a Department of Health | Epidemiology Bureau MARCH 2021 HIV/AIDS & ART REGISTRY OF THE

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. Twenty-two percent (18,888) of the cases came from the rest of the country while 1,138 (1%) did not report NCR 184 (18%) 817 (29%) 18,764 (34%) 31,875 (37%) region of residence [Table 2].

Of the 5,172 females reported with HIV, 1,343 (26%) were from 4A 123 (12%) 474 (17%) 9,061 (16%) 13,179 (15%) NCR, 790 (15%) were from Region 3, 640 (12%) were from Region 4A, and 626 (12%) were from Region 7. Furthermore, 3 105 (10%) 317 (11%) 6,001 (11%) 8,496 (10%) 1,470 (29%) were from other regions; while 303 (6%) had no reported data on region of residence. 7 100 (10%) 190 (7%) 4,632 (8%) 7,328 (9%) The regions with the most number of Overseas Filipino Workers (OFW) reported to HARP were from NCR with 2,462 6 192 (18%) 317 (11%) 3,606 (7%) 4,747 (6%) (31%) cases, Region 4A with 1,381 (17%) cases, and Region 3 Rest of the with 1,005 (13%) cases. country 337 (32%) 671 (25%) 13,324 (24%) 18,888 (22%) f 11 cases had no data on sex g No data on age for 73 cases h WHO clinical stage 3 or 4 i No data on region of residence for 1,138 (1%) cases 2 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES MARCH 2021 Modes of Transmission (MOT) From January 1984 to March 2021, sexual contact among Table 3: Modes of HIV Transmission Jan 2016- Jan 1984- males who have sex with males [MSM] (86%, 69,057) was Mar 2021 Jan-Mar 2021 Mode of (N=1,041) Mar 2021 Mar 2021 the predominant MOT, followed by male-female sex (10%, (N=2,786) k Transmission (N=55,388) (N=85,651) 8,300), and sharing of infected needles (3%, 2,259). More Mj Fj M F M F M F than half of MSM (52%, 36,136) were 25-34 years old at the (991) (50) (2,647) (139) (52,643) (2,745) (80,468) (5,172) time of testing, and 31% (21,245) were 15-24 years old. Among Sexual Contact 966 47 2,569 131 51,121 2,597 77,357 4,806 diagnosed females, male-female sex was the most common Male- 49 47 179 131 4,513 2,597 8,300 4,806 MOT (93%, 4,806) followed by sharing of infected needles female sex

(3%, 140) [Table 3]. Male-male 656 - 1,674 - 32,124 - 45,769 - sex A total of 219 children (less than 10 years oldm), eight Sex w/ l adolescents (10-19 years old ), and one adult foreigner (22 years males & 261 - 716 - 14,484 - 23,288 - oldm) were reported to have acquired HIV through mother-to- femalesl child transmission. Blood /blood products 0 0 0 0 0 0 5 15

From 1984 to 2006, the most common MOT (62%, 1,695) Sharing of infected 8 1 16 1 1,009 54 2,259 140 was male-female sex. From 2007, the trend shifted to sexual needles contact among MSM as the predominant MOT and has Needlestick 0 0 0 0 0 0 2 1 remained as such to the present. From January 2016 to March injury Mother-to- 2021, 84% (46,608) out of the total (55,388) diagnosed cases child 0 0 2 4 74 71 118 110 were among MSM. No data 17 2 60 3 439 23 726 100

From 1984 to 2009, transmission through sharing of infected Regional patterns vary across different MOT. Forty percent needles was less than one percent of the total cases reported. In (27,475) of ever diagnosed males who have sex with males 2010, 9% (147) of the total cases (1,583) reported were among were from NCR; almost all (99%, 2,392) reported cases among people who inject drugs (PWID). However, the proportion of people who inject drugs were from Region 7; and 31% (97) of new cases among PWID remained at less than 6% of the total females who engaged in transactional sex were from Region 3. cases in the succeeding years. SPECIFIC POPULATION Youth (15-24 years old) Children (<10) & Adolescents (10-19) In March 2021, 316 (30%) cases were among youth 15-24 years In March 2021, there were 43 newly reported adolescents. Of old and 95% were male. Almost all (99%, 312) were infected these, 26% (11) were 15-17 years old, and 74% (32) were 18-19 through sexual contact (25 male-female sex, 222 male-male years old. All adolescents were infected through sexual contact sex, 65 sex with both males & femalesk) and one (<1%) was (5 male-female sex, 30 male-male sex, 8 sex with both males & infected through sharing of infected needles. Three (1%) cases femalesl). Further, one child was diagnosed with HIV in this had no data on the MOT. reporting period and had no data on MOT.

