China

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1985-2010) Risk behaviors (1995-2009) Vulnerability and HIV knowledge (2009) HIV Expenditure (2005-2009) National Response (2003-2010) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: 1.UNFPA. (2010). State of World Population 2010, 2. UN Statistics Division. (2010). Social Indicators 3.Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009). World Population Prospects The 2008 Revision.

HIV prevalence and epidemiological status

Estimated number of adults and children living with HIV and estimated new HIV infections, 2001 and 2009 5 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults (15+) living with HIV and female (15+) living with HIV, 2001 and 2009 6 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of AIDS related deaths, 2001 and 2009 7 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated size of key affected populations, 2009 8 Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

Annual reported HIV and AIDS cases, 1985- 2010 9 Source: Prepared by www.aidsdatahub.org based on National Center for AIDS/STD Control and Prevention and Chinese Center for Disease Control and Prevention (Power Point Presentation by Dr. Wu Zunyou). HIV Testing & Treatment as Prevention in China, 2011

% distribution of estimated new and cumulative HIV infections by mode of transmission, 2009 10 New HIV infections Cumulative HIV infections Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

Cumulative number of HIV and AIDS cases and deaths, 2007-2009 11 Sources: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China

Trend of newly diagnosed HIV cases, by sex, Guangdong province, 1997-2007 12 Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400

Trend of newly diagnosed HIV cases by mode of transmission, Guangdong province, 1997-2007 13 Source: Centers for Disease Control and Prevention (CDC). (2009). HIV Infection--Guangdong Province, China, 1997-2007. MMWR Morb Mortal Wkly Rep, 58(15), 396-400 † includes all persons who enter drug detox centers, presumed to have injected drugs

HIV prevalence among population (15-49) by different scenarios , 1990-2010 14 Source: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing Institute of Information and Control, et al. (2002). The Socioeconomic Impact of HIV/AIDS in China. (%) Three scenarios refers to early intervention, late intervention and no further more intervention

HIV prevalence among key affected populations by age group, 2009 15 Source: Prepared by www.aidsdatahub.org based on National HIV/AIDS Sentinel Surveillance Results, 2009 cited in State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Trends of HIV prevalence among key affected populations, 2005 - 2009 16 Sources: Prepared by www.aidsdatahub.org based on 1. Office of the State Council Working Committee on AIDS China. (2005). Progress on Implementing UNGASS Declaration of Commitment in China 2005, 2. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 3. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Trends of HIV prevalence among key affected populations, Henan, 2005-2008 17 Source: Prepared by www.aidsdatahub.org based on UNAIDS, China HIV/AIDS Brief (unpublished)

HIV and Syphilis prevalence among key affected populations, 2008 18 Source: Prepared by www.aidsdatahub.org based on Comprehensive Surveillance among MARPs reported in WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009

HIV prevalence among MSM by age group, 2007 and 2009 19 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

HIV prevalence among MSM in Chongqing, Sichuan province, 2006-2009 20 Source: Prepared by www.aidsdatahub.org based on UNAIDS. China AIDS Fact Sheet , 2010 (Unpublished)

HIV prevalence among MSM in Chengdu, Sichuan province , 2003-2007 21 Source: Prepared by www.aidsdatahub.org based on Sichuan Center for Disease Control and Prevention, 2008 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

HIV prevalence among MSM, (2002-2007) 22 Source: Prepared by www.aidsdatahub.org based on Griensvena, F. v., Wijngaarden, J. W. d. L. v., Baral, S., et al. (2009). The Global Epidemic of HIV Infection among Men who have Sex with Men

HIV and Syphilis prevalence among MSM in selected cities, 2007 23 Sources: Prepared by www.aidsdatahub.org based on 1. Xing, G., Li-yan, W., Zheng-wei, D., et al. (2008). Characteristics of Sexual Behavior and HIV Prevalence among MSM in Selected Cities of China, 2006, 2. Hong-yan, L., Xiao-yan, M., & Yan-chun, L. (2008). A survey of HIV/STDs prevalence in 200 MSM and related factors in Beijing. Chinese Journal of AIDS & STD, and 3. Choi, K. H., Ning, Z., Gregorich, S. E., et al. (2007). The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China.

