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New PDF release: AIDS Epidemic Update: December 2004

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By World Health Organization

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S. Census Bureau, International Programs Center, International Data Base and unpublished tables. Figure 13 large share (43%) of AIDS cases, and Puerto Rico, where more than half of all infections in 2002 were associated with injecting drug use and about one quarter were heterosexually transmitted (Caribbean Epidemiology Centre, 2003; UNAIDS, 2004). As the epidemics in this region evolve, more women are being affected, and the number of new HIV infections among them now outstrips that among men.

HIV-prevention programmes are needed inside prisons, with reinforcement in preparation for prisoners’ release. Jails can provide an entry point for treatment for both antiretroviral and drug substitution treatment. Referral systems between jail and services outside can help introduce essential health, prevention and care services to people who might otherwise potentially be hard to track down in the community after release. 40 AIDS epidemic update: December 2004 could favour dynamic HIV spread in the general population on Papua (Indonesia Central Bureau of Statistics and MACRO International, 2004).

1% in 1999-2000. , 2003). Low-cost, standard district and community-level prevention programmes are clearly not sufficient to change the course of the epidemic. WEST AFRICA Although varying in scale and intensity, the epidemics in West Africa appear to have stabilized in most countries. Median HIV prevalence measured among women in 112 antenatal clinics in the subregion remained at an average 3% to 4% between 1997 and 2002 (Asamoah-Odei, Garcia-Calleja and Boerma, 2004). Overall, HIV prevalence is lowest in the Sahel countries and highest in Burkina Faso, Côte d’Ivoire and Nigeria—the latter having Commercial Sex and HIV in West Africa Commercial sex remains the main driver of West Africa’s epidemics.

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