1. Worldwide at the end of 2007, there were

   33 million people living with HIV,
   2.7 million new infections,
   2 million AIDS related deaths.

2. Daily, the world sees over 6,800 persons become infected with HIV and over 5,700 persons die from AIDS primarily due to inadequate access to HIV prevention and treatment services.
   
   
3. Based on data from 64 countries, less than 40 percent of young people have basic information about HIV, including how to avoid infection.
   
   
4. North Carolina at a glance as of the end of 2007, there were:

   1,943 new HIV disease cases reported in North Carolina;
   21,593 people in NC knowingly living with HIV disease;
   approximately 12,000 people who do not realize they are HIV positive;
   therefore, the true prevalence of individuals living with HIV/AIDS in North Carolina is 33,000.

5. The infection rate in N.C. in 2007 continued to be higher among African-Americans. The racial/ethnic distribution of new cases in 2007 was as follows: 
   
   
   
   
   
6. In 2007, HIV was the seventh leading cause of death for residents ages 25–44 (in North Carolina).
   
   
7. In 2007, the death rate, the number of people per 100,000 of the specified population, who died from HIV disease, was 17.6 for African Americans as compared to 2.8 for Hispanic and 1.3 for Whites. In North Carolina, African Americans with HIV disease are 13.5 times more likely than whites and 6.3 times more likely than Hispanics to die of HIV disease.
   
   
8. Drugs to treat HIV/AIDS cost up to $13,000/year.
   
   
9. In fiscal year 2007–2008, the North Carolina ADAP (AIDS Drug Assistance/HIV Medications Program for low-income North Carolinians) program served 4,985 people with HIV/AIDS in the state. To qualify for ADAP, patients (family) must have income less than 300 percent of the Federal Poverty Level (or $31,200 for a single person, $63,600 for family of 4 of 2 adults, 2 children).
   
   
10. Approximately 3 million people in low- and middle-income countries were receiving HIV antiretroviral therapy at the end of 2007.
    
    
11. Coverage and Need for Antiretroviral Treatment (ART) Estimated number of people receiving ART, Needing ART and Percentage Coverage in low- and middle-income countries according to region, December 2007,
    
    

    Geographical region	Receiving ART	Needing ART	Coverage
    Sub-Saharan Africa	2,120,000	7,000,000	30%
    Latin America and the Caribbean	390,000	630,000	62%
    East, South and South-East Asia	420,000	1,700,000	25%
    Europe and Central Asia	54,000	320,000	17%
    North Africa and the Middle East	7,000	100,000	7%
    Total	2,990,000	9,700,000	31%

    
    
    
12. The combined efforts of countries and international partners have resulted in substantial, ongoing progress towards providing HIV interventions in low- and middle-income countries. A few highlights include:
    
• A large majority of the people living with HIV remain undiagnosed and are lacking opportunities to access adequate prevention, treatment, care and support services
• An estimated 80% of all HIV infections are sexually transmitted. Ten percent of all new infections worldwide (and as many as 30% outside sub-Saharan Africa) are among injecting drug users.
• About 97% of adults and children on therapy in low- and middle-income countries are receiving first-line drug regimens. The average price of second-line regimens remains very high and thus less accessible.
• Tuberculosis (TB) continues to be one of the leading causes of death among people living with HIV.
• Rates of co-infection with hepatitis B (HBV) and hepatitis C (HBC) viruses are high, especially among injecting drug users. Researchers estimate that hepatitis C prevalence among injecting drug users living with HIV ranges as high as 95% in some populations.
• There has been substantial progress in scaling up access to services for the prevention of mother-to-child transmission (PMTCT). In 2007, an estimated 33% of HIV-positive pregnant women received antiretrovirals to prevent transmission to their children, versus 10% in 2004. That same year, the number of pregnant women tested for HIV rose to 18% globally from 10% in 2005. The most significant expansion was in sub-Saharan Africa.
  
  
13. The HIV pandemic remains the most serious global infectious disease challenge to public health.
    

SOURCES

1. “Global Facts & Figures” from the UNAID “Report on the Global AIDS Epidemic, 2008,” http://data.unaids.org/pub/GlobalReport/2008/20080715_fs_global_en.pdf
2. World Health Organization, “AIDS Epidemic Update, 2007” http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf
3. “Global Facts & Figures” from the UNAID “Report on the Global AIDS Epidemic, 2008”
http://data.unaids.org/pub/GlobalReport/2008/20080715_fs_global_en.pdf
4. NC Department of Health and Human Services, Division of Public Health, State Center for Health Statistics, HIV/STD Prevention and Control Branch, “Health Profile of North Carolinians: 2009 Update,”
http://www.schs.state.nc.us/SCHS/pdf/HealthProfile2009.pdf
5. “Health Profile of North Carolinians: 2009 Update,”
http://www.schs.state.nc.us/SCHS/pdf/HealthProfile2009.pdf; NC Department of Health and Human Services, NC Division of Public Health, Communicable Disease Branch, “NC 2008 HIV/STD Surveillance Report”  http://www.epi.state.nc.us/epi/hiv/pdf/std08rpt.pdf
6. “Health Profile of Carolinians: 2009 Update,”
http://www.schs.state.nc.us/SCHS/pdf/HealthProfile2009.pdf
7. “Health Profile of North Carolinians: 2009 Update,”
http://www.schs.state.nc.us/SCHS/pdf/HealthProfile2009.pdf
8. “Progress on HIV/AIDS, Wednesday, January, 30, 2008” (the qualification has changed to 300% of federal poverty level, see below) at www.ncpolicywatch.com/cms/2008/01/30/progress-on-hivaids/
9. North Carolina ADAP (AIDS Drug Assistance/HIV Medications Program) also known as the HIV Medications Program, uses a combination of State and federal funds to provide low-income residents of the State with assistance in obtaining essential, life-sustaining medications to fight HIV/AIDS and the opportunistic infections which often accompany the disease. For more information, see ADAP Fact Sheet – May 11, 2008 “FACT SHEET: The North Carolina AIDS Drug Assistance/HIV Medications Program (ADAP) Communicable Disease Branch - Division of Public Health, NC DHHS” at http://www.epi.state.nc.us/epi/hiv/pdf/ADAPFactSheet.pdf.   “Health Profile of North Carolinians: 2009 Update,” http://www.schs.state.nc.us/SCHS/pdf/HealthProfile2009.pdf.
10. World Health Organization, “ Fast Facts about HIV/AIDS Treatment, June 2008” http://data.unaids.org/pub/FactSheet/2008/20080903_fastfacts_treatment_en.pdf   
11. World Health Organization, Coverage and Need for Antiretroviral Treatment (ART), Estimated number of people receiving ART, Needing ART and Percentage Coverage in low- and middle-income countries according to region, December 2007, http://www.who.int/hiv/data/coverage1207/en/print.html
12. World Health Organization, “TOWARDS UNIVERSAL ACCESS: Scaling Up Priority HIV/AIDS Interventions in the Health Sector,” June 2008 Progress Report, www.who.int/hiv/mediacentre/key_messages_A4_en.pdf
13. World Health Organization, “AIDS Epidemic Update, 2007” http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf