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2012
HIV/AIDS surveillance in Europe
European Centre for Disease Prevention and Control, Stockholm
WHO Regional Office for Europe, Copenhagen
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European Union and  European Economic Area (EU/EEA)
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HIV infections diagnosed, 2012
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* Includes individuals (12%) originating from sub-Saharan African countries.
Characteristics of reported cases

EU/EEA
Number of HIV diagnoses
29 381
Diagnoses per 100 000 population
5.8
Percentage aged 15–24 years
10.6%
Male-to-female ratio
3.2
Transmission mode (percentage)

Heterosexual
33.8%*
Men who have sex with men
40.4%
Injecting drug use
6.1%
Unknown
18.7%
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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HIV infections diagnosed and reported, 2012
Men who have sex with men, EU/EEA
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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HIV infections diagnosed and reported, 2012
Injecting drug use, EU/EEA
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
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HIV diagnoses in persons originating from countries with a generalised epidemic among all the
heterosexually acquired infections, 2012 (n=9 944)
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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HIV diagnoses in MSM among all reported HIV cases, by country, EU/EEA, 2012 (n=29 381)
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Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Male-to-female ratio of HIV infections, by country, EU/EEA, 2012 (n=29 327)
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Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Percentage of cases presenting with
CD4 cell count <350/mm3 and <200/mm3,
by mode of transmission, EU/EEA, 2012 (n=16 150)
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Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Rate of reported HIV diagnoses, by year of diagnosis, in the EU/EEA, 1984–2012
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Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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HIV infections reported, 2006-2012
Transmission mode and origin, adjusted for reporting delay
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Predominant transmission mode: men who have sex with men
Data were not included or not available from Estonia, Poland, Spain, Italy.
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Conclusions (1)
HIV infection is of major public health importance in Europe, with evidence of continuing
transmission in specific populations with no clear signs of overall decrease.
Ø
Half of the HIV infections were diagnosed as late presenters with CD4 cell counts less than
350/mm3 blood.
Heterogeneity exists in HIV epidemics in the EU/EEA:
ØMen who have sex with men accounted for majority of cases;
ØOne third of heterosexual cases have direct links to sub-Saharan Africa (areas with a generalised
epidemic);
ØDespite low levels of HIV reported in IDU, increases continue in Greece and Romania.
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Conclusions (2)
Interventions should be based on evidence and tailored to the local epidemiological situation and
vulnerable populations such as MSM, IDU and migrant populations.
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Wider access and uptake of HIV counselling and testing is needed to ensure earlier diagnosis and
access to treatment – both to improve the longer term treatment outcomes for the individuals but
also to prevent or reduce further transmission in the community.
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Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012

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Report is available from:
www.ecdc.europa.eu
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