hiv/aids epidemiological situation in armenia · hiv/aids epidemiological situation in armenia,...

1
National Center for AIDS Prevention of the Ministry of Health of the Republic of Armenia Author: Elena Silka HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA Address: 2 Acharyan Str., Yerevan, RA Address: 2 Acharyan Str., Yerevan, RA Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746 Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746 E-mail: [email protected], Web: www.armaids.am E-mail: [email protected], Web: www.armaids.am National Center for AIDS Prevention of the Republic of Armenia Address: 2 Acharyan Str., Yerevan, RA Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746 E-mail: [email protected], Web: www.armaids.am Population - 2972700, Area (km. sq.) - 29743, Capital city - Yerevan (1061000) - 3337 Number of the registered HIV cases Number of the registered AIDS cases Total - 1695, Number of the registered death cases Total - 779, ESTIMATED NUMBER OF PEOPLE LIVING WITH HIV IN ARMENIA - 3500 Children up to 15 years of age - 58 Children up to 15 years of age 35 - Children up to 15 years of age - 11 DISTRIBUTION OF HIV/AIDS CASES AND DEATHS ACCORDING TO THE YEARS OF REGISTRATION, 2018 2 3 1 3 1 5 4 9 6 20 23 22 22 37 46 26 34 39 53 61 83 61 97 79 3 7 2 2 8 3 4 1 13 21 41 46 59 83 84 94 87 133 143 172 161 165 144 211 3 27 37 9 35 29 29 41 29 49 75 66 109 136 149 148 182 228 238 334 294 303 358 429 0 40 80 120 160 200 240 280 320 360 400 440 1988-1995 1996 1997 1998 1999 200020012002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 20132014 2015 2016 2017 2018 Deaths AIDS HIV Female /1024/ 30% Male /2313/ 70% 51% Unknown DISTRIBUTION OF THE REGISTERED HIV CASES ACCORDING TO THE MODES OF TRANSMISSION, 2018 The analysis of the HIV cases registered in Armenia according to modes of transmission shows that the main modes of HIV transmission are through heterosexual practices (70%) and injec- ting drug use (20%). Additionally, there are also registered cases through homosexual practices (4%), as well as mother-to-child HIV transmission (1.5%) and transmission through blood (0.1%). Heterosexual contacts Injecting drug use Homosexual contacts Mother-to-child Through blood Unknown 20% 70% 4% 4.4% 1.5% 0.1% 74.0% (n=2589) 68.5% (n=2395) 57.6% (n=2016) 53.5% (n=1871) 45.7% (n=1601) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Estimated number of PLHIV PLHIV knowing their status People who are linked to care People who are retained in care Number of PLHIV on ART VL<1000 100%(n=3500) SHIRAK Gyumri LORI Vanadzor TAVUSH Ijevan Gavar GEGHARKUNIK Hrazdan KOTAYK Artashat ARARAT Eghegnadzor VAYOTS DZOR Armavir ARMAVIR ARAGATSOTN Ashtarak SYUNIK Kapan Yerevan HIV TREATMENT CASCADE, 2018 HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA, JUNE 2019 As of the end of 2018 the estimated number of PLHIV was 3500 (UNAIDS SPECTRUM data), of whom only 2589 (74%) knew about their status, of whom 2395 (92%) were linked to HIV care, 2016 (84%) were retained in HIV care, 1871 (93%) were on ART, and 1601 (86%) had undetectable viral load. In terms of «90-90-90» targets Armenia has reached the level of «74-72-86». ALLOCATION OF HIV CASES BY AGE GROUPS AND SEX, 2018 72% 74% 86% ROLE OF MIGRATION IN THE STRUCTURE OF CASES REGISTERED IN 2014-2018 (ADULTS) Were infected abroad 34% 10% 56% In the last years factor of outbound labour migration is significant. Out of the HIV cases registered in 2009-2018 period 56%, being labor migrants had a risky behaviour abroad and most like got infected there. Overall, 66% of registered HIV cases were among labor migrants and their partners. Thus, more than half of the HIV patients registered during 2009-2018 had been infected outside Armenia, of whom about 91% – in Russia (90.9% in Russia, 4.6% – in Ukraine, 0.8%). The registration of HIV cases in Armenian started in 1988. By the end of December 2018 3337 HIV cases were registered in the country among the citizens of Armenia, ncluding 58 cases of HIV infection among children. AIDS diagnosis was made to 1695 patients with HIV, of whom 33 are children. 779 death cases have beenregistered among HIV/AIDS patients, including 11 children. The HIV/AIDS situation assessment shows that the estimated number of people living with HIV in the country is about 3500. Allocation of HIV cases by age groups and gender shows that more than half of the all registered HIV cases (51%) are aged 25-39, i.e. in active reproductive age. Their sexual partners Other

Upload: others

Post on 24-Jun-2020

6 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA · HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA, JUNE 2019 As of the end of 2018 the estimated number of PLHIV was 3500 (UNAIDS SPECTRUM

