1. 2 3 Global HIV prevalence in adults, 1985 UNAIDS/WHO, 2006.

3

Global HIV prevalence in adults, 1985

UNAIDS/WHO, 2006

4


UNAIDS/WHO, 2006

5


UNAIDS/WHO, 2006

6

25 years of responding to AIDSFirst cases of unusual immune deficiency are identified among gay men in the USA, and a

new deadly disease noticed

The Human Immunodeficiency Virus (HIV) is identified as the

cause of AIDS

Scientists develop the first treatment regimen to

reduce mother-to-child transmission of HIV

Brazil becomes the first developing country to provide antiretroviral

therapy through its public health system

WHO and UNAIDS launch the "3 x 5" initiative with the goal of reaching 3

million people in developing world with antiretroviral therapy by 2005

The first HIV antibody test becomes available

In Africa, a heterosexual AIDS

epidemic is revealed

Highly Active Antiretroviral Treatment launched

The World Health Organization launches the Global Programme

on AIDS

Acquired Immune Deficiency Syndrome

(AIDS) is defined for the first time

The first therapy for AIDS — zidovudine, or AZT —

is approved for use in the USA

Global Network of People living with HIV/AIDS (GNP+) (then International Steering Committee of People Living

with HIV/AIDS) founded

Drug Access Initiative is launched in Africa

International AIDS Conference in Durban

The Global Fund to fight AIDS, Tuberculosis and Malaria launched

The UN General Assembly Special Session on HIV/AIDS

In 1991-1993, HIV prevalence in Uganda and in Thailand begins to decrease, the first major downturn in the epidemic in

developing countries

UNAIDS is created

Mill

ions

50

45

40

35

30

25

20

15

10

5

01980 ‘81 2005‘82 ‘83 ‘84 ‘85 ‘86 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95 ‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04

People living with HIV Children orphaned by AIDS in sub-Saharan Africa

2006 Report on the global AIDS epidemic (UNAIDS, 2006)

President Bush announces PEPFAR

7

Global estimates for adults and Global estimates for adults and children, end 2007children, end 2007

People living with HIV

New HIV infections in 2007

Deaths due to AIDS in 2007

33.2 million [30.6 – 36.1]

2.5 million [1.8 – 4.1]

2.1 million [1.9 – 2.4]

8

Global summary of the HIV and

AIDS epidemic, December 2007

The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information.

Number of people living with HIV in 2007Number of people living with HIV in 2007

Total 33.2 million [30.6 – 36.1 million] Adults 30.8

million [28.2 – 33.6 million] Women 15.4 million [13.9

– 16.6 million] Children under 15 years 2.1 million [1.9 –

2.4 million]

9




People newly infected with HIV in 2007People newly infected with HIV in 2007

Total 2.5 million [1.8 – 4.1 million]

Adults 2.1 million [1.4 – 3.6 million]

Children under 15 years 420 000 [350 000 – 540 000]

10




AIDS deaths in 2007AIDS deaths in 2007

Total 2.1 million [1.9 – 2.4 million]

Adults 1.7 million [1.6 – 2.1

million]

Children under 15 years 290 000 [270 000 –

320 000]

11

Total: 33.2 (30.6 – 36.1) million

Western & Central Europe

760 000760 000[600 000 – 1.1 million][600 000 – 1.1 million]

Middle East & North Africa

380 000380 000[270 000 – 500 000][270 000 – 500 000]Sub-Saharan Africa

22.5 million22.5 million[20.9 – 24.3 million][20.9 – 24.3 million]

Eastern Europe & Central Asia

1.6 million 1.6 million [1.2 – 2.1 million][1.2 – 2.1 million]

South & South-East Asia

4.0 million4.0 million[3.3 – 5.1 million][3.3 – 5.1 million]Oceania

75 00075 000[53 000 – 120 000][53 000 – 120 000]

North America1.3 million

[480 000 – 1.9 million]

Latin America1.6 million1.6 million

[1.4 – 1.9 million][1.4 – 1.9 million]

East Asia800 000800 000

[620 000 – 960 000][620 000 – 960 000]Caribbean230 000

[210 000 – 270 000]

Adults and children estimated to be living with HIV, 2007

Oceania81 000

[50 000 – 170 000]

12

Estimated number of adults and children newly infected with HIV, 2007


31 00031 000[19 000 – 86 000][19 000 – 86 000]

Middle East & North Africa35 00035 000

[16 000 – 65 000][16 000 – 65 000]Sub-Saharan Africa



150 000 150 000 [70 000 – 290 000][70 000 – 290 000]


340 000340 000[180 000 – 740 000][180 000 – 740 000]Oceania

14 00014 000[11 000 – 26 000][11 000 – 26 000]

North America46 000

[38 000 – 68 000]

Latin America100 000100 000

[47 000 – 220 000][47 000 – 220 000]

East Asia92 00092 000

[21 000 – 220 000][21 000 – 220 000]Caribbean

17 000[15 000 – 23 000]

