HIV/AIDS Surveillance 2019 2018 data European Centre for Disease Prevention and Control WHO Regional Office for Europe 2 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data New HIV diagnoses in the EU/EEA, 2018 Reporting countries/number of countries 31/31 Number of HIV diagnoses 26 164 Rate per 100 000 population (adjusted rate*) 5.6 Male-to-female ratio 3.1 Percentage new diagnoses CD4<350 cells/mm3 49% Transmission mode (%) Sex between men 40 Heterosexual transmission (men) 16 Heterosexual transmission (women) 17 Injecting drug use 4 Mother to child transmission <1 Unknown 23 * Adjusted for reporting delay 3 Non-visible countries EU/EEA rate: 5.6 per 100 000 adjusted for reporting delay New HIV diagnoses, 2018, EU/EEA Rate per 100 000 population Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 4 EU/EEA rate: 7.9 per 100 000 New HIV diagnoses in men, 2018, EU/EEA Rate per 100 000 male population Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Non-visible countries New HIV diagnoses in women, 2018, EU/EEA Source: ECDC/WHO (2018). HIV/AIDS Surveillance in Europe 2019– 2018 data EU/EEA rate: 2.4 per 100 000 Rate per 100 000 female population Non-visible countries 6 New HIV diagnoses attributed to sex between men, 2018, EU/EEA Rate per 100 000 male population Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Non-visible countries EU/EEA rate: 4.2 per 100 000 7 New HIV diagnoses attributed to heterosexual transmission, 2018, EU/EEA Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Rate per 100 000 population Non-visible countries EU/EEA rate: 1.7 per 100 000 8 New HIV diagnoses attributed to injecting drug use, 2018, EU/EEA Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Rate per 100 000 population Non-visible countries EU/EEA rate: 0.2 per 100 000 9 AIDS diagnoses, 2018, EU/EEA Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Rate per 100 000 population Non-visible countries EU/EEA rate: 0.6 per 100 000 Age- and gender-specific rates of HIV diagnoses per 100 000 population, EU/EEA, 2018 10 Men Women Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 11 <15 years 15-19 years 20-24 years 25-29 years 30-39 years 40-49 years 50+ years Percentage of new HIV diagnoses, by country and age group, EU/EEA, 2018 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 12 New HIV diagnoses, by transmission mode and age group, EU/EEA, 2018 15-19 years 20-24 years 25-29 years 30-39 years 40-49 years 50+ years Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 13 Percentage of new HIV diagnoses, by transmission and country, EU/EEA, 2018 Injecting drug use Heterosexual contact (males) Sex between men Other/ undetermined Heterosexual contact (females) Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Note: Zero cases were reported by Liechtenstein and Malta did not report transmission route in 2018 14 15 Proportion HIV diagnoses in migrants* by region of origin and country of report, EU/EEA 2018 Central and Eastern Europe * Migrants include all persons born outside of the country in which the diagnosis was made. Sub-Saharan Africa Western Europe Latin American and Caribbean South and Southeast Asia Other Data include only cases with known region of origin; Hungary and Malta did not report data on country of birth or region of origin Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data EU/EEA: 42% diagnosed in 2018 were born abroad 16 Proportion of persons diagnosed late* by demographic, EU/EEA, 2018 Age group (years) Transmission Region of origin Gender *Diagnosed late=CD4<350 cells/mm3 at diagnosis Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 17 Acute infection or CD4 cell count per mm3 at HIV diagnosis, overall and by transmission group, EU/EEA, 2018 <200 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 200 to <350 350 to <500 Acute Infection 500+ 18 Late diagnosis, 2018, EU/EEA % persons with CD4 <350 cells/mm3 at HIV diagnosis Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Non-visible countries EU/EEA average: 49% 19 Estimated new HIV infections and reported diagnoses, EU/EEA, 2018 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 20 HIV diagnoses, AIDS diagnoses and AIDS-related deaths per 100 000 population, EU-EEA, 2009-2018 Note: HIV rate is adjusted for reporting delay. Rates exclude countries not reporting consistently over the