From January 1984 to March 2021, 24,530 (29%) of the Four percent (3,675) of all diagnosed cases from January 1984 reported cases were 15-24 years old. Ninety-seven percent to March 2021 were 19 years old and younger at the time of (23,868) were infected through sexual contact (2,623 male- diagnosis. Among the total, 229 (6%) were less than 10 years female sex, 14,566 male-male sex, 6,679 sex with both males & old at the time of testing, 30 (1%) were 10-14 years old, 518 femalesl), 485 (2%) were infected through sharing of needles, (14%) were 15-17 years old, and 2,898 (79%) were 18-19 years one (<1%) was infected through mother-to-child transmission, old. [Figure 8] and 176 (1%) had no data on the MOT. Sixty-seven percent (16,451 out of 24,530) of all those 15-24 years old at the time Further, in the past 5 years since 2019, significant increase of testing were diagnosed from January 2016 to March 2021. of cases among age groups 15-17 and 18-19 were notable. Since 2004, more males were diagnosed from this age group. Diagnosed cases in 2019 (120) among 15-17 years old were However, the number of diagnosed HIV cases among female six times higher compared to 2014 (21) while 18-19 years old youth had increased significantly in the past five years. The were three times higher in comparisson of the same reporting total diagnosed females aged 15-24 years old in January to period of 2019 (417) and 2014 (174). March 2021 (37) was almost three times higher compared with the same reporting period (14) in 2016 [Figure 7]. Fig. 7: MOT among youth, Jan 1984 - Mar 2021 (n=24,530) Fig. 8: Diagnosed cases among children and adoscents by age group, Jan 1984 - Mar 2021 (n=3,675) 176 (1%) 1 (<1%) 700 No data Mother-to-child

14,566 600 485 (2%) (59%)

Sharing of 500 infected

needles 400 2,623 Male-male sex Male- (11%) 300

female Diagnosed HIV Cases sex 200

100 6,679

(27%) 0 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 18-19 0 0 0 1 2 1 1 4 0 4 2 4 1 2 1 1 1 1 1 2 0 4 5 1 11 25 41 60 91 140 174 232 347 492 442 471 252 81 15-17 1 0 1 1 0 0 0 2 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1 14 19 12 18 21 29 35 74 79 120 65 22 Sex with both 10-14 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 4 2 2 7 4 5 2 males and femalesl <10 0 0 0 1 0 0 4 1 1 1 2 0 3 3 2 3 0 5 1 3 3 0 3 9 2 2 3 3 4 3 4 15 20 36 23 34 27 8 j Sex at birth; M=Male, F=Female k No data on MOT and sex for 11 cases l Among males only 3 m Age was based at the time of testing HIV/AIDS & ART REGISTRY OF THE PHILIPPINES MARCH 2021 Transgender Women (TGW)n Transactional Sex Repor ti ng of gender identit y was i ncluded i n the H A R P star ti ng People who engage in transactional sex are those who reported year 2018. TGW were male cases (sex assigned at birth) who that they either pay for sex, regularly accept payment for sex, reported their gender identity as female at the time of testing. or do both. Reporting of transactional sex was included in the In March 2021, there were 14 TGW diagnosed with HIV. Of HARP starting December 2012. these, more than half (57%, 8) were 25-34 years old, 29% (4) In March 2021, 14% (144) of the newly diagnosed engaged 35-49 years old, 7% (1) 15-24 years old and 7% (1) were 50 in transactional sex [Table 4]. Ninety-nine percent (143) were years and older. The age of diagnosis ranged from 24 to 51 male. They were aged from 18 to 59 years old (median: 29 years (median: 33). old). Thirty-one percent (45) of the males reported paying for A total of 949 TGW were diagnosed from January 2018 to sex only, 61% (87) reported accepting payment for sex only March 2021. Almost all (90%, 940) of the cases acquired HIV and 8% (11) engaged in both. One female case aged 39 years o o through sexual contact (7 male -female, 840 male -male, 93 old was reported to have accepted payment for sex only. sex with both males and females) and less than 1% (3) through sharing of infected needles. Six (1%) TGW had no data on A total of 9,040 cases reported to HARP from December 2012 MOT. to March 2021 were people who engaged in transactional sex. Ninety-seven percent (8,732) were male. There were 4,871 Further, half (50%, 474) of the TGW were 25-34 years old at the time of testing, 28% (269) were 15-24 years old, 19% (182) (54%) who paid for sex, 2,835 (31%) who accepted payment were 35-49 years old, and 3% (24) were 50 years and older. for sex, and 1,334 (15%) who engaged in both [Table 4]. The median age of diagnosis was 28 years old (age range: 15 to 63 years old) [Figure 9]. Fig. 9: Number of reported TGW diagnosed with HIV by age Table 4: Age and sex of people diagnosed with HIV who group, Jan 2018 - Mar 2021 (n=949) engaged in transactional sex 400 Type of Jan-Mar Jan 2016- Dec 2012- Transactional Mar 2021 2021 Mar 2021 Mar 2021 Sex (N=144) (N=316) (N=6,512) (N=9,040) 350 Accepted payment for 45 (31%) 98 (31%) 2,092 (32%) 2,835 (31%) 300 sex only Male 45 97 1,961 2,642 250 Female 0 1 131 193

