India, China and Pakistan are among the 10 countries that accounted for more than 95 per cent of all new HIV infections in the Asia and the Pacific region in 2016, according to a UN report. The report by the Joint UN Programme on HIV/AIDS, UNAIDS, ‘Ending AIDS: Progress towards the 90¬-90-90 targets’, gives a comprehensive analysis of the 2014 targets to accelerate progress so that by 2020, 90 per cent of all HIV-infected people know their status, 90 per cent of all HIV-diagnosed people are accessing antiretroviral therapy (ART) and 90 per cent of those taking ART are virally suppressed.
It said scales have tipped for the first time in the fight against AIDS as more than half of all people living with the HIV virus now have access to treatment, while AIDS-related deaths have nearly halved since 2005. In the Asia and the Pacific region, the majority of new infections are occurring in 10 countries led by India, China, Indonesia, Pakistan, Vietmnam, Myanmar, Papua New Guinea, the Philippines, Thailand and Malaysia. These 10 countries together accounted for more than 95 per cent of all new HIV infections in the region in 2016.
The region’s HIV epidemic remains largely concentrated among key populations, including sex workers and their clients, gay men and other men who have sex with men, people who inject drugs, and transgender people. The annual number of new HIV infections in Asia and the Pacific has declined 13 per cent over the last six years, from 310,000 in 2010 to 270,000 in 2016. The report added that in India, a respondent-driven sampling survey across 26 cities found that knowledge of HIV status was 41 per cent among people living with HIV who inject drugs.
Of those who knew their HIV status, only 52 per cent were accessing antiretroviral therapy and 83 per cent of those accessing treatment were virally suppressed (55). Among gay men and other men who have sex with men living with HIV who also were surveyed, 30 per cent knew their HIV status, 68 per cent of those who knew their HIV status were accessing treatment, and 78 per cent of those on treatment were virally suppressed. The report added that last year, 19.5 million of the 36.7 million people living with HIV globally had access to treatment and AIDS-related deaths have fallen from 1.9 million in 2005 to one million. With continued scale-up, this progress puts the world on track to reach the global target of 30 million people on treatment by 2020, according to the report.
“We met the 2015 target of 15 million people on treatment and we are on track to double that number to 30 million and meet the 2020 target,” UNAIDS Executive Director Michel Sidibé said. “We will continue to scale up to reach everyone in need and honour our commitment of leaving no one behind,” he added. Eastern and southern Africa, which account for more than half of all people living with the virus, are leading the way. Since 2010, AIDS-related deaths there have declined by 42 per cent and new HIV infections by 29 per cent, including a 56 per cent drop in new infections among children over that period – a remarkable achievement of HIV treatment and prevention efforts aimed at putting that region on track towards ending its AIDS epidemic.
In contrast, progress against the targets has been poor in the Middle East, North Africa, Eastern Europe and Central Asia, where AIDS-related deaths have pointedly risen. Exceptions, however, include Algeria, Morocco and Belarus, which have increased HIV treatment access from 2010 to 2016. The report also shows that globally, 30 per cent of people living with HIV still do not know their status, 17.1 million are unable to access ART and more than half are not virally suppressed.