Total: 2.5 (1.8 – 4.1) million

13

Estimated adult and child deaths from AIDS, 2007


12 00012 000[<15 000][<15 000]

Middle East & North Africa25 00025 000

[20 000 – 34 000][20 000 – 34 000]Sub-Saharan Africa



55 000 55 000 [42 000 – 88 000][42 000 – 88 000]


270 000270 000[230 000 – 380 000][230 000 – 380 000]Oceania

12001200[<500 – 2700][<500 – 2700]

North America21 000

[18 000 – 31 000]

Latin America58 00058 000

[49 000 – 91 000][49 000 – 91 000]

East Asia32 00032 000

[28 000 – 49 000][28 000 – 49 000]Caribbean

11 000[9800 – 18 000]

Total: 2.1 (1.9 – 2.4) million

14

• Children living with HIV 2.1 million [1.9 – 2.4 million]

• New HIV infections in 2007 420 000 [350 000 – 540 000]

• Deaths due to AIDS in 2007 290 000 [270 000 – 320 000]

2007 global HIV and AIDS estimates Children (<15 years)

15

4.3%

4.3%

3.5%

1.9%

1.9%

1.2%

0.6%

0.2%

62.5%

19.7%

Sub-Saharan Africa

South/South-East Asia

Eastern Europe/Central Asia

Latin America

North America

East Asia

Western/Central Europe

Middle East/North Africa

Caribbean

Oceania

Percentage of People Living with HIV/AIDS by Region, as Percent

of Global Total, 2006Total = 39.5 million

Source: UNAIDS, 2006 AIDS Epidemic Update, December 2006.

16

Percentage of People Newly Infected with HIV by Region, as Percent of

Global Total, 2006

20.0%

6.3%

3.3%

2.3%

1.6%

1.0%

0.6%

0.5%

0.2%

65.1%Sub-Saharan Africa



Latin America

East Asia


North America

Caribbean


Oceania

Total = 4.3 million

Source: UNAIDS, 2006 AIDS Epidemic Update, December 2006.

17

Women as Share of Adults Living

with HIV/AIDS by Region, 2006

29%

29%

30%

31%

47%

48%

50%

59%

48%

28%

26%North America



East Asia


Latin America

Oceania


Caribbean

Sub-Saharan Africa

Global

Note: As a share of 15-49 year oldsSources: UNAIDS, 2004 Report on the Global AIDS Epidemic, July 2004; UNAIDS Data Request, 2004.

18

AIDS Orphans: South Africa

19

Top 15 Countries by Adult HIV/AIDS Prevalence Rate, 2005

6.1%

6.5%6.7%

7.1%

7.9%10.7%

14.1%16.1%

17.0%

18.8%19.6%

20.1%23.2%

24.1%

33.4%

0.00% 10.00% 20.00% 30.00% 40.00%

Swaziland

Lesotho

Namibia

Zambia

Malawi

Gabon

Uganda

Kenya

Source: UNAIDS 2006 Report on the Global AIDS Epidemic, May 2006.

Slide 10

21

EgyptEgypt

22

3484

�Egyptians2551

Egyptians2551

��Alive

1429

Deaths

1122

AIDS

930

HIV

1621

Foreigners933

AIDS318

HIV1111

Number of HIV/AIDS in Egypt by 31December 2008

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Distribution of HIV/AIDS By Year

0153045607590

105120135150165180195210225240255270285300315

19

84

19

85

19

86

19

87

19

88

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

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19

99

20

00

20

01

20

02

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06

20

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20

08

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Distribution of HIV/AIDS By GenderDistribution of HIV/AIDS By Gender

Male81.2%

Female18.8%

25

<20 Year, 6%20-25 year, 10%

25-30 year, 16%

30-35year, 19%35-40year, 18%

>40 year, 31%

<20 Year

20-25 year

25-30 year

30-35year

35-40year

>40 year

Distribution of HIV/AIDS By Age GroupDistribution of HIV/AIDS By Age Group

26

IDU4%

Renal Dialysis11%

Blood Transfusion

6%

Homosexuality23%

Mother to Child2%

Heterosexuality48%

Unknown6%

Distribution of HIV/AIDS By Distribution of HIV/AIDS By Mode of TransmissionMode of Transmission

27

11.6%

19.5%

20.3%

12.3%

13.1%

12.3% 5.8%5.1%

No work Farmer skilled workerUnskilled worker Employer professionalHouse wife student

Distribution of HIV/AIDS By OccupationDistribution of HIV/AIDS By Occupation

28

HIV60%

AIDS40%

Distribution of People Living with Distribution of People Living with HIV/AIDS By Case DefinitionHIV/AIDS By Case Definition

29

Alive Vs Deaths among Egyptians Alive Vs Deaths among Egyptians

Deaths45%

Alive55%

30

ARV Users among Egyptians living with ARV Users among Egyptians living with HIV/AIDSHIV/AIDS

On ARVs22%

Not eligible

78%

1. 2 3 Global HIV prevalence in adults, 1985 UNAIDS/WHO, 2006.

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