National Center for AIDS Prevention of the Ministry of Health of the Republic of ArmeniaAuthor: Elena Silka

HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA

Address: 2 Acharyan Str., Yerevan, RA Address: 2 Acharyan Str., Yerevan, RA Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746

E-mail: [email protected], Web: www.armaids.am E-mail: [email protected], Web: www.armaids.am

National Center for AIDS Prevention of the Republic of ArmeniaAddress: 2 Acharyan Str., Yerevan, RA

Tel.: (+37410) 610730, Mob.: (+37499) 610820, Hotline: (+37410) 610820, Fax: (+37410) 615746E-mail: [email protected], Web: www.armaids.am

Population - 2972700, Area (km. sq.) - 29743, Capital city - Yerevan (1061000)

- 3337Number of the registered HIV cases

Number of the registered AIDS cases

Total - 1695,

Number of the registered death cases

Total - 779,

ESTIMATED NUMBER OF PEOPLE LIVING

WITH HIV IN ARMENIA - 3500

Children up to 15 years of age - 58

Children up to 15 years of age 35-

Children up to 15 years of age - 11

DISTRIBUTION OF HIV/AIDS CASES AND DEATHS ACCORDING TO THE YEARS

OF REGISTRATION, 2018

23 1 3

15 4 9

6 20 2322

2237 46 26 34 39 53

6183

6197

79

3 7 2 2 8 3 4 1 13 2141 46 59

83 84 94 87

133

143172

161

165 144

211

3

27 37

9

35 29 2941

2949

75 66

109136

149 148182

228

238

334

294

303

358

429

0

40

80

120

160

200

240

280

320

360

400

440

1988-199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018

Deaths AIDS HIV

Female /1024/ 30% Male /2313/ 70%51%

Unknown

DISTRIBUTION OF THE REGISTERED HIV CASES ACCORDING TO

THE MODES OF TRANSMISSION, 2018

The analysis of the HIV cases registered in Armenia according to modes of

transmission shows that the main modes of HIV transmission are through

heterosexual practices (70%) and injec- ting drug use (20%). Additionally,

there are also registered cases through homosexual practices (4%), as well

as mother-to-child HIV transmission (1.5%) and transmission through

blood (0.1%).

Heterosexual contacts

Injecting drug use

Homosexual contacts

Mother-to-child

Through blood

Unknown

20%

70%

4% 4.4%1.5%0.1%

74.0% (n=2589)68.5% (n=2395)

57.6% (n=2016) 53.5% (n=1871)

45.7% (n=1601)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Estimated numberof PLHIV

PLHIV knowingtheir status

People who arelinked to care

People who areretained in care

Number of PLHIVon ART

VL<1000

100% (n=3500)

SHIRAK

Gyumri

LORI

Vanadzor

TAVUSHIjevan

Gavar

GEGHARKUNIK

Hrazdan

KOTAYK

Artashat

ARARAT

Eghegnadzor

VAYOTS DZOR

ArmavirARMAVIR

ARAGATSOTNAshtarak

SYUNIK

Kapan

Yerevan

HIV TREATMENT CASCADE, 2018

HIV/AIDS EPIDEMIOLOGICAL SITUATION IN ARMENIA, JUNE 2019

As of the end of 2018 the estimated number of PLHIV was 3500 (UNAIDS

SPECTRUM data), of whom only 2589 (74%) knew about their status,

of whom 2395 (92%) were linked to HIV care, 2016 (84%) were retained in HIV

care, 1871 (93%) were on ART, and 1601 (86%) had undetectable viral load. In

terms of «90-90-90» targets Armenia has reached the level of «74-72-86».

ALLOCATION OF HIV CASES BY AGE GROUPS AND SEX, 2018

72%

74%

86%

ROLE OF MIGRATION IN THE STRUCTURE OF CASES REGISTERED IN 2014-2018 (ADULTS)

Were infected abroad

34%

10%

56%

In the last years factor of outbound labour

migration is significant. Out of the HIV

cases registered in 2009-2018 period 56%,

being labor migrants had a risky behaviour

abroad and most like got infected there.

Overall, 66% of registered HIV cases were

among labor migrants and their partners.

Thus, more than half of the HIV patients

registered during 2009-2018 had been

infected outside Armenia, of whom about

91% – in Russia (90.9% in Russia, 4.6% – in

Ukraine, 0.8%).

The registration of HIV cases in Armenian started in 1988. By the end of December 2018 3337 HIV cases were registered in the country among the citizens of Armenia, ncluding 58 cases of HIV infection among children.

AIDS diagnosis was made to 1695 patients with HIV, of whom 33 are children. 779 death cases have beenregistered among HIV/AIDS patients, including 11 children.

The HIV/AIDS situation assessment shows that the estimated number of people living with HIV in the country is about 3500.

Allocation of HIV cases by age groups and gender shows that more than half of the all registered HIV cases (51%) are aged 25-39, i.e. in active reproductive age.

Their sexual partners

Other