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Hiv/Aids & Art Registry of The Department of Health | Epidemiology Bureau HIV/AIDS & ART REGISTRY OF THE PHILIPPINES Average number of people newly diagnosed with HIV per day, selected years 2011 2014 2016 2019 2020 6 16 25 35 21 NEWLY DIAGNOSED HIV CASES From April to June 2020, there were 934 newly confirmed Fig. 1: Number of newly diagnosed cases per month, 2018-2020 HIV-positive individuals reported to the HIV/AIDS & ART 1,400 Registry of the Philippines (HARP) [Figure 1]. Twenty-nine percent (268) had clinical manifestations of advanced HIV 1,200 a infection at the time of testing [Table 1]. 1,000 Ninety-four percent (874) of the newly diagnosed were 800 male. The median age was 28 years old (age range: 1-67 years old). Almost half of the cases (48%, 446) were 25-34 600 years old and 28% (259) were 15-24 years old at the time of diagnosis. 400 200 More than a third (37%, 349) were from the National Capital Region (NCR). Region 4A (21%, 194), Region 3 0 Number of newlydiagnosedNumberof HIV cases Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec (19%, 176), Region 12 (7%, 63), and Region 11 (5%, 43) 2018 1,021 871 914 924 950 993 859 1,047 954 1,072 945 877 comprised the top five regions with the most number of 2019 1,249 1,013 1,172 840 1,092 1,006 1,111 1,228 1,038 1,147 1,062 820 newly diagnosed cases for this reporting period, together 2020 1,039 1,227 552 257 187 490 accounting for 89% of the total cases [Figure 2]. Fig. 2: Proportion of newly diagnosed cases by region of Sexual contact remained as the predominant mode of residence, Apr-Jun 2020 (N=934) transmission (98%, 918). Among the newly diagnosed, 60% (557) reported transmission through male to male Region % sex, 22% (206) through males who have sex with both NCR 37% males and females, and 17% (155) were through male to 4A 21% female sex. Less than one percent (4) were infected 3 19% through mother-to-child transmission. Twelve cases (1%) 12 7% had no data on mode of transmission [Figure 3]. 11 5% 9 3% Among the newly diagnosed females this reporting period, 5 2% 13 were pregnant at the time of diagnosis. Eight cases were 8 2% from NCR, two cases each from Regions 3 and 4A and one 1 1% case from Region 11. 6 1% Table 1: Summary of HIV diagnoses and deaths 10 1% 2 1% Apr-Jun Jan-Jun Jan 2014 Jan 1984 7 <1% Demographic Data 2020 2020 -Jun 2020 -Jun 2020 4B <1% Total reported cases 934 3,752 56,105 78,559 CARAGA <1% ARMM <1% With advanced HIV infectiona 268 741 7,964 10,006 CAR <1% Male 874 3,532 53,388 73,729b Fig. 3: Modes of transmission among newly diagnosed cases, b Female 60 220 2,717 4,819 Apr-Jun 2020 (N=934) Age range 1-67 1-78 1 mo-79 1 mo-82c 557 Male to male Median age 28 28 28 28 (60%) sex only Age groups: <15 y/o 5 15 162 232c 12 (1%) No data 15-24 y/o 259 1,093 16,717 22,585c c 25-34 y/o 446 1,805 28,516 39,803 4 (<1%) Mother-to-child 35-49 y/o 187 703 9,328 13,755c 155 (17%) 206 50 y/o & above 37 136 1,382 2,111c (22%) Male-female sex Sex with both males Reported Pregnant 13 48 392 438 and females, among Reported deathsd 86 283 2,950 4,011 males a WHO clinical stage 3 or 4 b No data on sex for 11 cases c No data on age for 73 cases d Reported deaths due to any cause and not necessarily AIDS-related 1 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES APRIL - JUNE 2020 HIV/AIDS EPIDEMIC TRENDS IN THE PHILIPPINES (January 1984 - June 2020) The first case of HIV infection in the Philippines was reported in 1984. Since then, there have been 78,559 confirmed HIV cases reported to the HARP. Ninety-four percent (73,729) of those diagnosed were malee and 6% (4,819) were femalee. At the time of diagnosis, more than half (51%, 39,803) were 25-34 years oldf while 22,585 (29%) were youth 15-24 years oldf. The median age was 28 years old (age range: 1 month - 82 years). Seventy-one percent (56,105) of the total diagnosed cases in the Philippines were reported from January 2015 to June 2020. Thirteen percent (10,006) of all reported cases had clinical manifestations of advanced infectiong at the time of reporting [Figure 4]. Fig. 4: Number of HIV cases and advanced infections reported in the Philippines by year, Jan 1984 to Jun 2020 (N=78,559) 14,000 12,000 10,000 8,000 6,000 NumberHIVof Cases 4,000 2,000 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 '19 '20 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 11,427 12,778 3,752 g Advanced HIV 2 4 11 13 11 10 18 17 21 38 57 51 50 23 45 78 40 57 44 53 39 39 36 31 23 31 27 110 186 337 540 500 1,110 1,416 2,030 2,167 741 Age and Sex In the early years of the epidemic (1984-1990), 62% (133 Fig. 5: Number of diagnosed females per year, of 216 cases) of those diagnosed were female. However, Jan 1984 - Jun 2020 (N=4,819) since 1991 the proportion of diagnosed males has been 6,000 greater than that of females each year. From 1991 to 5,000 present, males comprised 94% (73,646) of the 78,343e diagnosed cases in the Philippines. In addition, from 4,000 January 2018 to June 2020, three percent (804) of the 3,000 26,476 diagnosed people who were assigned male at birth 2,000 reported their self-identityh as female (transgender Number of diagnosed females diagnosed of Number women). 1,000 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 '19 '20 The number of diagnosed HIV infections among females 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 3,937 4,599 4,819 has also been increasing in the past ten years (2010-2019) 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 55 104 127 156 156 229 253 325 394 517 599 662 220 [Figure 5]. Total newly diagnosed cases in 2019 (662) Fig. 6: Proportion of HIV cases by age group, Jan 1984 - Jun 2020 (N=78,559) Age group were five times higher compared with cases reported in 100% 50+ 2010 (127). Ninety-two percent (4,455) of all female cases since 1984 were in the reproductive age group (15-49 years 80% 35-49 old) at the time of testing. 60% 25-34 The predominant age group among those diagnosed has shifted to 25-34 years old starting 2006 from 35-49 years 40% old in 2001 to 2005 [Figure 6]. Further, the proportion of 15-24 20% HIV positive cases in the 15-24 year age group nearly doubled in the past ten years, from 17% in 2000 to 2009 to <15 0% 1991 2011 1997 2017 1987 1992 1993 2012 1995 2013 2015 1999 1985 2019 1994 1996 2014 2016 1989 1998 2018 1984 1990 1986 2001 2010 2007 1988 2002 2020 2003 2005 2009 2004 29% in 2010 to 2019. 2006 2008 2000 Geographic distribution From January 1984 to June 2020, the regions with the Table 2: Number of HIV cases diagnosed by region of residence most number of reported cases were NCR with 29,774 (38%) cases, Region 4A with 12,044 (15%) cases, Region 3 Jan 2015 - Jan 1984 - Apr-Jun 2020 Jan-Jun 2020 with 7,594 (10%) cases, Region 7 with 6,803 (9%) cases, Region Jun 2020 Jun 2020 (N=934) (N=3,752) and Region 11 with 4,334 (6%) cases. Twenty-one percent (N=56,105)i (N=78,559)j (16,872) of the cases came from the rest of the country while 1,138 (1%) did not report region of residence [Table 2]. NCR 349 (37%) 1,201 (32%) 19,716 (35%) 29,774 (38%) Of the 4,819 females reported with HIV, 1,265 (26%) were 4A 194 (21%) 711 (19%) 9,190 (16%) 12,044 (15%) from NCR, 728 (15%) were from Region 3, 585 (12%) were from Region 7, 575 (12%) were from Region 4A and 3 176 (19%) 480 (13%) 5,780 (10%) 7,594 (10%) 1,363 (28%) were from other regions; while 303 (7%) had no reported data on region of residence.
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