2012
HIV/AIDS surveillance in Europe
European Centre for Disease Prevention and Control, Stockholm
WHO Regional Office for Europe, Copenhagen
European Union and European
Economic Area (EU/EEA)
1
HIV infections diagnosed, 2012
2
* 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
HIV infections diagnosed and reported, 2012
All cases, EU/EEA
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
HIV infections diagnosed and reported, 2012
Men who have sex with men, EU/EEA
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
HIV infections diagnosed and reported, 2012
Injecting drug use, EU/EEA
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
6
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
HIV diagnoses in MSM among all reported HIV cases,
by country, EU/EEA, 2012 (n=29 381)
7
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
Male-to-female ratio of HIV infections, by country,
EU/EEA, 2012 (n=29 327)
8
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
Percentage of cases presenting with
CD4 cell count <350/mm3 and <200/mm3,
by mode of transmission, EU/EEA, 2012 (n=16 150)
9
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
Rate of reported HIV diagnoses, by year of diagnosis, in
the EU/EEA, 1984–2012
10
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
HIV infections reported, 2006-2012
Transmission mode and origin, adjusted for reporting delay
11
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.
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:
 Men who have sex with men accounted for majority of cases;
 One third of heterosexual cases have direct links to subSaharan
Africa (areas with a generalised epidemic);
 Despite low levels of HIV reported in IDU, increases continue in
Greece and Romania.
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
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.
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.
13
Source: ECDC/WHO. HIV/AIDS Surveillance in Europe, 2012
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Report is available from:
www.ecdc.europa.eu