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UNAIDS

DATA 2018

UNAIDS | 2018 reference

AFGHANISTAN

ALBANIA

ANDORRA

ANGOLA

ALGERIA

ANTIGUA AND

BARBUDA

ARGENTINA

ARMENIA

AUSTRALIA

AUSTRIA

AZERBAIJAN

BAHAMAS

BAHRAIN

BANGLADESH

BARBADOS

BELARUS

BELGIUM

BELIZE

BENIN

BHUTAN

BOLIVIA

(PLURINATIONAL

STATE OF)

BOSNIA AND

HERZEGOVINA

BOTSWANA

BRAZIL

BRUNEI

DARUSSALAM

BULGARIA

BURKINA FASO

BURUNDI

CABO VERDE

CAMBODIACAMEROON

CANADA

CENTRAL

AFRICAN

REPUBLIC

CHAD CHILE CHINA

COLOMBIA

COMOROS

CONGO

COSTA RICA

CROATIA

CUBA

CYPRUS

CZECHIA

CÔTE D"IVOIRE

DEMOCRATIC

PEOPLE"S

REPUBLIC

OF KOREA

DEMOCRATIC

REPUBLIC OF

THE CONGO

DENMARK

DJIBOUTI

DOMINICA

DOMINICAN

REPUBLIC

ECUADOR

EGYPT

EL SALVADOR

EQUATORIAL

GUINEA

ERITREAESTONIA

ESWATINI

ETHIOPIA

FIJI

FINLAND

FRANCE

GABON

GAMBIA

GEORGIA

GERMANY

GHANA

GREECE

GRENADA

GUATEMALA

GUINEA

GUINEA-BISSAU

GUYANA

HAITI

HONDURAS

HUNGARY

ICELAND

INDIA

INDONESIA

IRAN (ISLAMIC

REPUBLIC OF)

IRAQ

IRELAND

ISRAEL

ITALY

JAMAICA

JAPAN

JORDAN

KAZAKHSTAN

KENYA

KIRIBATI

KUWAIT

KYRGYZSTANLAO PEOPLE"S

DEMOCRATIC

REPUBLIC

LATVIA

LEBANON

LESOTHO

LIBERIA

LIBYA

LIECHTENSTEIN

LITHUANIA

LUXEMBOURG

MADAGASCAR

MALAWI

MALAYSIA

MALDIVES

MALI MALTA

MARSHALL

ISLANDS

MAURITANIA

MAURITIUS

MEXICO

MICRONESIA

(FEDERATED

STATES OF)

MONACO

MONGOLIA

MONTENEGRO

MOROCCO

MOZAMBIQUE

MYANMAR

NAMIBIA

NAURU NEPAL

NETHERLANDS

NEW ZEALAND

NICARAGUANIGER

NIGERIA

NORWAY

OMAN

PAKISTAN

PALAU

PANAMA

PAPUA NEW

GUINEA

PARAGUAY

PERU

PHILIPPINES

POLAND

PORTUGAL

QATAR

REPUBLIC OF

KOREA

REPUBLIC OF

MOLDOVA

ROMANIA

RUSSIAN

FEDERATION

RWANDA

SAINT KITTS

AND NEVIS

SAINT LUCIA

SAINT VINCENT

AND THE

GRENADINES

SAMOA

SAN MARINO

SAO TOME

AND PRINCIPE

SAUDI ARABIA

SENEGAL

SERBIA

SEYCHELLES

SIERRA LEONE

SINGAPORE

SLOVAKIA SLOVENIA

SOLOMON

ISLANDS

SOMALIA

SOUTH AFRICA

SOUTH SUDAN

SPAIN

SRI LANKA

SUDAN

SURINAME

SWEDEN

SWITZERLAND

SYRIAN ARAB

REPUBLIC

TAJIKISTAN

THAILAND

THE FORMER

YUGOSLAV

REPUBLIC OF

MACEDONIA

TIMOR-LESTE

TOGO TONGA

TRINIDAD AND

TOBAGO

TUNISIA

TURKEY

TURKMENISTAN

TUVALU

UGANDA

UKRAINE

UNITED ARAB

EMIRATES

UNITED

KINGDOM

UNITED REPUBLIC

OF TANZANIA

UNITED STATES

OF AMERICA

URUGUAY

UZBEKISTAN

VANUATU

VENEZUELA

(BOLIVARIAN

REPUBLIC OF)

