Rapid Assessment of District and Community HIV and AIDS Response
25 Years of AIDS – The Global Response
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Transcript of 25 Years of AIDS – The Global Response
25 Years of AIDS – The 25 Years of AIDS – The Global ResponseGlobal Response
16 August 200616 August 2006
XVI International AIDS ConferenceXVI International AIDS Conference
TorontoToronto
Global HIV prevalence in adults, 1985Global HIV prevalence in adults, 1985
UNAIDS/WHO, 2006
Global HIV prevalence in adults, 1995Global HIV prevalence in adults, 1995
UNAIDS/WHO, 2006
Global HIV prevalence in adults, Global HIV prevalence in adults, 20052005
UNAIDS/WHO, 2006
25 years of responding to AIDS25 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
Projet SIDAProjet SIDA
25 years of responding to AIDS25 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
Total annual resources available for AIDSTotal annual resources available for AIDS1986‒20051986‒2005
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
US
$ m
illi
on
292 1623
8297Signing of Signing of
Declaration of Commitment Declaration of Commitment on HIV/AIDS, UNGASS on HIV/AIDS, UNGASS
1996 1997 1998 1999 2000 2001 2002 2003 2004 20051986 1987 1988 1989 1990 1991 1992 1993 1994 1995
Less than US$ 1 million
59 212
World BankMAP launch
Global Fund
PEPFAR
257
[i] 1996-2005 data: Extracted from 2006 Report on the global AIDS epidemic (UNAIDS, 2006)[ii] 1986-1993 data: AIDS in the World II. Edited by Jonathan Mann and Daniel J. M. Tarantola (1996)
Notes: [1] 1986-2000 figures are for international funds only [2] Domestic funds are included from 2001 onwards
UNAIDS
HIV prevalence (%) among pregnant women HIV prevalence (%) among pregnant women attending antenatal clinics in sub-Saharan countries attending antenatal clinics in sub-Saharan countries
with prevalence decline, 1997/98‒2004with prevalence decline, 1997/98‒2004
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
Kenya
Zimbabwe
Burkina Faso
Uganda
1997‒1998
1999‒2000
2001 2002 2003 20040
5
10
15
20Median
HIV prevalence (%)
40
35
30
25
North Africa and the Middle East
Europe and Central Asia
East, South and South-East Asia
Latin America and the Caribbean
Sub-Saharan Africa
0
200
400
600
800
1000
1200
1400
End 2002
Mid-2003
End 2003
Mid-2004
End 2004
Mid-2005
End 2005
People receiving therapy
(thousands)
Number of people on antiretroviral therapy Number of people on antiretroviral therapy in low- and middle-income countries, 2002‒2005in low- and middle-income countries, 2002‒2005
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
Planning and acting for success:Planning and acting for success:
LeadershipLeadership
FundingFunding
Making the money workMaking the money work
Social change: Tackle the structural drivers of the epidemicSocial change: Tackle the structural drivers of the epidemic
Research & DevelopmentResearch & Development
Maintaining the Maintaining the exceptionality of AIDS – but exceptionality of AIDS – but at the core of development at the core of development
agendas not outsideagendas not outside