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JULY 2011
175 150 125 100 75 50 25 0 Jan 65 143 152 Feb 47 130 159 Mar 59 120 172 Apr 66 154 171 May 85 153 184 Jun 40 109 178 Jul 70 131 204 Aug 61 108 Sep 56 153 Oct 80 1 04 Nov 80 1 12 Dec 1 26 1 74
Figure 2. Comparison of the Proportion of Types of Sexual Transmission in 2011, 2010 & Cumulative Data (1984-2011)
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Het erosexual
37 68
30 34
2697
Bisexual Homosexual
1489 88 58
2386
C umul at i ve
Jul y 2 0 11
July 2 0 10
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to July 2011 (N=7,235)
1650 1500 1350 1200 1050 900 750 600 450 300 150 0
T OT A L A s y mpt omat i c A I DS Deat h '84 2 0 2 2 '85 10 6 4 4 '86 29 18 11 10 '87 38 25 13 12 '88 32 21 11 9 '89 39 29 10 8 '90 66 48 18 15 '91 85 68 17 13 '92 72 51 21 13 '93 102 64 38 11 '94 118 61 57 19 '95 116 65 51 24 '96 154 104 50 27 '97 117 94 23 10 '98 189 144 45 16 '99 158 80 78 17 '00 123 83 40 9 '01 174 118 56 20 '02 184 140 44 11 '03 193 139 54 11 '04 199 161 38 8 '05 210 171 39 16 '06 309 273 36 18 '07 342 312 30 10 '08 528 506 22 *7 '09 835 806 29 1 '10 1591 1571 20 2 '11 1220 1193 27 4
*Five initially asymptomatic cases reported in 2008, died due to AIDS that same year.
July 2011
Fig 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984July 2011
100%
75%
50%
25%
0% 1984-2007 Needl e P r i ck B l ood T r ans f us i on M T CT I DU B i s exual Cont ac t Homos exual Cont ac t Het er os exual Cont ac t 2 10 16 3 60 234 433 2008 0 0 0 1 4 10 7 2009 0 0 1 0 8 14 6 2010 0 0 0 0 4 14 2 2011 0 0 0 0 6 11 9
Figure 5. Proportion of Sex & Age-Groups in July 2011 & Jan-July 2011
100%
75%
50%
25%
0% Jul y 2011 (M ) 50 & ol der 35-49y o 25-34y o 15-24y o 1-14y o 4 27 90 62 0 J ul y 2011 (F) 1 5 10 5 0 2011 (M al e) 30 172 587 338 0 2011 (Femal e) 3 26 43 19 2
Figure 6. Comparison of the Distribution of Male and Female HIV Cases by Age-Group and Certain Highlighted Years
50 & o lder 45-49yo 40-44yo 35-39yo 30-34yo 25-29yo 20-24yo 1 9yo 5-1
1984-2006
2007
2008
2009
2010
2011
<1 5yo
0 250 500 750
15-19y o 28 50 22 11 1 14
40-44y o 53 81 41 36 30 249
45-49y o 24 43 19 23 15 170
15- 19y o 2 5 4 0 0 33
25-29yo 28 21 19 14 16 209
30-34yo 15 34 21 8 12 190
35-39y o 12 15 20 10 14 140
40- 44y o 7 9 14 9 6 84
45-49y o 7 6 6 3 5 30
50 & ol der 3 4 5 3 3 41
July 2011
Of the 7,235 with HIV from 1984 to 2011, 91% (6,572) were infected through sexual contact, 3% (183) through needle sharing among injecting drug users, 1% (54) through mother-to-child transmission and <1% (20) through blood transfusion. Other modes of transmission are listed in Table 2. No data is available for 6% (403) of the cases. Cumulative data shows 41% (2,697) were infected through heterosexual contact, 36% (2,386) through homosexual contact, and 23% (1,489) through bisexual contact. From 2007 there has been a shift in the predominant trend of sexual transmission from heterosexual contact (24%) to males having sex with other males (76%) [Figure 8].
Table 2. Reported Mode of HIV Transmission
Mode of Transmission Sexual Contact Heterosexual contact July 2011 n=204 193 37 (19%) JanJuly 2011 n=1,220 1,166 212 (18%) Cumulative N=7,235 6,572 2,697(41%)
50 0
<7yo Blood Tr ansf usion - Female Mat ernal t o Child Inject ing Drug Use - Female Inject ing Drug Use - Male Het er osexual Cont act - Female Het er osexual Cont act - Male Bisexual Cont act Homosexual Cont act 2 -
7-14yo -
15- 17yo 1 1 1 4
88(46%) 68 (35%) 0 11
0 0 0
1 0 0
7 2 1
24 0 4
24 4 3
16 2 4
19 2 6
35 4 8
30 41 4 15 5 5
47 2 16
58 3 20
56 8 21
81 7 30
82 138 114 93 128 129 129 123 131 193 139 160 216 271 212 7 25 9 36 10 30 8 17 5 32 8 46 14 40 12 27 14 26 74 127 252 463 417
1 1
2 8
0 29
3 35
9 23
5 34
10 56
7 78
14 58
29 73
31 87
24 92
35
27
51
67
60 63
79 95
96 88
94 99
88
94
119 90
138 91
50% 20% 0% 8% 28% 13% 15% 8% 19% 28% 26% 21% 23% 23% 27% 42% 49% 45% 52% 49% 44% 45% 42% 31% 23% 20% 11% 14%
July 2011
From January to July 2011, 124 blood units were confirmed to be positive for HIV by the RITM. Table 4. Results of Blood Units Referred for HIV Confirmation For July 2011, out of the 78 screened HIV reactive blood units referred for HIV confirmation, 22 units were positive for HIV, 1 unit had indeterminate result and 55 were negative for HIV [Table 4].
Monthly Report Blood units* referred January February 85 67 76 74 48 118 78 2011 Positive 11 15 14 20 10 32 22 Indeterminate 0 2 1 1 0 4 1
Figure 10. HIV Positive Blood Units by Month & Year (2008-2011)
35 30 25 20 15 10 5 0
J an 2008 2009 2010 2011 10 5 9 11 Feb 7 5 12 15 M ar 4 10 15 14 A pr 8 10 15 20 M ay 8 7 9 10 J un 2 5 17 32 Jul 9 7 11 22 A ug 6 7 6 Sep 7 9 10 Oc t 7 12 20 Nov 4 3 11 Dec 2 9 11 T ot al 74 89 146 124
March April May June July August September October November December Total for the year (Jan July only)
546
124
* One blood donor can donate more than one blood unit. ** These are HIV positive blood units, not donors. Donors of HIV positive blood units may or may not be in the HIV & AIDS Registry.
National Epidemiology Center, Department of Health, Bldg. 19, San Lazaro Compound, Sta. Cruz, Manila 1003 Philippines Tel: +632 651-7800 local 2926, 2952 Fax: +632 495-0513/743 6076 Email: HIVepicenter@gmail.com Website: http://www.doh.gov.ph