WHO HIV update

July 2018

1. Global epidemic

2. Global progress and cascade

3. Policy uptake and accountability

 Summary of the global HIV epidemic (2017)

Source: UNAIDS/WHO estimates

 Global HIV epidemic – people living with HIV

2017
Globally
36.9 million +14%
People living with HIV Relative to 2010

Source: UNAIDS/WHO estimates

 Global HIV epidemic –
incidence and mortality since 2010
- 18%
New infections annually
2017 relative to 2010
Globally
36.9 million
People living with HIV
- 34%
Deaths annually
relative to 2010

Source: UNAIDS/WHO estimates

 Global HIV epidemic –
incidence and mortality since 2000
- 36%
New diagnoses annually
2017 relative to 2000
Globally
36.9 million
People living with HIV
- 38%
Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

 People living with HIV by WHO region (2017)

Source: UNAIDS/WHO estimates

Summary of the global HIV epidemic (2017)
People living with People newly infected HIV-related
HIV in 2017 with HIV in 2017 deaths 2017

36.9 million 1.8 million 940 000

[31.1 million – 43.9 million] [1.4 million – 2.4 million] [670 000 – 1.3 million]

35.1 million 1.6 million 830 000

[29.6 million – 41.7 million] [1.3 million – 2.1 million] [590 000 – 1.2 million]

18.2 million
– –
[15.6 million – 21.4 million]

16.8 million
– –
[13.9 million – 20.4 million]

1.8 million 180 000 110 000

[1.3 million – 2.4 million] [110 000 – 260 000] [63 000 – 160 000]

Source: UNAIDS/WHO estimates

 Decline in HIV incidence and mortality over time

Source: UNAIDS/WHO estimates

 Remarkable individual and population health benefits

Source: UNAIDS/WHO estimates

 Summary of regional HIV epidemic
- 24%
New diagnoses annually
2017 relative to 2000
WHO African Region
25.7 million
People living with HIV
- 35%
Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

 Summary of regional HIV epidemic
- 5%
New diagnoses annually
2017 relative to 2000
WHO Region
of the Americas
3.4 million
People living with HIV - 20%
Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

 Summary of regional HIV epidemic
+27%
New diagnoses annually
2017 relative to 2000
WHO Eastern
Mediterranean
Region
350 000 +59%
People living with HIV Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

 Summary of regional HIV epidemic
+20%
New diagnoses annually
2017 relative to 2000
WHO European
Region
2.3 million
People living with HIV -5%
Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

 Summary of regional HIV epidemic
-27%
New diagnoses annually
2017 relative to 2000
WHO South-East
Asian Region
3.5 million
People living with HIV -40%
Deaths annually
relative to 2000
 Summary of regional HIV epidemic
+7%
New diagnoses annually
2017 relative to 2000
WHO Western
Pacific Region
1.5 million
People living with HIV - 45%
Deaths annually
relative to 2000

Source: UNAIDS/WHO estimates

1. Global epidemic

2. Global progress and cascade

3. Policy uptake and accountability

 Number of people newly infected with HIV

Source: UNAIDS/WHO estimates

 Number of HIV-related deaths

Source: UNAIDS/WHO estimates

 Number of people receiving
antiretroviral treatment

40%

Source: UNAIDS/WHO estimates

 HIV testing and care continuum (2017)

Source: UNAIDS/WHO estimates

 ART coverage by sex among adults (2017

53% 65% 50% 67% 58% 73% 29% 48% 54% 52% 45% 58% 61% 68% 67% 66% 18% 19%

Source: UNAIDS/WHO estimates

 HIV testing and care continuum
by WHO region (2017)
% to 90-90-90

PLHIV who
know their
status (%)

Percent of
People living
with HIV
receiving
ART
People virally
suppressed
among all
PLHIV (%)

N/A N/A

Source: UNAIDS/WHO estimates

 Increase in people receiving ART over time

Source: UNAIDS/WHO estimates

 ART coverage over time

Source: UNAIDS/WHO estimates

WMF
video Countries with size proportional to people on ART,
2000-2017
 New HIV infections by region, 2016−2017
New HIV infections New HIV infections all
Number of new Number of new HIV
all ages (per 1000 ages (per 1000
WHO region HIV infections infections
uninfected uninfected
2016 2017
population) 2016 population) 2017
1 200 000 1 200 000 1.31 1.22
Africa
[920 000–1 600 000] [880 000–1 600 000]
160 000 160 000 0.16 0.16
Americas
[120 000–210 000] [120 000–210 000]
160 000 160 000 0.09 0.08
South-East Asia
[100 000–250 000] [100 000–240 000]
160 000 160 000 0.18 0.18
Europe
[140 000–180 000] [140 000–180 000]