Age Range 18-49 (27) 17-49 (25) 12-68 (26) 12-68 (26) 200 (Median) Paid for sex only 88 (61%) 178 (56%) 3,482 (54%) 4,871 (54%) 150 Male 87 177 3,464 4,844

Number of diagnosed TGW 100 Female 1 1 18 27 Age Range (Median) 19-59 (30) 16-60 (31) 13-77 (32) 13-79 (31) 50 Engaged in both 11 (8%) 40 (13%) 938 (14%) 1,334 (15%) 0 Male 11 40 888 1,246 2018 2019 2020 2021 Female 0 0 50 88 Age group: 15-24 25-34 35-49 >49 Age Range (Median) 21-55 (29) 20-55 (31) 15-62 (29) 15-62 (29) Overseas Filipino Workers Sixty-two Filipinos who worked overseas within tvhe past five years, whether on land or at sea, were newly reported in March 2021. They comprised 6% of the total cases for this period. Of these 89% (55) were male. Further, 98% (54) of the male cases were infected through sexual contact (7 male-female sex, 27 male-male sex, and 20 sex with both males and femalesp). The ages of male OFWs ranged from 22 to 65 years (median: 33 years). More than half (54%, 30) of the male cases were 25-34 years old at the time of testing, 31% (17) were 35-49 years old, 11% (6) were 50 years & older, and 4% (2) were 15-24 years old. Eighty-six percent (6) of the female OFWs were infected through sexual contact and one (14%) female OFW had no data on MOT. More than half (57%, 4) of the female cases were 25-34 years old, 29% (2) were 50 years & older, and 14% (1) were 35-49 years old. The age range among diagnosed female OFWs were from 31 to 60 years old (median: 33 years old). From January 1984 to March 2021, 9% (7,899) of the total cases were OFWs [Figure 10]. Of these, 6,878 (87%) were male. Almost all (99%, 6,786) of male cases were infected through sexual contact (1,671 male-female sex, 3,047 male-male sex and 2,068 sex with both males and femalesp). The ages of male OFWs ranged from 16 to 80 years (median: 32 years). Among 1,021 female OFWs, 97% (993) were infected through sexual contact. The ages of female OFWs ranged from 20 to 73 years old (median: 35 years old). Fig. 10: Cumulative number of diagnosed cases among OFW, Jan 1984 - Mar 2021 (n=7,899)

8,000

7,500

7,000

6,500

6,000

5,500

5,000

4,500

4,000

3,500

3,000

2,500 Number of HIV Cases among OFWs

2,000

1,500

1,000

500

0 '84 '85 '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 cases 1 3 6 15 20 30 36 50 79 110 134 169 196 247 314 374 453 548 640 725 817 947 1,053 1,175 1,338 1,512 1,781 2,122 2,615 3,219 3,889 4,553 5,345 6,255 7,186 7,699 7,899 Cases per year 1 2 3 9 5 10 6 14 29 31 24 35 27 51 67 60 79 95 92 85 92 130 106 122 163 174 269 341 493 604 670 664 792 910 931 513 200 n Of the total 33,215 male (sex at birth) cases in Jan 2018-Mar 2021, 31% (10,259) had no data on self-identity o Male (sex assigned at birth) p Among males only 4 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES MARCH 2021 Pregnant Women with HIV Reporting of pregnancy status at the time of diagnosis was Fig. 11: Number of HIV positive women who were pregnant at the included in the HARP starting year 2011. time of diagnosis by age group, Jan 2011 - Mar 2021 (n=520) 120 From January to March 2021, there were 25 HIV positive

