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 0.1% in parts of Central Europe to above 1% in parts of the former Soviet Union.2
The three main tables in this page have been constructed from estimates from the 2009 UNAIDS Report on the Global AIDS Epidemic. Unless stated otherwise, all other data (including the graphs) is from the 2009 HIV/AIDS Surveillance Report by the European Centre for Disease Prevention and Control (ECDC) and World Health Organisation Regional Office for Europe, published in 2010.
As a large number of HIV infections, AIDS cases, and AIDS 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.
back to top Regional summary
As the graph below shows, rates of newly diagnosed cases of HIV infection vary widely between Eastern, Central and Western Europe.
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 graph below shows the number of AIDS diagnoses per 100,000 population in each region.
The number of AIDS cases per 100,000 has declined slightly in Western and Central Europe. This is largely a result of the widespread availability of antiretroviral drugs in these regions. The statistics for Eastern Europe are distorted due to substantial underreporting from Ukraine.
back to top Western Europe
|
Western European country |
People living with HIV/AIDS 2009 | Adult prevalence % 2009 |
Women living with HIV/AIDS 2009 |
AIDS-related deaths 2009 |
|---|---|---|---|---|
| Austria | 15,000 | 0.3 | 4,600 | <100 |
| Belgium | 14,000 | 0.2 | 4,400 | <100 |
| Denmark | 5,300 | 0.2 | 1,400 | <100 |
| Finland | 2,600 | 0.1 | <1,000 | <100 |
| France | 150,000 | 0.4 | 48,000 | 1,700 |
| Germany | 67,000 | 0.1 | 12,000 | <1,000 |
| Greece | 8,800 | 0.1 | 2,700 | <500 |
| Iceland | <1,000 | 0.3 | <200 | <100 |
| Ireland | 6,900 | 0.2 | 2,000 | <100 |
| Israel | 7,500 | 0.2 | 2,200 | <100 |
| Italy | 140,000 | 0.3 | 48,000 | <1,000 |
| Luxembourg | <1,000 | 0.3 | <500 | <100 |
| Malta | <500 | 0.1 | <100 | <100 |
| Netherlands | 22,000 | 0.2 | 6,900 | <100 |
| Norway | 4,000 | 0.1 | <1,200 | <100 |
| Portugal | 42,000 | 0.6 | 13,000 | <500 |
| Spain | 130,000 | 0.4 | 32,000 | 1,600 |
| Sweden | 8,100 | 0.1 | 2,500 | <100 |
| Switzerland | 18,000 | 0.4 | 5,700 | <100 |
| United Kingdom | 85,000 | 0.2 | 26,000 | <1,000 |
HIV statistics
A cumulative total of 349,077 HIV infections had been diagnosed in Western Europe by the end of 2009. 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. In addition, the three countries with the most extensive epidemics either do not report from all regions (Italy and Spain) or started reporting only in 2003 (France and Spain). National HIV reporting started at different dates in different countries, without systematic retrospective reporting of infections diagnosed in previous years.
Of the reported 24,703 people diagnosed with HIV in Western Europe in 2009:
- 40% probably acquired HIV through heterosexual contact;
- 37% became infected through male-to-male sexual contact;
- 4% became infected through injecting drug use;
- 28% were female;
- and 10% were 15 to 24 years old.
The number of reported HIV diagnoses has increased from 12,748 in 2000 to 24,703 in 2009. This is an increase from 5.5 cases per 100,000 population to 6.7. Countries with the highest rates in 2009 were the United Kingdom (10.7), Belgium (10.3) and Portugal (9.9).
Data on the original country in which infection occurred is available for 17 countries. According to these data, 39% of infections reported in 2009 originated from the country of report and 18% were acquired in sub-Saharan Africa. Latin America and the Caribbean accounted for almost 5% and other countries in Western Europe accounted for 4%. The origin was undetermined for over a quarter of cases.
AIDS statistics
In 2009 there were 4,361 diagnosed cases of AIDS reported in Western European countries. The highest rates of AIDS diagnoses were in Portugal (2.8 per 100,000 population), Spain (2.3) and Switzerland (1.7).
After falling dramatically in the late 1990s (following the introduction and widespread use of combination antiretroviral treatment), AIDS incidence has declined steadily. The number of AIDS diagnoses in 2009 was 58% lower than that for 2000.
AIDS mortality has also decreased as antiretroviral therapy has become widely available. Far fewer people died from AIDS in 2009 (1,083) than in 2004 (3,229).
Find out more about HIV and AIDS in Western and Central Europe.
back to top Central Europe
|
Central European country |
People living with HIV/AIDS 2009 | Adult prevalence % 2009 | Women living with HIV/AIDS 2009 | AIDS-related deaths 2009 |
|---|---|---|---|---|
| Bulgaria | 3,800 | 0.1 | 1,100 | <200 |
| Croatia | <1,000 | <0.1 | <500 | <100 |
| Czech Republic | 2,000 | <0.1 | <1,000 | <100 |
| Hungary | 3,000 | <0.1 | <1,000 | <200 |
| Poland | 27,000 | 0.1 | 8,200 | <200 |
| Romania | 16,000 | 0.1 | 4,700 | <1,200 |
| Serbia | 4,900 | 0.1 | 1,200 | <200 |
| Slovakia | <500 | <0.1 | <100 | <100 |
| Slovenia | <1,000 | <0.1 | <200 | <100 |
| Turkey | 4,600 | <0.1 | 1,400 | <200 |
HIV statistics
There were a total of 1,612 HIV diagnoses in Central Europe in 2009. Of these diagnoses, 17% were in individuals aged 15 to 24 years old and 20% were female. Of those infections where the transmission route was known:
- 44% were exposed through male-to-male sexual contact;
- 34% were acquired through heterosexual contact;
- and 9% were due to injecting drug use.
AIDS statistics
In 2009, 404 cases of AIDS were reported, compared to 970 in 2000. This decrease reflects the widespread availability of antiretroviral therapy in the region. The highest rates of AIDS cases were reported in Montenegro and Albania (1 per 100,000 population in each country).
In 2009 there were a reported 138 AIDS deaths in Central Europe, compared to 359 in 2004.
back to top Eastern Europe
|
Eastern European country |
People living with HIV/AIDS 2009 | Adult prevalence % 2009 | Women living with HIV/AIDS 2009 | AIDS-related deaths 2009 |
|---|---|---|---|---|
| Armenia | 1,900 | 0.1 | <1,000 | <100 |
| Azerbaijan | 3,600 | 0.1 | 2,100 | <200 |
| Belarus | 17,000 | 0.3 | 8,300 | <1,000 |
| Estonia | 9,900 | 1.2 | 3,000 | <500 |
| Georgia | 3,500 | 0.1 | 1,500 | <100 |
| Kazakhstan | 13,000 | 0.1 | 7,700 | <500 |
| Kyrgyzstan | 9,800 | 0.3 | 2,800 | <500 |
| Latvia | 8,600 | 0.7 | 2,600 | <1,000 |
| Lithuania | 1,200 | 0.1 | <500 | <100 |
| Republic of Moldova | 12,000 | 0.4 | 5,100 | <1,000 |
| Russian Federation | 980,000 | 1.0 | 480,000 | … |
| Tajikistan | 9,100 | 0.2 | 2,700 | <500 |
| