HIV/AIDS Surveillance in Europe 2012
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SURVEILLANCE REPORT HIV/AIDS surveillance in Europe 2012 www.ecdc.europa.eu www.euro.who.int HIV/AIDS surveillance in Europe 2012 HIV/AIDS surveillance in Europe 2012 SURVEILLANCE REPORT Suggested citation for full report: European Centre for Disease Prevention and Control/WHO Regional Office for Europe. HIV/AIDS surveillance in Europe 2012. Stockholm: European Centre for Disease Prevention and Control; 2013. Tables and figures should be referenced: European Centre for Disease Prevention and Control/WHO Regional Office for Europe: HIV/AIDS surveillance in Europe 2012. This publication follows the ECDC terminological practice which reflects the European Union Interinstitutional Style Guide with regard to names and designations of countries. The names and designations of countries used in this publication should not be understood as an endorsement by WHO of the terminology used in this publication. The maps are reproduced with the permission of the WHO Regional Office for Europe. The designations employed and the presentation of this material do not imply the expression of any opinion whatso- ever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers and boundaries. WHO keywords: ACQUIRED IMMUNODEFICIENCY SYNDROME – EPIDEMIOLOGY AIDS AND ITS CONTROL DISEASE OUTBREAKS – STATISTICS HIV INFECTIONS – EPIDEMIOLOGY POPULATION SURVEILLANCE Erratum: The report was amended on 17 December 2013 to correct the titles of Figure G and Table 20. The WHO Regional Office for Europe is responsible for the accuracy of the translation of the Russian summary. © World Health Organization. Cover picture © Stockxpert ISBN 978-92-9193-541-3 ISSN 1831-9483 doi 10.2900/11420 Catalogue number TQ-AL-13-001-EN-C © European Centre for Disease Prevention and Control, 2012. Reproduction is authorised, provided the source is acknowledged. ii SURVEILLANCE REPORT HIV/AIDS surveillance in Europe 2012 Contents Overview of HIV and AIDS in Europe .........................................................................................................vii European Union and European Economic Area .....................................................................................................vii WHO European Region ......................................................................................................................................viii Conclusions ...................................................................................................................................................... ix ВИЧ/СПИД в Европе – обзор ситуации .................................................................................................. xi Европейский союз и Европейская экономическая зона.................................................................................... xi Европейский регион ВОЗ .................................................................................................................................xii Выводы ..........................................................................................................................................................xiii Abbreviations ..................................................................................................................................................xv 1 HIV and AIDS in the European Union and European Economic Area.................................................1 1.1 HIV diagnoses ................................................................................................................................................1 1.2 Trends in HIV diagnoses ................................................................................................................................4 1.3 AIDS cases, morbidity and mortality............................................................................................................... 5 1.4 Conclusions..................................................................................................................................................6 2 HIV and AIDS in the WHO European Region.......................................................................................... 7 2.1 HIV and AIDS diagnoses in the WHO European Region ..................................................................................... 7 2.2 HIV and AIDS diagnoses in the East ..............................................................................................................10 2.3 HIV and AIDS diagnoses in the Centre............................................................................................................13 2.4 HIV and AIDS diagnoses in the West .............................................................................................................15 2.5 Number of HIV tests performed .....................................................................................................................17 2.6 Conclusions ................................................................................................................................................17 Tables . .19 Figures . .69 Annexes ............................................................................................................................................................75 Annex 1: Framework for data collection, validation and presentation ........................................................................................ .77 Annex 2: List of variables in the new TESSy format for the 2012 HIV/AIDS data collection .................................................................81 Annex 3: Completeness of variables for data reported in 2011 and 2012 ..................................................................................... 82 Annex 4a: HIV surveillance system overview: data source information....................................................................................... 83 Annex 4b: AIDS surveillance system overview: data source information .....................................................................................84 Annex 5: Country-specific comments regarding national HIV and AIDS reporting . 85 Annex 6: Number of reported HIV infections, adjustment coefficients, estimated reporting delay for HIV diagnoses in EU/EEA countries and adjusted number and rate per 100 000 population, 2009–2012 ..........................................................................................86 Annex 7: HIV/AIDS surveillance in Europe: participating countries and national institutions............................................................. 87 iii HIV/AIDS surveillance in Europe 2012 SURVEILLANCE REPORT List of tables Table A: Characteristics of HIV diagnoses reported in the WHO European Region, the EU/EEA, and by geographical area, 2012....................vii Таблица А: Характеристики диагностированных случаев ВИЧ-инфекции, с разбивкой по географическим областям, страны Европейского региона ВОЗ и ЕС/ЕЭЗ, 2012 г. .................................................................................................................... xi Table B: Number and percentage of HIV diagnoses in cases from countries in sub-Saharan Africa (with generalised HIV epidemic) and overall totals, by mode of transmission, EU/EEA, 2012 (n=29 381) . .1 Table C: Number and percentage of HIV diagnoses in cases from countries in sub-Saharan Africa (with generalised HIV epidemic) and overall totals, by mode of transmission, WHO European Region, 2012 ........................................................................................ 7 Table 1: HIV infections newly diagnosed and rates per 100 000 population, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region ............................................................................ 20 Table 1a: HIV infections newly diagnosed and rates per 100 000 population, by country and year of statistics (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region ............................................................................ 22 Table 2: HIV diagnoses in males and rates per 100 000 population, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region .......................................................................................... 24 Table 3: HIV diagnoses in females and rates per 100 000 population, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region .......................................................................................... 26 Table 4: HIV diagnoses in men infected through sex with men, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region...................................................................................................... 28 Table 5: HIV diagnoses in persons infected through injecting drug use, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries of the WHO European Region .......................................................................................... 29 Table 6: HIV diagnoses in persons infected through heterosexual contact, by country and year of diagnosis (2006–2012) and cumulative totals, in EU/EEA and other countries