women reported pregnant at the time of diagnosis. Of 100 these, 28% (7) each were from NCR and Region 3, 16% (4)

were from Region 4A, 12% (3) were from Region 7 and 16% 80 (4) were from the rest of the country. The age of diagnosis

ranged from 15 to 36 years old (median age: 23). 60 Since 2011, a total of 520 diagnosed women were reported pregnant at the time of diagnosis. More than half (52%, 40 272) were 15-24 years old at the time of diagnosis and 40% 20 (207) were 25-34 years old [Figure 11]. The regions with Number of diagnosed pregnant women highest number of diagnosed pregnant cases with HIV 0 were NCR (43%, 226), Region 7 (19%, 99), Region 4A (12%, 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

61), Region 3 (9%, 48), and Region 11 (4%, 19). Age group <15yo 15- 24yo 25-34yo 35-49yo Mortality In March 2021, there were 68q reported deaths due to any cause among people with HIV. Ninety-three percent (63) were males. One case (<1%) was less than 15 years old, 8 (12%) cases were 15-24 years old, 33 (49%) were 25-34 years old, 18 (26%) were 35-49 years old and 8 (12%) were 50 years and older [Figure 12]. The top 5 regions with the most number of reported deaths were National Capital Region (NCR) (40%, 27), Region 4A (22%, 15), Region 3 (13%, 9), Region 6 (7%, 5), and Region 4B (4%, 3). Two cases each were from Regions 10, 12, and 5. One case each from Regions 1, 11, and 7.

A total of 4,787 deaths were reported from January 1984 to March 2021, and 92% (4,413) of whom were male. Thirty (1%) were less than 15 years oldr at the time of death, 696 (15%) were 15-24 years oldr, 2,400 (50%) were 25-34 years oldr, 1,359 (28%) were 35-49 years oldr, and 300 (6%) were 50 years and olderr [Figure 12].

From 1984 to March 2021, the top 5 regions with the most number of reported deaths were NCR (31%, 1,487), Region 4A (13%, 647), Region 3 (11%, 522), Region 6 (10%, 475), and Region 7 (7%,338). Further, 134 (3%) cases had no data on region of residence [Table 5]. Table 5: Proportion of reported deaths by region of residence Fig. 12: Proportion of reported deaths among people with HIV by age groupr Jan-Mar Jan 2016- Jan 1984- Mar 2021 Region 2021 Mar 2021 Mar 2021 (N=68) s t u 12% 49% 26% 12% (N=214) (N=3,265) (N=4,787) Mar 2021 (8) (33) (18) (8)

NCR 27 (40%) 71 (33%) 933 (29%) 1,487 (31%) 12% 50% 29% 8% Jan - Mar 2021 4A 15 (22%) 42 (20%) 479 (15%) 647 (13%) (26) (108) (63) (16)

3 9 (13%) 20 (9%) 398 (12%) 522 (11%) 15% 52% 27% 5% Jan 2016 - Mar 2021 (498) (1,692) (894) (165) 6 5 (7%) 15 (7%) 350 (11%) 475 (10%) 15% 50% 28% 6% 7 1 (2%) 31 (15%) 235 (7%) 338 (7%) Jan 1984 - Mar 2021 (696) (2,400) (1,359) (300) Rest of the country 11 (16%) 33 (15%) 858 (26%) 1,184 (25%) Age group <15 15-24 25-34 35-49 >49 q Based on reported date. Hence, actual date of death may not necessarily fall in this reporting period r No data available on age for 2 cases s 2 (1%) cases had no data on region of residence t 12 (<1%) cases had no data on region of residence u 134 (3%) cases had no data on region of residence HIV/AIDS & ART Registry of the Philippines (HARP) Editorial Team: National HIV/AIDS & STI Surveillance & Strategic Romeo P. Amor, Jr., RMT, RN Kathrina Michaela M. Asilo Richard L. Lepardo, RN Jan Khrysner M. Velayo, RN Health Program Officer II Health Program Officer II Senior Health Program Officer Surveillance Officer Information Unit (NHSSS) Surveys Monitoring and Evaluation Division, Epidemiology Bureau Clarenze Joy R. Maranan, RMT Ma. Justina G. Zapanta, RN, PHSAE John Benedict R. Palo Monitoring & Evaluation Officer Deputy Manager, NHSSS Electronic Database Manager Department of Health 2/F Bldg. 19, map-marked-alt San Lazaro Compound, Sta. Cruz, Manila 1003 Philippines Noel S. Palaypayon, RN, MGM-ESP Manager, NHSSS phone +632 8651-7800 local 2952

