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March 2021 Hiv/Aids & Art Registry of the Philippines

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March 2021 Hiv/Aids & Art Registry of the Philippines a Department of Health | Epidemiology Bureau MARCH 2021 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES Average number of people newly diagnosed with HIV per day, selected years 2011 2016 2020 2021 6 25 22 31 NEWLY DIAGNOSED CASES In March 2021, there were 1,041 confirmed HIV-positive Table 1: Summary of HIV diagnoses and deaths Mar Jan-Mar Jan 2016- Jan 1984- individuals reported to the HIV/AIDS & ART Registry of the Demographic Data 2021 2021 Mar 2021 Mar 2021 Philippines (HARP) [Figure 1]. Fifteen percent (156) had clinical Total reported cases 1,041 2,786 55,388 85,651 manifestations of advanced HIV infectiona at the time of testing Advanced HIV [Table 1]. infectiona 156 475 8,821 11,363 Male 991 2,647 52,643 80,468b Ninety-five percent (991) of the reported cases were male. The Female 50 139 2,745 5,172b median age was 28 years old (age range: 6-65 years old). More Age Range 6-65 1-70 <1 mo - 79 <1 mo - 82c than half of the cases (52% or 538) were 25-34 years old and 30% (316) were 15-24 years old at the time of diagnosis. Median age 28 28 28 28 Age groups: <15 1 10 170 259c Eighteen percent (192) were from Region 6. National Capital 15-24 316 797 16,451 24,530c Region (NCR) (18%, 184), Region 11 (18%, 183), Region 4A (12%, 25-34 538 1,434 28,098 43,503c 123), and Region 3 (10%, 105) comprised the top five regions 35-49 158 479 9,294 15,011c with the most number of newly reported cases for this reporting >49 28 66 1,375 2,275c period, together accounting for 76% of the total cases [Figure 2]. Reported pregnant 6 25 434 520 Reported deathse 68 214 3,265 4,787 Sexual contact remained as the predominant mode of Fig. 1: Number of newly diagnosed cases per month, 2019-2021 transmission (97%, 1,013). Among the newly reported cases who 1,400 acquired HIV through sexual contact, 63% (656) were through 1,200 male to male sex, 25% (261) through males who have sex with 1,000 both males and femalesd, and 9% (96) through male to female sex. Further, 9 (1%) were infected through sharing of infected 800 needles and 19 cases (2%) had no data on mode of transmission. 600 400 In March 2021, six cases were reported pregnant at the time of 200 diagnosis. Two cases each from Regions 3 and 11, and one case Number of newly diagnosed HIV cases 0 each from Region 4A and NCR. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 1,249 1,013 1,172 840 1,092 1,006 1,111 1,228 1,038 1,147 1,062 820 2020 1,039 1,227 552 257 187 490 523 133 1,219 735 620 1,076 Anti-retroviral Therapy 2021 890 855 1,041 In March 2021, there were 910 people with HIV who were Fig. 2: Proportion by region of residence among newly initiated on ART [Figure 3]. The median CD4 of these patients diagnosed cases, Mar 2021 (N=1,041) upon enrollment was at 208 cells/mm3. Region Mar 2021 6 192 (18%) A total of 50,140 people living with HIV (PLHIV) were NCR 184 (18%) presently on ART as of March 2021. Ninety-six percent 11 183 (18%) (48,235) were males. The age of reported cases ranged from 1 4A 123 (12%) to 80 years (median: 32 years old). Ninety-five percent were on 3 105 (10%) the first line regimen, 4% were on second the line, and 1% were 7 100 (10%) on the third line of regimen. Fig. 3: Number of ART initiation per month, 2019-2021 12 33 (3%) CARAGA 28 (3%) 1,200 9 22 (2%) 1,000 2 21 (2%) 800 1 17 (2%) 600 10 7 (1%) 400 CAR 7 (1%) 200 4B 6 (<1%) Number of PLHIV initiated to ART 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 1,024 810 923 752 870 702 916 922 746 962 735 925 8 6 (<1%) 2020 1,167 950 682 275 367 491 668 506 551 579 563 639 2021 675 719 910 BARMM 4 (<1%) Note: 5 3 (<1%) Due to reporting delay, data from previous month (Feb 2021) were used for Bernardo SHC and Eversley Sanctuarium in updating their treatment outcome for this reporting period. ª WHO clinical stage 3 or 4 Note: b No data on sex for 11 cases HIV confirmed cases of previous reporting months from Davao RHWC (Region 11) (111, Jan 2020-Feb 2021) and Corazon c No data on age for 73 cases Locsin Montelibano Memorial Regional Hospital (Region 6) (76, Nov 2020-Feb 2021) were included in the March 2021 d Among males only (sex assigned at birth) HARP report due to delayed submission. 