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Hiv/Aids & Art Registry of the Philippines

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Hiv/Aids & Art Registry of the Philippines Department of Health | Epidemiology Bureau HIV/AIDS & ART REGISTRY OF THE PHILIPPINES AUGUST 2018 Average number of people newly diagnosed with HIV per day, selected years 2009 2011 2013 2015 2018 2 7 13 22 31 NEWLY DIAGNOSED HIV CASES In August 2018, there were 1,047 new HIV antibody Table 1. Summary of HIV diagnoses and deaths seropositive individuals reported to the HIV/AIDS & ART Demographic Data Aug 2018 Jan - Aug Jan 2013– Jan 1984 Registry of the Philippines (HARP) [Table 1]. Seventeen 2018 Aug 2018 -Aug 2018 percent (176) had clinical manifestations of advanced HIV Total reported cases 1,047 7,579 46,509 58,181 infection (WHO clinical stage 3 or 4) at the time of diagnosis. With advanced infectiona 176 1,341 5,244 6,409 Ninety-five percent (998) of the newly diagnosed were male. Male 998 7,168 44,380 54,421b The median age was 28 years old (age range: 15 - 61 years old). More than half of the cases (51%, 537) were 25-34 years Female 49 411 2,129 3,749b old and 30% (309) were 15-24 years old at the time of Age Range (Median) 15-61 (28) 1-73 (28) 1-82 (28) 1-82 (28)c testing. c Age groups: <15 y/o 0 13 100 162 One third (31%, 328) were from the National Capital Region 15-24 y/o 309 2,234 13,571 16,383c (NCR). Region 4A (17%, 173 cases), Region 3 (11%, 119), 25-34 y/o 537 3,852 24,177 29,740c Region 7 (10%, 108), and Region 6 (6%, 58), round off the 35-49 y/o 179 1,292 7,592 10,285c top five regions with the most number of newly diagnosed cases for the month, together accounting for 75% of the total 50 y/o & above 22 188 1,069 1,538c [Figure 2]. 2 47 258 271 Pregnant Sexual contact remains the predominant mode of Reported deaths 159 435 2,484 2,893 transmission (98%, 1,022). Among this, 87% were males who a WHO clinical stage 3 or 4 b No data on sex for 11 cases have sex with males (MSM). Other modes of transmission c No data on age for 73 cases were needle sharing among injecting drug users (2%, 17). Fig. 2: Proportion by region of residence among newly diagnosed, There were eight cases that had no data on mode of August 2018 transmission. Region % Among the newly diagnosed females this month, two were NCR 31% pregnant at the time of diagnosis and both were from NCR. 4A 17% 3 11% Fig. 1: Number of newly diagnosed cases per month, 2016-2018 7 10% 1200 6 6% 11 5% 1000 1 3% 800 12 3% 5 3% 600 9 3% 400 10 2% CARAGA 2% 200 4B 1% Number of newly diagnosed cases ofNumber newly 0 2 1% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 8 1% 2016 802 749 734 770 739 838 761 762 762 818 754 749 2017 841 849 968 628 1,098 1,015 854 1,104 938 919 894 993 ARMM <1% 2018 1,021 871 914 924 950 993 859 1,047 CAR <1% Anti-retroviral Treatment (ART) In August 2018, there were 944 patients who were initiated Fig. 3: Number of ART initiation per month, 2016-2018 on ART. The median CD4 of these patients upon enrollment 1000 3 was 194 cells/mm . 900 800 A total of 30,667 people living with HIV (PLHIV) were 700 presently on ART as of August 2018. Most (97%) were males. 600 The age of reported cases ranged from 9 months to 80 years 500 (median: 31 years old). Ninety-five percent were on first line 400 regimen, 4% were on second line, and 1% were on other line 300 of regimen. Number PLHIVof initiatedART to 200 The total figure reflected on this section are the number of HIV positive adult and pediatric 100 patients currently enrolled and accessing Antiretroviral (ARV) medication in 88 treatment hubs and primary HIV care treatment facilities that had reported in the HARP. This report did not 0 include patients who have previously taken ARV but have died, left the country, have been lost Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec to follow-up and/or opted not to take ARV. Lost to follow-up is considered once a person have 2016 461 528 520 520 503 611 539 611 589 566 466 524 failed to visit a treatment facility more than 3 months after the expected date of ARV refill. 