Status of HIV epidemic and response Latin America

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Status of HIV epidemic and response Latin America and the Caribbean 2019

Status of HIV epidemic and response Latin America and the Caribbean 2019

PAHO/WHO HIV incidence per 1000 population, 2030 forecast, and targets for Ending AIDS, in

PAHO/WHO HIV incidence per 1000 population, 2030 forecast, and targets for Ending AIDS, in Latin America and the Caribbean, 1995 -2030 Target: 75% reduction by 2020 90% reduction by 2030 0. 4 0. 35 0. 31 Baseline 2010 0. 3 0. 25 0. 20 0. 2 0. 19 0. 16 0. 15 0. 1 0. 05 Target 2020 0. 02 0. 05 95 19 96 19 97 19 98 19 99 20 00 20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10 20 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 20 19 20 20 20 21 20 22 20 23 20 24 20 25 20 26 20 27 20 28 20 29 20 30 0 19 Incidence per 1, 000 pop. (compared to 2010 values) HIV incidence Trend to meet 2030 target SDG and Ending AIDS targets Source: UNAIDS. Spectrum HIV estimates 2019 and projected values Estimated trend End AIDS 2030

PAHO/WHO HIV/AIDS mortality, 2030 forecast, and targets for Ending AIDS in Latin America and

PAHO/WHO HIV/AIDS mortality, 2030 forecast, and targets for Ending AIDS in Latin America and the Caribbean, 2000 -2030 80000 70000 Number of AIDS-related Deaths. 67, 000 60000 Target: 80% reduction by 2020 Baseline 2010 50000 51, 000 (compared to 2010 values) 41, 000 40000 30000 27, 000 20000 Target 2020 10000 0 10, 2000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030 HIV mortality Trend to meet 2020 target Estimated trend Source: UNAIDS. Spectrum HIV estimates 2019 and projected values

PAHO/WHO 160, 000 1600000 140, 000 1400000 120, 000 1200000 100, 000 1000000 80,

PAHO/WHO 160, 000 1600000 140, 000 1400000 120, 000 1200000 100, 000 1000000 80, 000 800000 60, 000 600000 40, 000 400000 20, 000 200000 - 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Total number receiving ART New HIV infections Male+Female Source: UNAIDS. Spectrum HIV estimates 2019, GARPR and GAM country reports 2000 -2019 0 AIDS deaths Male+Female persons receiving ART Estimated new HIV infectins and deaths New HIV infections, deaths and persons living with HIV receiving ART in Latin America and the Caribbean, 1995 -2018

PAHO/WHO New HIV infections and AIDS deaths in Latin America and the Caribbean, 2004

PAHO/WHO New HIV infections and AIDS deaths in Latin America and the Caribbean, 2004 -2018 Latin America The Caribbean 120, 000 100, 000 25, 000 100, 000 20, 000 16, 000 15, 000 60, 000 10, 000 6, 700 5, 000 0 80, 000 35, 000 40, 000 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 AIDS deaths Male+Female New HIV infections Male+Female 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 AIDS deaths Male+Female Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019 New HIV infections Male+Female

PAHO/WHO New HIV infections and AIDS deaths in Latin America and the Caribbean, 2004

PAHO/WHO New HIV infections and AIDS deaths in Latin America and the Caribbean, 2004 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019 Source: UNAIDS. Spectrum HIV estimates 2019

PAHO/WHO New HIV infections in Latin America and the Caribbean among 15 to 24

PAHO/WHO New HIV infections in Latin America and the Caribbean among 15 to 24 years old by sex, 2004 -2018 New infections among young people represent 20% (1/5) of all new infections in Latin America and 27% in the Caribbean Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019 Source: UNAIDS. Spectrum HIV estimates 2019

PAHO/WHO Distribution of new HIV infections (aged 15– 49 years), by population group, Latin

PAHO/WHO Distribution of new HIV infections (aged 15– 49 years), by population group, Latin America and the Caribbean, 2018 People who Sex inject drugs workers 3% 3% People who Sex inject drugs workers 2% 6% Gay men and other men who have sex with men 40% Remaining population 35% The Caribbean Latin America Remaining population 53% Clients of sex workers and sex partners of other key populations 15% Transgender women 4% Source: UNAIDS. Modes of transmission study, 2019 Gay men and other men who have sex with men 22% Transgender women 5% Clients of sex workers and sex partners of other key populations 12%

PAHO/WHO Latin America and the Caribbean towards 90 90 90 Targets, 2018 Source: UNAIDS.