VIET NAM

YEMEN

ZAMBIA

ZIMBABWE

Foreword 2

State of the epidemic

4

Global and regional data 18

Eastern and southern Africa

22

Country tables 30

Western and central Africa

68

Country tables 76

Asia and the Pacic

124

Country tables 134

Latin America

172

Country tables 180

Caribbean 212

Country tables 220

Middle East and North Africa

240

Country tables 248

Eastern Europe and central Asia

272

Country tables 280

Western and central Europe and North America

308

Country tables 314

Methods 361

Methods for deriving UNAIDS estimates

362

Methods for deriving the 90-90-90 targets

365
Distribution of new HIV infections by subpopulation

369Foreword 2

State of the epidemic

4

Global and regional data 18

Eastern and southern Africa

22

Country tables 30

Western and central Africa

68

Country tables 76

Asia and the Pacic

124

Country tables 134

Latin America

172

Country tables 180

Caribbean 212

Country tables 220

Middle East and North Africa

240

Country tables 248

Eastern Europe and central Asia

272

Country tables 280

Western and central Europe and North America

308

Country tables 314

Methods 361

Methods for deriving UNAIDS estimates

362

Methods for deriving the 90-90-90 targets

365
Distribution of new HIV infections by subpopulation 369

Contents

2

Foreword

The global AIDS response is at a precarious point - partial success in saving lives and stopping new HIV infections is giving way to complacency. At the halfway point to the 2020 targets, the pace of progress is not matching the global ambition. The number of AIDS-related deaths is the lowest this century, with fewer than 1 million people dying each year from AIDS-related illnesses, thanks to sustained access to antiretroviral therapy. Three out of four people living with HIV now know their status - the first step to gett ing treatment. And now a record 21.7 million people are on treatment - a net increase of 2.3 million people since the end of 2016. The scale-up of access to treatment should not be taken for granted, though. In the next three years an additional 2.8 million people must be added each year, but there are no new commitments to increase resources, there is an acute shortage of health-care workers and there is continuing stigma and discrimination. There is a prevention crisis. The success in saving lives has not been matched with equal success in reducing new HIV infections. New HIV infections are not falling fast enough. HIV prevention services are not being provided on an adequate scale and with sufficient intensity and are not reaching the people who need them the most. Acceptance of condoms, voluntary medical male circumcision, pre- exposure prophylaxis, cash transfers must be increased rapidly and not be secondary prevention tools. And I await the day when there is a functional cure and a vaccine against HIV. Children are being left behind. The good news is that 1.4 million new HIV infections have been averted since 2010, but I am distressed by the fact that, in 2017, 180 000 children became infected with HIV, far from the 2018 target of eliminating new HIV infections among children. While the overall HIV treatment level is high, there is a huge injustice being committed against our children - only half of under-15s living with HIV were being treated last year. Stigma and discrimination still has terrible consequences. The very people who are meant to be protecting, supporting and healing people living with HIV often discriminate against the people who should be in their care, denying access to critical HIV services, resulting in more HIV infections and more deaths. It is the responsibility of the state to protect everyone. Human rights are universal - no one is excluded, not sex 3 workers, gay men and other men who have sex with men, people who inject drugs, transgender people, prisoners or migrants. Bad laws that criminalize HIV transmission, sex work, personal drug use and sexual orientation or hinder access to services must go, and go now. Women and girls continue to be disproportionately affected. It is outrageous that one in three women worldwide has experienced physical or sexual violence. We must not let up in our efforts to address and root out harassment, abuse and violence, whether at home, in the community or in the workplace. UNAIDS stands firm in its commitment to act against harassment, abuse and violence, wherever they occur. The upcoming United Nations High-Level Meeting on Tuberculosis is a huge opportunity to bring AIDS out of isolation and push for the integration of HIV and tuberculosis services. There have been major gains in treating and diagnosing HIV among people with tuberculosis, but still, decades into the HIV epidemic, three in five people starting HIV treatment are not screened, tested or treated for tuberculosis, the biggest killer of people living with HIV. Equally important is integration of HIV services with sexual and reproductive health services and developing strong links with services for noncommunicable diseases. Our goal must be to save lives holistically, not disease by disease, issue by issue, in isolation. There is a funding crisis. I am heartened by the fact that resources for AIDS increased in 2017, but there is still a 20% shortfall between what is needed and what is available. And we cannot afford any cuts in international assistance to the AIDS response. A 20% cut in international funding will be catastrophic for the 44 countries that rely on international assistance for at least 75% of their national AIDS responses. A fully funded AIDS response is non-negotiable, as is funding for universal health coverage.

This edition of

UNAIDS data

highlights these challenges and successes. It contains the very latest data on the world's response to HIV, consolidating a small part of the huge volume of data collected, analysed and refined by UNAIDS over the years. The full data set of information for 1990 to 2017 is available on aidsinfo.unaids.org. AIDS is not over, but it can be. At the halfway point to the 2020 targets, we must recommit ourselves to achieve them. The successes in HIV treatment show what can be done when we put our minds to it. People living with HIV are leading longer, healthier lives. But we still have miles to go. We have promises to keep.

Michel Sidibé

UNAIDS Executive Director

4

State of

the epidemic

AT A GLANCE

Reductions in AIDS-related

deaths continue at a pace that puts the 2020 milestone within reach. 1

The global rate of new

HIV infections is not falling

fast enough to reach the

2020 milestone.

2

As deaths decline faster

than new HIV infections, the number of people living with HIV has grown to 36.9 million [31.1-43.9 million]. 3

The collection and

analysis of more granular data is needed to guide efforts to reach key populations with services. 4

New epidemic transition

measures show whether countries and regions are on the path to ending the

AIDS epidemic.

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