Fao Informe Global Vih 2010

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UNAIDS REPORT ON THE GLOBAL AIDS EPIDEMIC | 2010

Copyright © 2010 Joint United Nations Programme on HIV/AIDS (UNAIDS) All rights reserved The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of UNAIDS concerning the legal status of any country, territory, city or area or of its authorities, orconcerning the delimitation of its frontiers or boundaries. UNAIDS does not warrant that the information published in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. WHO Library Cataloguing-in-Publication Data Global report: UNAIDS report on the global AIDS epidemic 2010. “UNAIDS/10.11E | JC1958E” 1.Acquired immunodeficiency syndrome −epidemiology. 2.Acquired immunodeficiency syndrome − prevention and control. 3.HIV infections − epidemiology. 4.HIV infections − prevention and control. I.UNAIDS. ISBN 978-92-9173-871-7 (NLM classification: WC 503.4)

GLOBAL REPORT UNAIDS REPORT ON THE GLOBAL AIDS EPIDEMIC | 2010

UNAIDS VISION

ZERO NEW HIV INFECTIONS. ZERO DISCRIMINATION. ZERO AIDS-RELATED DEATHS.

TABLE OF CONTENTS04 06 16 62 94 120 144 164 178

FOREWORD CHAPTER 1 INTRODUCTION CHAPTER 2 EPIDEMIC UPDATE CHAPTER 3 HIV PREVENTION CHAPTER 4 HIV TREATMENT CHAPTER 5 HUMAN RIGHTS AND GENDER CHAPTER 6 HIV INVESTMENTS REFERENCES ANNEX 1 HIV AND AIDS ESTIMATES AND DATA, 2009 AND 2001 ANNEX 2 COUNTRY PROGRESS INDICATORS AND DATA, 2004 TO 2010

208

FOREWORD

Ebube Sylvia Taylor at the 2010 United NationsMillennium Development Goals Summit

“No child should be born with HIV; no child should be an orphan because of HIV; no child should die due to lack of access to treatment,” urged Ebube Sylvia Taylor, an eleven year old born free of HIV, to world leaders gathered in New York to share progress made towards achieving the Millennium Development Goals by 2015. We have halted and begun to reversethe epidemic. Fewer people are becoming infected with HIV and fewer people are dying from AIDS. We must be proud of these successes and the potential of our shared future— breakthroughs in a prevention revolution are at hand with a new microbicide gel holding promise for a generation of women who will be able to initiate usage and take control of their ability to stop HIV. Political breakthroughswill be achieved as more countries abolish discriminatory practices led by voices of a new law commission, and Treatment 2.0—a breakthrough that could save an additional 10 million lives. However we are not yet in a position to say “mission accomplished”. Growth in investment for the AIDS response has flattened for the first time in 2009. Demand is outstripping supply. Stigma, discrimination, andbad laws continue to place roadblocks for people living with HIV and people on the margins. To fulfill Ebube’s hope, we must break the trajectory of the AIDS epidemic by redoubling our efforts to ensure countries meet their goals towards universal access to HIV prevention, treatment, care and support. We must leverage the growing integration of AIDS with maternal and child health and all of ourMillennium Development Goals. We know that there are solutions. We know that there is political and societal will to bring change. The real challenge is following through. This new fourth decade of the epidemic should be one of moving towards efficient, focused and scaled-up programmes to accelerate progress for Results. Results. Results.

Michel Sidibé UNAIDS Executive Director UnderSecretary-General of the United Nations

CHAPTER 1

6

Chapter 1: Introduction | 2010 GLOBAL REPORT

1

INTRODUCTION

On the cusp of the fourth decade of the AIDS epidemic, the world has turned the corner—it has halted and begun to reverse the spread of HIV (Millennium Development Goal 6.A). The question remains how quickly the response can chart a new course towards UNAIDS’ vision of zero...
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