Vito G. Roque, Jr., MD, PHSAE Chief, Surveys Monitoring and Evaluation Division envelope [email protected]

Alethea R. De Guzman, MD, MCHM, PHSAE globe https://doh.gov.ph/ OIC-Director III, Epidemiology Bureau facebook facebook-messenger Rodolfo Antonio M. Albornoz, MD, MPH, MDM, CESE @hivepicenter OIC-Director IV, Epidemiology Bureau twitter instagram

HIV/AIDS & ART REGISTRY OF THE PHILIPPINES The HARP is the official record of total number of diagnoses (laboratory-confirmed), ART outcome status and deaths among people with HIV in the Philippines. All individuals in the registry are confirmed by the San Lazaro Hospital STD/AIDS Cooperative Central Laboratory (SACCL) which is the HIV/AIDS National Reference Laboratory (NRL) and DOH Certified Rapid HIV Diagnostic Algorithm - rHIVda Confirmatory Laboratories (CrCLs). Confirmed HIV positive individuals were reported to the DOH-Epidemiology Bureau (EB) and recorded to HARP. ART figures are counts of HIV positive adult and pediatric patients currently enrolled and accessing Antiretroviral (ARV) medication during the reporting period in 158 treatment hubs and primary HIV care treatment facilities that had reported in the HARP. This report did not include patients who have previously taken ARV but have died, left the country, have been lost to follow-up and/or opted not to take ARV. Lost to follow-up is considered once a person have failed to visit a treatment facility more than 3 months after the expected date of ARV refill. HARP is a passive surveillance system. Except for HIV confirmation by the NRL & CrCLs, all other data submitted to the HARP are secondary and cannot be verified. Hence, HARP cannot determine if an individual’s reported place of residence is where the person got infected, or where the person lived after being infected, or where the person is presently living. This limitation has major implications on data interpretation. Readers are advised to interpret the data with caution and consider other sources of information before arriving at conclusions. 55 HIV/AIDS & ART REGISTRY OF THE PHILIPPINES

FACILITIES DESIGNATED AS HIV TREATMENT HUBS/PRIMARY CARE AND CERTIFIED RHIVDA CONFIRMATORY LABORATORIES Region Name of Facility Address Landline Mobile (072) 607­6418 Ilocos Training and Regional Medical Center Parian, San Fernando City, La Union - (072) 607­9912 1 Region 1 Medical Center (PINAS - Unit) Arellano St. Dagupan City, Pangasinan 2400 (075) 515-8916 09159063375

2 Cagayan Valley Medical Center (Haven of Hope) Dalan na Pagayaya, Carig Sur, Tuguegarao, Cagayan (078) 377-2420 - (047) 237-1274 General Hospital (Bataan HAVEN) Manahan St., Tenejero, Balanga City, Bataan 09998844522 (047) 237-1275 loc. 103 09234051309 Medical Center (Luntiang Silong) 3rd Flr Pay 3 - Rm 301 Mojon, City of Malolos, Bulacan - 09155214322 3 09171397123 Dr. Paulino J. Garcia Memorial Research and Medical Center 09190027679 Mabini St., City, (044) 463-8888 loc. 203 (Sanctuario De Paulino) 09454626620 Jose B. Lingad Memorial Regional Hospital (Bahay LInGAD) Brgy. San Dolores, San Fernando, (045) 435-6801 09336215028 4A Batangas Medical Center (BATMC Wellness Zone) Kumintang Ibaba, Batangas City (043) 740-8307 loc 1121 09338617592 09266309103 4B Ospital ng Palawan (Red Top Center) 220 Malvar St. Puerto Princesa City - 09560350568 09178317482 5 Bicol Medical Center BMC Road, Naga, Camarines Sur - 09175803624 Corazon Locsin Montelibano Memorial Regional Hospital 2nd flr. OPD Bldg. Lacson St. cor Burgos, Bacolod City (034) 707-2280 - 6 Western Visayas Medical Center Q. Abeto St., Mandurriao, Iloilo City (033) 321-1631 09153281269 09432937853 7 Vicente Sotto Memorial Medical Center B. Rodriguez St., Cebu City - 09561273994 9 Zamboanga City Medical Center Dr. Evangelista St., Sta. Catalina, Zamboanga City (062) 991-2934 09177718147 10 Northern Mindanao Medical Center Provincial Capitol Compound, Cagayan de Oro City (082) 856-4147 loc 361 09054407272