period: Sweden (AIDS and AIDS-deaths), Italy and Denmark (AIDS deaths) HIV AIDS AIDS-related deaths Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 21 15-19 years 20-24 years 25-29 years 30-39 years 40-49 years 50+ years New HIV diagnoses, by age group, EU-EEA, 2009-2018 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 22 New HIV diagnoses in men, by age group, EU-EEA, 2009-2018 15-19 years 20-24 years 25-29 years 30-39 years 40-49 years 50+ years Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 23 New HIV diagnoses in women, by age group, EU-EEA, 2009-2018 15-19 years 20-24 years 25-29 years 30-39 years 40-49 years 50+ years Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 24 HIV diagnoses, by route of transmission, 2009-2018, EU/EEA Injecting drug use Heterosexual (women) Heterosexual (men) Sex between men Vertical transmission Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Data is adjusted for reporting delay. Data for missing transmission is imputed. HIV diagnoses reported by Estonia, Malta and Poland excluded due to incomplete reporting on transmission mode for during some years of the period; diagnoses reported by Italy and Spain excluded due to incomplete reporting during a portion of the period. 25 Proportion of HIV diagnoses, by route of transmission, 2009-2018, EU/EEA Injecting drug use Heterosexual (women) Heterosexual (men) Sex between men Vertical transmission Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data Data is adjusted for reporting delay. Data for missing transmission is imputed. HIV diagnoses reported by Estonia, Malta and Poland excluded due to incomplete reporting on transmission mode for during some years of the period; diagnoses reported by Italy and Spain excluded due to incomplete reporting during a portion of the period. 26 New HIV diagnoses, by year of diagnosis, transmission and migration status, EU/EEA, 2009-2018 Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data HIV diagnoses reported by Estonia, Malta and Poland excluded due to incomplete reporting on transmission mode during some years of the period; diagnoses reported by Italy and Spain excluded due to incomplete reporting during a portion of the period. 27 Proportion of HIV diagnoses in migrants, by region of origin, 2009-2018, EU/EEA * Migrants include all persons born outside of the reporting country Central and Eastern Europe Sub-Saharan Africa Western Europe Latin American and Caribbean South and Southeast Asia Other Data is adjusted for reporting delay. HIV diagnoses reported by Estonia and Poland excluded due to incomplete reporting on transmission mode during some years of the period; diagnoses reported by Italy and Spain excluded due to incomplete reporting during a portion of the period. Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 28 Median CD4 cell count per mm3 at HIV diagnosis, overall and by route of HIV transmission, EU/EEA, 2009-2018 Note: Excludes countries with >60% incomplete data on CD4 cell count during any year over the period (Bulgaria, Croatia, Estonia, Germany, Hungary, Italy, Ireland, Latvia, Lithuania, Malta, Norway, Poland, Portugal, Sweden). Acute infections are excluded from this analysis. Injecting drug use Sex between men All new diagnoses Heterosexual (women) Heterosexual (men) Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 29 AIDS > 90 days after HIV diagnosis Proportion of AIDS diagnoses within 90 days of HIV diagnosis, by route of HIV transmission, EU/EEA, 2018 AIDS < 90 days of HIV diagnosis Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 30 Other/ unknown AIDS diagnoses, by route of HIV transmission, EU/EEA, 2009-2018 Injecting drug use Sex between men Heterosexual (women) Heterosexual (Men) Note: Data from Sweden excluded due to inconsistent reporting during the period Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 31 Proportion of people diagnosed with AIDS with tuberculosis as an AIDS-defining illness, EU/EEA, 2018 Countries that did not report AIDS (Sweden) or reported no cases of TB as an AIDS-defining illness (Belgium, Croatia, Cyprus, Greece, Iceland, Luxembourg, Slovakia, Slovenia and Sweden) are excluded. EU/EEA Average: 14% Source: ECDC/WHO (2019). HIV/AIDS Surveillance in Europe 2019– 2018 data 32 Full report can be downloaded at www.ecdc.europa.eu Questions STIHIVHEP@ecdc.europa.eu