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The good news and the bad news on the HIV-AIDS epidemic

10/9/2018

 
On 26 July 2018, UNAIDS published the latest statistics on the global HIV epidemic. In 2017, an estimated 36.9 million people were living with HIV. 21 million people have access to treatment, a record high. Consequently, the number of AIDS related deaths has dropped, to 940,000 in 2017. The biggest successes lay in Eastern and South-Eastern Africa, with a 42% decline in the number of AIDS related deaths since 2010. They reflect the successful scale-up of treatment in the region. Access to treatment also improved in most other regions, although (much) more modestly. 
HIV on the rise in Eastern Europe, Central Asia and MENA region
Contrary to the rest of the world, Eastern Europe and Central Asia, and the Middle East and North Africa  have seen an  11% increase of the number of AIDS related deaths since 2010. The annual number of new infections has also doubled in less than 20 years. 95% of new infections affect key populations and their sexual partners. The lack of targeted treatment and prevention, related with the continued stigma and discrimination of men who have sex with men, sex workers and drug users, explains the downward trend. 

Adolescents affected disproportionally 
While the global number of new infections has dropped slightly, from 1.9 to an estimated 1.8 million, the progress in terms of HIV prevention has been too slow to reach the target of fewer than 500,000 new infections by 2020. In 2017, there were 5,000 new infections a day, 66% of which in sub-Saharan Africa. Adolescent girls and young women in this region still continue to face a disproportionately high risk of HIV infection. Three out of four newly infected persons are girls aged 15-19. Young women aged 15-24 are twice as likely to live with HIV than men of the same age. 

Funding the shortfall
According to UNAIDS, the overall resources for AIDS, including domestic funding, increased in 2017, but there is still a 20% shortfall between what is needed and what is available. Cuts cannot be afforded, as a 20% cut in international funding would be catastrophic for the 44 countries that rely on international assistance for at least 75% of their national AIDS responses. It is therefore quintessential to fully fund the AIDS response. 

Read the UNAIDS Data 2018 report
Watch Sensoa’s policy advisor Sandra Van den Eynde comment on the global HIV figures

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