Sunday, November 29, 2015

Trends in HIV Surveillance Data in the EU/EEA, 2005 to 2014: New HIV Diagnoses Still Increasing in Men Who Have Sex with Men

Human immunodeficiency virus (HIV) transmission remains significant in Europe. Rates of acquired immunodeficiency syndrome (AIDS) have declined, but not in all countries. New HIV diagnoses have increased among native and foreign-born men who have sex with men. Median CD4+ T-cell count at diagnosis has increased, but not in all groups, and late diagnosis remains common. HIV infection and AIDS can be eliminated in Europe with resolute prevention measures, early diagnosis and access to effective treatment.

In 2014, 29,992 people were newly diagnosed with HIV in the EU/EEA, a rate of 5.9 diagnoses per 100,000 population. The majority of cases (76.8%) were men (9.2 per 100,000 population vs 2.6 in women). This was largely driven by HIV transmission attributed to sex between men, which accounted for 12,677 (42%) of all HIV diagnoses. A total of 9,833 cases (33%) were attributed to heterosexual contact, 1,244 (4%) to injecting drug use, and for 5,908 (20%) of new diagnoses, the transmission mode was not reported or unknown.

Below:  Proportion of new HIV diagnoses with known mode of transmission, by country, transmission route and migration status, EU/EEA, 2014 (n = 22,443)



Below:  New HIV diagnoses, by year of diagnosis, transmission and migration status, adjusted for reporting delay, EU/EEA, 2005–2014 (n = 193,761)



Below:  New AIDS diagnoses, by transmission and migration status, EU/EEA, 2005–2014 (n = 55,760)



Below:  Proportion of HIV diagnoses by CD4+ T-cell count/mm3 category at diagnosis, all cases and by transmission mode and migration status, EU/EEA, 2014 (n = 18,467)



Below:  Trends in median CD4+ T-cell count/mm3 at HIV diagnosis, by year of diagnosis, transmission group and migration status, EU/EEA, 2005–2014 (n = 115,149)



Full article at:   http://goo.gl/CgyFjy

By:  A Pharris 1 , C Quinten 1 , L Tavoschi 1 , G Spiteri 1 , AJ Amato-Gauci 1 , the ECDC HIV/AIDS Surveillance Network 2
1. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
2. The members of the network are listed at the end of the article




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