Davao Reproductive Health and Wellness Center Emilio Jacinto St., District, Davao City, Davao del Sur (082) 222-4187 - 11 09325601960 Southern Philippines Medical Center J. P. Laurel St., Bajada, Davao City (082) 227-2731 loc. 5041 09555145191 CAR Baguio General Hospital and Medical Center Governor Pack Road., Baguio City (074) 442-4216 loc. 381 09155816480 Klinika Bernardo Ermin Garcia St., Brgy. Pinagkaisahan, Quezon City - 09324033412 Love Yourself - Anglo Clinic 3rd floor, Anglo Bldg. Shaw Blvd, Mandaluyong - 09278926611 Pasig City Treatment Hub (PATH) CHAMP Bldg, Caruncho Ave, Pasig City (02) 798-2572 - Philippine General Hospital (SAGIP - Unit) Taft Ave., Manila (02) 554-8400 loc. 3249 09289948380 NCR Marikina City Satellite Treatment Hub Marikina Healthy City Center, Shoe Ave., Sto. Niño, Marikina City (02) 948-8925 09175631722 Research Institute for Tropical Medicine Filinvest Corporate City, Alabang, Muntinlupa City (02) 807-2628 loc. 332 09178731984 Sta. Ana Hospital New Panaderos St., Sta. Ana, Manila (02) 516-6790 - Valenzuela Medical Center Padrigal St. Karuhatan, Valenzuela City (02) 8294-6711 - DOH Department Memorandum No. 2021-0209: Updated List of Health Facilities with Rapid HIV Diagnostic Algorithm (rHIVda) Service DOH Department Memorandum No. 2021-0201: Directory of DOH-Designated HIV Treatment Hubs and Primary HIV Care Facilities in the Philippines

TREATMENT HUBS (OUTPATIENT AND INPATIENT CARE & TREATMENT) Region Name of Facility Address Landline Mobile 09272957363 Ilocos Sur Provincial Hospital - Gabriela Silang Quirino Blvd., Tamag Vigan Ilocos Sur - 1 09175641530 Mariano Marcos Memorial Hospital and Medical Center 6 San Julian, Batac, Ilocos Norte (077) 600-8000 09177790207 2 Region II Trauma and Medical Center Magsaysay, Bayombong, Nueva Vizcaya (078) 805-3561 loc. 1098 - Allied Care Experts Medical Center (EmbrACE Unit) - Baliwag Pinagbarilan, , Bulacan (044) 816-1000 loc 204 09338737688 096745117380 Apalit Doctors Hospital, Incorporated (ADHope Unit) Gonzales Ave, San Juan, Apalit, Pampanga - 09338263471 (045) 923 0642 Concepcion District Hospital St. Jude Village, Alfonso Concepcion, 09107080130 (045) 491 3664 Guimba Community Hospital (Balay Ti Namnama) L. de Ocampo St. Saranay District, Guimba, Nueva Ecija (044) 951-0485 - 09295852241 Jose C. Payumo Jr. Memorial Hospital (HEARTH Unit) Tala St. San Ramon, Dinalupihan, Bataan 2110 - 09156008004 James L. Gordon Memorial Hospital (L.E.A.D. Shelter) #1 Perimeter Rd., New Asinan, City (047) 602-4052 09988627015 Maria Community Hospital Saturno St., Brgy. 01, Maria Aurora, Aurora - 09075948798 09282764197 3 Mental Wellness and General Hospital P.Monroe St. Bayan ng Mariveles, 2105 Bataan - 09239188454 09063491276 09322128175 Premiere Medical Center (TAHANAN sa Premiere) Maharlika Highway, Daan Sarile, Cabanatuan City, Nueva Ecija (044) 463-7845 to 49 loc 2073 095968173441 President Memorial Hospital Medical Society Building (beside Eye Center Clinic) 09153966014 - (Balin Kalinga) Palanginan, Iba Zambales 09192442299 San Marcelino District Hospital Shelter of Holistic and Positive 1st/F Admin Bldg, Ntl. Rd. Sto. Domingo, San Marcelino, (047) 913-1244 09398630806 Embrace (HoPE) Zambales 09358124776 Talavera General Hospital (Talevera's Hope) Maestrang Kikay District, Talavera, Nueva Ecija