: UNAIDS special analysis, 2019.

  6. Estimated size of key populations, Latin America, 2018 National population size estimate Local population size estimate Insufficient data No data The regions for which the local population size estimate refers are asfollows: Costa Rica: Gran ÁreaMetropolitana Panama: Azuero, Bocasdel Toro, Chiriquí, Coclé, ComarcaNgäbe-Buglé, Panamá Centro, Panamá Este, Panamá Oeste, Panamá Norte and Veraguas • Source: Global AIDS Monitoring, 2018; United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: • the 2017 revision. 2018 (custom data acquired via website).

  7. HIV testing and treatment cascade, Latin America, 2018 3 Gap to reaching the first 90: 199 000 2 Gap to reaching the first and second 90s: 362 000 Number of people living with HIV (million) Gap to reaching all three 90s: 340 000 80% [62–>95%] 1 62% [43–78%] 55% [42–69%] 0 People living with HIV who know their status People living with HIV on treatment People living with HIV whoare virally suppressed Source: UNAIDS special analysis, 2019; see annex on methods for more details.

  8. 90–90–90 country scorecard: Latin America, 2018 90–90–90: 85–89% 65–72% 70–84% 40–64% 50–69% 25–39% Less than 50% Less than 25% 90% and above Viral load suppression: 73% and above Source: UNAIDS special analysis, 2019.

  9. Viral load suppression among adults (15 years and older) • living with HIV, by sex, Latin America, 2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Uruguay Bolivia (Plurinational State of) Ecuador El Salvador Guatemala Honduras Nicaragua Panama Paraguay Females Males • Source: UNAIDS specialanalysis, 2019.

  10. Percentage of people living with HIV with a low CD4 count at initiation • of antiretroviral therapy, Latin America, 2018 80 70 60 50 Per cent 40 30 20 10 0 Argentina Brazil Chile Colombia Ecuador El Salvador (2016) Guatemala Honduras Mexico Nicaragua Panama Paraguay Peru Uruguay CD4 <200 CD4 <350 • Source: Global AIDS Monitoring.

  11. Percentage of key populations who reported receiving at least two prevention services in the past three months, Latin America, 2016–2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Bolivia (Plurinational State of) Brazil Colombia Costa Rica Guatemala Honduras Nicaragua Panama* Sex workers Gay men and other men who have sex with men People who inject drugs Transgender people • Note 1: The use of an asterisk (*) indicates that data for marked countries come from programme data (which tend to show higher values due to the use as a denominator of the number of key population members that are linked to the programme) and not from a survey. • Note 2: Possible prevention services received among sex workers, gay men and other men who have sex with men and transgender people: condoms and lubricant, counselling on condom use and safe sex, and testing of sexually transmitted infections. Possible prevention services received among people who inject drugs: condoms and lubricant, counselling on condom use and safe sex, and clean needles or syringes. Source: Global AIDS Monitoring, 2016–2018.

  12. Knowledge of status among key populations, Latin America, 2016–2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Bolivia (Plurinational State of) Brazil Chile Colombia Ecuador El Salvador Guatemala Mexico Nicaragua Paraguay Peru Sex workers Gay men and other men who have sex with men Transgender people • Note: Data shown come from surveys, which are typically conducted in areas with high prevalence and needs and may not be nationally representative. • Source: Global AIDS Monitoring, 2016–2018.

  13. Number of countries with public policies for delivery of HIV prevention services recommended by World Health Organization, by key population, Latin America • Note: Number of countries in the region (n = 17) Source: HIV prevention in the spotlight: an analysis from the perspective of the health sector in Latin America and the Caribbean, 2017. Washington (DC): Pan American Health Organization, UNAIDS; 2017.

  14. Cascade of services for preventing vertical transmission, numbers of new HIV infections and transmission rate, Latin America, 2018 25 000 76% [61–95%] 20 000 15 000 Number 10 000 20% [16–25%] Transmission rate: 14%[12–17%] 5000 0 Births to women living with HIV Women receiving antiretrovirals to prevent vertical transmission Infants tested by eight weeks of age New child infections Any birth to women living with HIV Children newly infected with HIV • Source: UNAIDS 2019 estimates; 2019 Global AIDS Monitoring.

  15. Percentage of infants receiving HIV testing in the first 4–6 weeks, • Latin America, 2018 100 90 • Per cent 80 70 60 50 40 30 20 10 0 Argentina Brazil (2013) Chile Colombia (2017) Ecuador (2013) El Salvador (2016) Guatemala (2017) Honduras Nicaragua Panama Paraguay (2013) Peru Uruguay Source: 2019 Global AIDS Monitoring.

  16. Percentage of men and women aged 15–49 years who would not buy vegetables from a shopkeeper living with HIV Percentage of ever-married or partnered women aged 15–49 years who experienced physical and/or sexual violence by an intimate partner in the past 12 months Latin America, 2013–2016 Latin America, most recent data, 2015–2016 70 45 40 60 35 50 30 40 25 Per cent Per cent 20 30 15 20 10 10 5 0 0 Guatemala Colombia Panama Paraguay El Salvador Mexico Uruguay Bolivia (Plurinational State of) Colombia Peru Guatemala Mexico Source: Population-based surveys, 2013–2016, countries with available data. Source: Population-basedsurveys, 2015–2016.

  17. HIV resource availability, by source, Latin America, • 2010–2018, and projected resource needs by 2020 3500 3000 Domestic (public and private) 2500 United States (bilateral) US$ (million) 2000 Global Fund Other international 1500 Resource needs (Fast-Track) 1000 500 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2020 • Source: UNAIDS 2019 resource availability and needs estimates.

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