1 e Reported deaths due to any cause and not necessarily AIDS-related HIV/AIDS & ART REGISTRY OF THE PHILIPPINES MARCH 2021 EPIDEMIC TRENDS OF HIV/AIDS IN THE PHILIPPINES, JAN 1984 - MAR 2021 The first case of HIV infection in the Philippines was reported in 1984. Since then, there have been 85,651 confirmed HIV cases reported to the HARP. Ninety-four percent (80,468) of those diagnosed were malef and 6% (5,172) were femalef. At the time of diagnosis, more than half (51%, 43,503) were 25-34 years oldg while 24,530 (29%) were youth (15-24 years oldg). The median age was 28 years old (age range: 1 month - 82 years). Thirteen percent (11,363) of the reported cases had clinical manifestations of advanced infectionh at the time of testing. Moreover, 65% (55,388) of the total diagnosed cases in the Philippines were reported from January 2016 to March 2021. Fig. 4: Number of HIV cases and advanced infections reported in the Philippines by year, Jan 1984 to Mar 2021 (N=85,651) 14,000 12,000 10,000 8,000 6,000 4,000 Number of HIV Cases 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 '21 Total HIV cases 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 11,10 11,42 12,77 8,058 2,786 h 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 1,623 475 Sex and Age In the early years of the epidemic (1984-1990), 62% (133 of 216 Fig. 5: Number of diagnosed females per year, Jan 1984 to Mar 2021 (n=5,172) cases) of those diagnosed were female. However, since 1991 the 5,500 5,000 proportion of diagnosed males has been greater than that of 4,500 females each year. In the past 10 years (2011-2021), proportion 4,000 3,500 of yearly diagnosed cases among males were more than 93%. 3,000 2,500 2,000 The number of diagnosed HIV infections among females has 1,500 Number of diagnosed females 1,000 also been increasing in the past ten years (2011-2021) [Figure 500 0 5]. From January to March 2021, 139 females were diagnosed '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 '21 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 5,033 5,172 with HIV, which was almost twice higher compared with cases 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 55 104 127 156 156 229 253 325 394 517 599 662 434 139 Fig. 6: Proportion of HIV cases by age group, reported in 2016 (82). Ninety-two percent (4,777) of all female Jan 1984 to Mar 2021 (N=85,651)g 100% Age cases since 1984 were in the reproductive age group (15-49 Group years old) at the time of testing. 80% >49 35-49 The predominant age group among those diagnosed has 60% 25-34 shifted to 25-34 years old starting 2006 from 35-49 years 40% old in 2001 to 2005 [Figure 6]. Further, the proportion of HIV 15-24 20% positive cases in the 15-24 year age group increased in the past <15 10 years, from 22% in 2001 to 2010 to 29% in 2011 to 2020. 0% 1991 2011 1997 2017 1987 1992 2012 2021 1993 1995 2013 2015 1999 1985 2019 1994 1996 2014 2016 1989 1998 2018 1990 1984 1986 2001 2010 2007 1988 2002 2020 2003 2005 2009 2004 2006 2008 2000 Geographic Distribution From January 1984 to March 2021, the regions with the most Table 2: Number of HIV cases diagnosed by region of residence number of reported cases were NCR with 31,875 (37%) cases, Jan 2016- Jan 1984- Region 4A with 13,179 (15%) cases, Region 3 with 8,496 (10%) Mar 2021 Jan-Mar 2021 Region Mar 2021 Mar 2021 (N=1,041) (N=2,786) cases, Region 7 with 7,328 (9%) cases, and Region 6 with 4,747 (N=55,388) (N=85,651)i (6%) cases.
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