2017 526 600 784 561 683 690 727 846 746 750 658 664 Note: July 2018 data was used for SPMC due to late report submission. 2018 956 778 739 753 757 549 915 944 1 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES AUGUST 2018 HIV/AIDS EPIDEMIC TRENDS IN THE PHILIPPINES (January 1984 - August 2018) The first case of HIV infection in the Philippines was reported in 1984. Since then, there have been 58,181 confirmed HIV cases reported to the HARP. Ninety-four percent (54,421) of which were male and 6% (3,749) were female; there were no data on sex for 11 cases. More than half (29,740 or 51%) were from the 25-34 year age group while 16,383 (28%) were youth 15-24 years old. The median age was 28 years old (age range: 1 year - 82 years); no data on age for 73 cases. Eighty percent (46,509) of the total diagnosed cases in the Philippines were reported from January 2013 to August 2018. Eleven percent (6,409) of the total ever reported cases had clinical manifestations of advanced infection at the time of reporting (WHO clinical stage 3 & 4) [Table 1]. Fig. 4: Number of HIV cases reported in the Philippines by year, Jan 1984 Aug 2018 (N=58,181) 12000 10000 8000 6000 Number of HIV Cases of Number 4000 2000 0 '84 '85 '86 '87 '88 '89 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 Total Newly diagnosed 2 10 29 38 32 39 66 85 72 102 118 116 154 117 189 158 123 174 183 191 199 210 309 342 528 833 1,583 2,344 3,326 4,804 5,978 7,809 9,238 11,101 7,579 Age and Sex In the early years of the epidemic (1984-1990), 62% (133 same period of 2013 (142), five years prior. Ninety-three of 216 cases) of those diagnosed were female. On the percent (3,471) of all female cases were in the contrary, from 1991 to present, males comprised 94% reproductive age group (15-49 years old) at the time of (54,338) of the 57,965 diagnosed cases in the Philippines. diagnosis. In addition, from January to August 2018, three percent (205) out of 7,168 diagnosed male cases had classified The predominant age group among those diagnosed has their self-identity as female. shifted from 35-49 years old between 2001 to 2005, to 25-34 years old starting from 2006 [Figure 6]. Further, The number of diagnosed HIV infections among females the proportion of HIV positive cases in 15-24 year age has also been increasing [Figure 5]. The number of females group nearly tripled in the past ten years, from 13% in diagnosed from January to August 2018 (411) was almost 1999-2008 to 29% in 2009-2018. three times the number of diagnosed cases compared to the Fig. 5: Number of females diagnosed per year Fig. 6: Proportion of HIV cases by age group, Jan 1984 to Aug 2018 (N=3,749) Jan 1984 to Aug 2018 Age group 100% 4,000 50+ 3,500 80% 35-49 3,000 2,500 60% 25-34 2,000 1,500 40% 1,000 Number of diagnosed females ofdiagnosed Number 500 20% 15-24 0 '84 '85 '86 '87 '88 '89 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16 '17 '18 <15 Cumulative 0 7 32 58 76 96 133 161 185 224 275 312 364 406 477 530 568 625 678 738 799 868 958 1,022 1,077 1,181 1,308 1,464 1,620 1,849 2,102 2,427 2,821 3,338 3,749 0% 1991 2011 1997 2017 1987 1992 1993 2012 1995 2013 2015 1999 1985 1994 1996 2014 2016 1989 1998 2018 1984 1986 1990 2001 2010 2007 1988 2002 2003 2005 2009 2004 2006 2008 Diagnosed per year 0 7 25 26 18 20 37 28 24 39 51 37 52 42 71 53 38 57 53 60 61 69 90 64 55 104 127 156 156 229 253 325 394 517 411 2000 Geographic distribution From January 1984 to August 2018, the regions with the The regions with the most number of overseas Filipino most number of reported cases were NCR with 23,212 workers (OFW) reported to HARP were from NCR with (40%) cases, Region 4A with 8,613 (15%) cases, Region 7 2,045 (34%) cases, Region 4A with 1,028 (17%) cases, with 5,265 (9%) cases, Region 3 with 5,262 (9%) cases, and Region 3 with 681 (11%) cases. and Region 11 with 3,322 (5%) cases.
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