25 Years of AIDS – TheGlobal Response25 Years of AIDS – TheGlobal Response
16 August 200616 August 2006
XVI International AIDS ConferenceXVI International AIDS Conference
TorontoToronto
Global HIV prevalence in adults, 1985Global HIV prevalence in adults, 1985
UNAIDS/WHO, 2006
Global HIV prevalence in adults, 1995Global HIV prevalence in adults, 1995
UNAIDS/WHO, 2006
Global HIV prevalence in adults, 2005Global HIV prevalence in adults, 2005
UNAIDS/WHO, 2006
25 years of responding to AIDS25 years of responding to AIDS
First cases of unusual immune deficiency areidentified among gay men in the USA, and anew deadly disease noticed
The Human ImmunodeficiencyVirus (HIV) is identified as thecause of AIDS
Scientists develop thefirst treatment regimen toreduce mother-to-childtransmission of HIV
Brazil becomes the firstdeveloping country toprovide antiretroviraltherapy through itspublic health system
WHO and UNAIDS launch the"3 x 5" initiative with the goal of reaching 3million people in developing world withantiretroviral therapy by 2005
The first HIV antibody testbecomes available
In Africa, aheterosexual AIDSepidemic isrevealed
Highly Active AntiretroviralTreatment launched
The World Health Organizationlaunches the Global Programmeon AIDS
Acquired ImmuneDeficiency Syndrome(AIDS) is defined for thefirst time
The first therapy for AIDS— zidovudine, or AZT —is approved for use inthe USA
Global Network of People living withHIV/AIDS (GNP+) (then InternationalSteering Committee of People Livingwith HIV/AIDS) founded
Drug Access Initiative islaunched in Africa
International AIDS Conferencein Durban
The Global Fund to fight AIDS, Tuberculosisand Malaria launched
The UN General Assembly SpecialSession on HIV/AIDS
In 1991-1993, HIV prevalence in Ugandaand in Thailand begins to decrease, thefirst major downturn in the epidemic indeveloping countries
UNAIDS iscreated
Millions
50
45
40
35
30
25
20
15
10
5
0
1980
‘81
2005
‘82
‘83
‘84
‘85
‘86
‘87
‘88
‘89
‘90
‘91
‘92
‘93
‘94
‘95
‘96
‘97
‘98
‘99
‘00
‘01
‘02
‘03
‘04
People living with HIV
Children orphaned by AIDS in sub-Saharan Africa
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
President Bush announcesPEPFAR
Projet SIDAProjet SIDA
25 years of responding to AIDS25 years of responding to AIDS
First cases of unusual immune deficiency areidentified among gay men in the USA, and anew deadly disease noticed
The Human ImmunodeficiencyVirus (HIV) is identified as thecause of AIDS
Scientists develop thefirst treatment regimen toreduce mother-to-childtransmission of HIV
Brazil becomes the firstdeveloping country toprovide antiretroviraltherapy through itspublic health system
WHO and UNAIDS launch the"3 x 5" initiative with the goal of reaching 3million people in developing world withantiretroviral therapy by 2005
The first HIV antibody testbecomes available
In Africa, aheterosexual AIDSepidemic isrevealed
Highly Active AntiretroviralTreatment launched
The World Health Organizationlaunches the Global Programmeon AIDS
Acquired ImmuneDeficiency Syndrome(AIDS) is defined for thefirst time
The first therapy for AIDS— zidovudine, or AZT —is approved for use inthe USA
Global Network of People living withHIV/AIDS (GNP+) (then InternationalSteering Committee of People Livingwith HIV/AIDS) founded
Drug Access Initiative islaunched in Africa
International AIDS Conferencein Durban
The Global Fund to fight AIDS, Tuberculosisand Malaria launched
The UN General Assembly SpecialSession on HIV/AIDS
In 1991-1993, HIV prevalence in Ugandaand in Thailand begins to decrease, thefirst major downturn in the epidemic indeveloping countries
UNAIDS iscreated
Millions
50
45
40
35
30
25
20
15
10
5
0
1980
‘81
2005
‘82
‘83
‘84
‘85
‘86
‘87
‘88
‘89
‘90
‘91
‘92
‘93
‘94
‘95
‘96
‘97
‘98
‘99
‘00
‘01
‘02
‘03
‘04
People living with HIV
Children orphaned by AIDS in sub-Saharan Africa
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
President Bush announcesPEPFAR
Total annual resources available for AIDSTotal annual resources available for AIDS
1986‒20051986‒2005
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
US$ million
292
1623
8297
Signing ofDeclaration of Commitmenton HIV/AIDS, UNGASSSigning ofDeclaration of Commitmenton HIV/AIDS, UNGASS
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
Less than
US$ 1 million
59
212
World Bank
MAP launch
Global Fund
PEPFAR
257
[i] 1996-2005 data: Extracted from 2006 Report on the global AIDS epidemic (UNAIDS, 2006)
[ii] 1986-1993 data: AIDS in the World II. Edited by Jonathan Mann and Daniel J. M. Tarantola (1996)
Notes:[1] 1986-2000 figures are for international funds only
[2] Domestic funds are included from 2001 onwards
UNAIDS
HIV prevalence (%) among pregnant womenHIV prevalence (%) among pregnant women
attending antenatal clinics in sub-Saharan countriesattending antenatal clinics in sub-Saharan countries
with prevalence decline, 1997/98‒2004with prevalence decline, 1997/98‒2004
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
Kenya
Zimbabwe
Burkina Faso
Uganda
1997‒
1998
1999‒
2000
2001
2002
2003
2004
0
5
10
15
20
Median
HIV prevalence
(%)
40
35
30
25
North Africa and
the Middle East
Europe and
Central Asia
East, South and
South-East Asia
Latin America and
the Caribbean
Sub-Saharan
Africa
0
200
400
600
800
1000
1200
1400
End
2002
Mid-
2003
End
2003
Mid-
2004
End
2004
Mid-
2005
End
2005
People
receiving
therapy
(thousands)
Number of people on antiretroviral therapyNumber of people on antiretroviral therapy
in low- and middle-income countries, 2002‒2005in low- and middle-income countries, 2002‒2005
2006 Report on the global AIDS epidemic (UNAIDS, 2006)
Planning and acting for success:Planning and acting for success:
LeadershipLeadership
FundingFunding
Making the money workMaking the money work
Social change: Tackle the structural drivers ofthe epidemicSocial change: Tackle the structural drivers ofthe epidemic
Research & DevelopmentResearch & Development
Maintaining theexceptionality of AIDS – butat the core of developmentagendas not outsideMaintaining theexceptionality of AIDS – butat the core of developmentagendas not outside