Eastern 36 000 37 000 0.06 0.06

Mediterranean [25 000–54 000] [26 000–55 000]
100 000 100 000 0.06 0.0
Western Pacific
[82 000–130 000] [84 000–130 000]

1 900 000 1 800 000 0.26 0.25

Global
[1 400 000–2 400 000] [1 400 000–2 400 000]
Source: UNAIDS/WHO estimates
 Deaths due to HIV by region, 2016−2017

Number of deaths due to HIV/AIDS Number of deaths due to HIV/AIDS

WHO region
2016 2017

690 000 670 000

Africa [480 000−920 000]
[500 000–950 000]
59 000 56 000
Americas [39 000−80 000]
[41 000–84 000]
140 000 130 000
South-East Asia [83 000−210 000]
[91 000–230 000]
43 000 37 000
Europe [28 000−46 000]
[32 000–53 000]
16 000 16 000
Eastern Mediterranean [11 000–22 000] [12 000−23 000]

37 000 33 000
Western Pacific [18 000−62 000]
[20 000- 70 000]

990 000 940 000

Global [700 000-1 400 000] [670 000−1 300 000]

Source: UNAIDS/WHO estimates

 People receiving ART by region, 2000−2017
2000 2010 2017
ART ART Estimated number of ART
Number of Estimated number of Number of Estimated number of Number of people
WHO Region coverage coverage people living with coverage
people on ART people living with HIV people on ART people living with HIV on ART
(%) (%) HIV (%)

African Region 7 000 19 700 000 0 5 158 000 22 900 000 23 15 358 000 25 700 000 60
[16 800 000–23 000 000] [0−0] [19 500 000–26 800 000] [17−27] [21 900 000−30 100 000] [45−73]
3 700
Eastern and Southern 4 112 000
13 800 000 0 17 000 000 26 11 294 000 19 300 000 67
Africa

[12 300 000–15 400 000] [0−0] [14 800 000–18 600 000] [20−30] [17 200 000–21 600 000] [52−77]
Western and 3 200 39
5 900 000 0 842 000 6 200 000 14 2 221 000 6 400 000
Central Africa
[4 300 000–7 800 000] [0−0] [4 600 000–8 300 000] [9−20] [4 700 000–8 500 000] [25−54]

Region of the Americas 416 000 2 000 000 21 1 351 000 2 800 000 48 2 281 000 3 400 000 66
[1 600 000–2 400 000] [15−28] [2 300 000– 3 500 000] [34−61] [2 800 000−4 200 000] [48−84]
Eastern Mediterranean
Region
1 500 90 000 2 17 300 240 000 7 64 900 350 000 18
[67 000–120 000] [1−2] [180 000–320 000] [5−10] [260 000−470 000] [12−26]

European Region 175 000 810 000 22 582 000 1 700 000 36 1 258 000 2 300 000 54
[730 000–890 000] [17−25] [1 500 000–1 800 000] [28−41] [2 100 000−2 500 000] [43−62]

South-East Asia Region 1 700 4 100 000 0 675 000 3 600 000 19 1 775 000 3 500 000 51
[3 100 000–5 400 000] [0−0] [2 800 000–4 800 000] [13−26] [2 700 000−4 600 000] [34−70]

Western Pacific Region 10 600 790 000 1 237 000 1 200 000 19 954 000 1 500 000 62
[660 000–1 000 000] [1−2] [1 000 000–1 600 000] [14−25] [1 300 000−2 000 000] [45−82]

Global 611 000 27 400 000 2 8 021 000 32 400 000 25 21 691 000 36 900 000 59
[23 100 000–32 600 000] [2–3] [27 400 000–38 500 000] [18–31] [31 100 000−43 900 000] [44−73]

Source: UNAIDS/WHO estimates

1. Global epidemic

2. Global progress and cascade

3. Policy uptake and accountability