HIV prevalence among MSM in different cities, 2005 24 Source: Prepared by www.aidsdatahub.org based on Xu, H., Zhang, B., Zeng, Y., et al. (2006). HIV epidemic status and behavioral surveillance among MSM in China. Paper presented at the AIDS 2006 - XVI International AIDS Conference, Toronto Canada August 12-18, 2006 0 0 0 1.35 1.92 2.27 0.94 0 0.5 1 1.5 2 2.5 Chongqing Dalian Qingdao Nanjing Xi’an Shenyang Total HIV positive (%)

HIV prevalence among FSWs by age group, 2007 and 2009 25 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

Hepatitis C and Syphilis prevalence among different types of sex workers, Guiyang, 2007 26 Source: Prepared by www.aidsdatahub.org based on Dong-min, L., Fei, Y., Shao-yuan, H., et al. (2007). High Risk Behaviors and HIV/STI Prevalence among Female Sex Workers in Different Settings.

HIV prevalence among IDUS by age group and gender, 2007 and 2009 27 Sources: Prepared by www.aidsdatahub.org based on 1. State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China, and 2. State Council AIDS Working Committee Office China. (2010). UNGASS Country Progress Report: China.

HIV prevalence among injecting drug users in selected sentinel sites, 1996-2007 28 Source: UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response,

HIV prevalence and incidence in 3 cohorts of injecting drug users in Xijiang, Guangxi and Sichuan, 2006 29 Source: Prepared by www.aidsdatahub.org based on Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention, China CDC. Presentation at XVI International AIDS Conference, Toronto, Canada, August 12-18, 2006 cited in UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

HIV prevalence and epidemiological status

Provinces and sites with highest HIV prevalence among IDUs, 2000 31 Source: China Annual STI and HIV/AIDS Sentinel Surveillance Reprot 2000 and Year 2000 Annual Report Guangxi Epidemic Prevention Station cited in The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report. 17 12 12 35 21 70 58 75 80 39 84 0 50 100 Sentinel site Liuzhou Pingxiang Baise Sentinel site Yingjiang Kaiyuan Wenshan Ruili Urumqi Yining Jangxi Guangxi Guangdong Yunnan Xinjiang (%) Province Site

Transmission mode distributing among cumulative AIDS cases receiving ART, 2003-2007 32 Others Blood transfusion Sexual transmission Injecting drug use Commercial blood donation Source: State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China

Number of reported HIV cases through mother-to-child transmission, 1995-2004 33 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 1 1 4 3 3 10 32 41 124 686 0 100 200 300 400 500 600 700 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIV reported cases

Trend in proportion of mother-to-child infection over annual reported infections, 1998-2004 34 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 0.1 0.1 0.2 0.4 0.4 0.6 2.1 0 0.5 1 1.5 2 2.5 1998 1999 2000 2001 2002 2003 2004 HIV positive (%)

Annual reported HIV and AIDS cases, 1985-2007 35 0 10000 20000 30000 40000 50000 AIDS HIV/AIDS AIDS 5 3 5 23 29 52 38 126 136 230 233 714 1028 6120 12652 7550 7909 8539 HIV/AIDS 492 216 261 274 531 1567 2649 3343 3306 4677 5201 8219 9732 21691 47606 40711 44070 39866 1985- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Note: up to October 2007 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China Number Year

Age distribution of reported HIV and AIDS cases, 2007 36 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office China. (2008). UNGASS Country Progress Report: China (%) Year Age 20-39 were more affected

Estimated number of people living with HIV, 2001 and 2007 37 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008 ). China: Epidemiological Fact Sheet on HIV and AIDS- Core Data on Epidemiology and Response. 470,000 700,000 120,000 200,000 0 400,000 800,000 2001 2007 Adults and children Women

The evolution and development of HIV epidemic in China 38 Source: Ning W. HIV/AIDS Surveillance System in China. National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention. Presentation at XVI International Conference on AIDS, Toronto-Canada, August 12-18, 2006 1989 1995 1998 1985

% of female among all HIV cases, 1998-2004 39 Source: Prepared by www.aidsdatahub.org based on State Council AIDS Working Committee Office, & UN. (2004). A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China Data is end up by September 2004

HIV prevalence among IDUs in Guangxi Province, 1995-2002 40 Source: Prepared by www.aidsdatahub.org based on The UN Theme Group on HIV/AIDS in China. (2002). HIV/AIDS: China's Titanic Peril: 2001 Update of the AIDS Situation and Needs Assessment Report.

41 THANK YOU slides compiled by www.aidsdatahub.org Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site