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European HIV & AIDS Statistics

Introduction

According to UNAIDS estimates, around 2.3 million people were living with HIV in the European region at the end of 2010.1 Estimated adult HIV prevalence varies from below 0.2% in parts of Central Europe to above 1% in parts of Eastern Europe.2

The three main tables in this page have been constructed from estimates from the UNAIDS Report on the Global AIDS Epidemic 2012.3 Unless stated otherwise, all other data (including the graphs) is from the HIV/AIDS Surveillance in Europe 2011 Report by the European Centre for Disease Prevention and Control (ECDC) and World Health Organisation Regional Office for Europe, published in 2012.4

As a large number of HIV infections, AIDS cases, and AIDS-related deaths are never reported at a national level, the figures from the ECDC/WHO report understate the true extent of the epidemic. In addition, the reliability of reporting systems varies between countries, making comparisons difficult.

Regional summary

As the graph below shows, rates of newly diagnosed cases of HIV infection vary widely between Eastern, Central and Western Europe.

 

Newly diagnosed HIV cases per million population in the WHO European Region by year notification

 

Eastern Europe has seen a steady increase in HIV infections since 2000, which is largely due to an increase in heterosexually acquired infections and infections among injecting drug users. The 2010 figure is abnormally high because Russia was included in figures for that year, whereas it was not for 2011.

The graph below shows the number of AIDS diagnoses per 100,000 population in each region.

 

Number of diagnosed AIDS cases per million Population in the WHO European Region by year of diagnosis, 2000 - 2011

 

The number of AIDS cases per 100,000 has continued to decline in Western Europe with the number stabilising in Central Europe. This is largely a result of the widespread availability of antiretroviral drugs in these regions. In Eastern Europe, the number of AIDS cases has been rising since 2009.

Western Europe

Western European
country
People living with HIV/AIDS 2011 Adult prevalence % 2011 Women living with HIV/AIDS 2011 AIDS-related deaths 2011
Austria 18,000 0.4 5,200 <100
Belgium 20,000 0.3 5,700 <100
Denmark 6,100 0.2 1,600 <100
Finland 2,900 0.1 <1,000 <100
France 160,000 0.4 46,000 1,300
Germany 73,000 0.1 11,000 <500
Greece 11,000 0.2 3,300 <200
Iceland <1,000 0.3 <200 <100
Ireland 7,800 0.3 2,400 <100
Israel 8,500 0.2 2,600 <100
Italy 150,000 0.4 49,000 <1,000
Luxembourg <1,000 0.3 <500 <100
Malta <500 0.1 <100 <100
Netherlands 25,000 0.2 7,500 <200
Norway 4,500 0.1 <1,300 <100
Portugal 48,000 0.7 14,000 <200
Spain 150,000 0.4 35,000 <1,000
Sweden 9,100 0.2 2,700 <100
Switzerland 20,000 0.4 6,200 <100
United Kingdom 94,000 0.3 29,000 <500

HIV statistics

A cumulative total of 418,100 HIV infections had been diagnosed in Western Europe by the end of 2011. This considerably understates the true figure because not all HIV infections have been diagnosed or reported. This is partly because many people do not know that they are infected. The male-to-female ratio in 2011 was 2.9.

Of the reported 26,204 people diagnosed with HIV in Western Europe in 2011:

  • 37.9% acquired HIV through heterosexual contact;
  • 40.1% became infected through male-to-male sexual contact;
  • 4.2% became infected through injecting drug use;
  • 0.8% was via mother-to-child transmission;
  • 10.1% were 15 to 24 years old;
  • and for 16.7% transmission was unknown.

The number of reported HIV diagnoses has increased from 12,748 in 2000 to 26,204 in 2011. This is an increase from 5.5 cases per 100,000 population to 6.5. Countries with the highest rates in 2010 were Belgium (10.7) and the United Kingdom (10.0).

Data on the original country in which infection occurred reveals that 49.2% of infections reported in 2011 originated from the country of report and 17.6% were acquired in sub-Saharan Africa. Latin America and the Caribbean accounted for 6% and other countries in Western Europe accounted for 4.1%. The origin was undetermined for 14.5% of cases.

AIDS statistics

In 2011 there were 3,905 diagnosed cases of AIDS reported in Western European countries. The highest rates of AIDS diagnoses were in Portugal (2.8 per 100,000 population) and Spain (1.8).

After falling dramatically in the late 1990s (following the introduction and widespread use of combination antiretroviral treatment), AIDS incidence has declined steadily since 2001, from 9,710 AIDS diagnoses to 3,905 in 2010.

AIDS mortality has also decreased as antiretroviral therapy has become widely available. Far fewer people died from AIDS-related illnesses in 2011 (955) than in 2004 (3,707).

Find out more about HIV and AIDS in Western and Central Europe.

Central Europe

Central European
country
People living with HIV/AIDS 2011 Adult prevalence % 2011 Women living with HIV/AIDS 2011 AIDS-related deaths 2011
Bulgaria 3,900 0.1 1,100 <500
Croatia 1,200 <0.1 <500 <100
Czech Republic 2,100 <0.1 <1,000 <100
Hungary 4,100 0.1 1,300 <100
Poland 35,000 0.1 9,900 <200
Romania 16,000 0.1 4,700 <500
Serbia 3,500 0.1 <1,000 <200
Slovakia <500 <0.1 <200 <100
Slovenia <1,000 0.1 <200 <100
Turkey 5,500 <0.1 1,600 <100

HIV statistics

There were a total of 2,997 HIV diagnoses in Central Europe in 2011. Of these diagnoses, 16.8% were in individuals aged 15 to 24 years old and the male-to-female ratio was 4.3. The transmission routes are as follows:

  • 27.3% were exposed through male-to-male sexual contact;
  • 25.7% were acquired through heterosexual contact;
  • 8.2% were due to injecting drug use;
  • 0.9% were via mother-to-child transmission;
  • and for 35.7% transmission route was unknown.

AIDS statistics

In 2011, 736 cases of AIDS were reported. The highest rate of AIDS cases was reported in Romania (1.3 per 100,000 population).

In 2011 there were a reported 362 AIDS-related deaths in Central Europe.

Eastern Europe

Eastern European
country
People living with HIV/AIDS 2011 Adult prevalence % 2011 Women living with HIV/AIDS 2011 AIDS-related deaths 2011
Armenia 3,600 0.2 <1,000 <500
Azerbaijan 6,700 0.1 1,000 <500
Belarus 20,000 0.4 6,400 <1,000
Estonia 9,900 1.3 3,100 <500
Georgia 4,900 0.2 1,200 <200
Kazakhstan 19,000 0.2 7,900 1,200
Kyrgyzstan 12,000 0.4 4,200 <500
Latvia 9,100 0.7 2,800 <1,000
Lithuania 1,500 0.1 <500 <100
Republic of Moldova 15,000 0.5 5,500 1,000
Russian Federation no data no data no data no data
Tajikistan 11,000 0.3 3,500 <1,000
Ukraine 230,000 0.8 94,000 22,000
Uzbekistan no data no data no data no data

HIV statistics

In 2011 there were a reported 24,773 newly diagnosed HIV infections in Eastern Europe. However these figures do not include Russia or Uzbekistan, and therefore the figures for the region are much lower than reality. Since 2004, Belarus and Ukraine have seen increases in HIV infection by 59% and 76% respectively. The male-to-female ratio for the East was 1.3.

Of the new HIV diagnoses in Eastern European countries in 2011 (where data on transmission routes were available):

  • 56.7% were acquired through heterosexual transmission;
  • 37.6% resulted from injecting drug use;
  • 1.1% were acquired through male-to-male sexual contact;
  • 11.4% were aged 15-24 years;
  • 1.2% were via mother-to-child transmission;
  • and for 3.3% transmission was unknown.

In previous years injecting drug use was the predominant mode of transmission, however this has recently changed to heterosexual contact.

High rates of HIV were reported in Ukraine (38.0 per 100,000 population), and Moldova (20.3 per 100,000 population), in 2011. In the same year, 70% of newly diagnosed HIV infections were reported from Ukraine.

AIDS statistics

A total of 6,282 AIDS diagnoses were reported in 2011 in Eastern Europe. However, this figure significantly underestimates the actual number, due to no data from Russia or Uzbekistan.

It is thought that 1,359 people died of AIDS-related illnesses in 2011 in this region. All countries providing data since 2004 have seen an increase in the number of AIDS diagnoses, except Lithuania. A fivefold increase has been observed in Azerbaijan, Belarus, Kyrgyzstan and Moldova between 2004-2011.

 

References

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