PAHO/WHO Latin America and the Caribbean towards 90 90 90 Targets, 2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO HIV cascade of care, Latin America and the Caribbean, 2018 Target: 90% Target:

PAHO/WHO HIV cascade of care, Latin America and the Caribbean, 2018 Target: 90% Target: 81% Target: 72% Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO HIV cascade of care, Latin America and the Caribbean, 2015 -2018 Source: UNAIDS.

PAHO/WHO HIV cascade of care, Latin America and the Caribbean, 2015 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO People with HIV that know their status, by sex in Latin America and

PAHO/WHO People with HIV that know their status, by sex in Latin America and the Caribbean (%), 2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Persons living with HIV and persons receiving ART in Latin America and the

PAHO/WHO Persons living with HIV and persons receiving ART in Latin America and the Caribbean, 2000 -2018 ü 10% increase in persons on ART from 2018 to 2019 ü ART coverage is now at 61% (2019) up from 57% (2018) 2, 500, 000 2, 300, 000 2, 200, 000 2, 000 1, 399, 000 1, 267, 000 1, 500, 000 1, 000 500, 000 0 2001 2002 2003 2004 2005 2006 2007 2008 Persons living with HIV 2009 2010 2011 2012 2013 2014 2015 Persons receiving ART Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019 2016 2017 2018

PAHO/WHO Percent of men and women (15+) on ART, Latin America and the Caribbean,

PAHO/WHO Percent of men and women (15+) on ART, Latin America and the Caribbean, 2015 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Percent of men and women (15+) on ART, by subregion, 2015 -2018 Source:

PAHO/WHO Percent of men and women (15+) on ART, by subregion, 2015 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Persons receiving antiretroviral treatment (%), in Latin America and the Caribbean, by age

PAHO/WHO Persons receiving antiretroviral treatment (%), in Latin America and the Caribbean, by age and sex, 2016 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Children (0 -14 years old) receiving antiretroviral treatment (%), by subregion in Latin

PAHO/WHO Children (0 -14 years old) receiving antiretroviral treatment (%), by subregion in Latin America and the Caribbean, 2016 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Viral load testing and suppression, in Latin America and the Caribbean, 2016 -2018

PAHO/WHO Viral load testing and suppression, in Latin America and the Caribbean, 2016 -2018 Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019

PAHO/WHO Antiretroviral coverage among pregnant women with HIV and final MTCT transmission rate, by

PAHO/WHO Antiretroviral coverage among pregnant women with HIV and final MTCT transmission rate, by subregion, 2010 -2018 Caribbean 100 88 90 80 Latin America 100 90 83 82 79 80 86 90 80 70 70 70 50 60 47 % % 60 50 40 40 30 30 20 22 10 0 2010 19 2011 20 16 2012 14 15 15 14 2013 2014 2015 2016 2017 2018 PMTCT antiretroviral coverage MTCT transmission rate 10 0 50 20 2010 53 20 2011 58 62 66 68 67 70 76 18 17 17 16 16 15 14 2012 2013 2014 2015 2016 2017 2018 PMTCT antiretroviral coverage Source: UNAIDS. Spectrum HIV estimates 2019 and UNAIDS/WHO. Global AIDS monitoring country responses, 2019 MTCT transmission rate

PAHO/WHO Percentage of pregnant women tested for HIV testing coverage among pregnant women by

PAHO/WHO Percentage of pregnant women tested for HIV testing coverage among pregnant women by subregion, 2010 -2018 90% 80% 70% 62% 66% 69% 73% 75% 62% 67% 69% 73% 75% 73% 76% 78% 73% 75% 80% 69% 58% 59% 60% 50% 40% 30% 20% 10% 0% Latin America and the Caribbean 2010 2011 Latin America 2012 2013 2014 2015 The Caribbean 2017 2018 73% 77%

PAHO/WHO Number of new child HIV infections and new infections averted due to PMTCT

PAHO/WHO Number of new child HIV infections and new infections averted due to PMTCT by subregion, 1990 -2018 In 2018: 1800 infections averted In 2018: 1, 300 infections averted Caribbean Latin America 1100 new infections among 0 -14 -year-olds Source: UNAIDS. Spectrum HIV estimates 2019 AIDS 3100 new infections among 0 -14 -year-olds

PAHO/WHO Thank you!

PAHO/WHO Thank you!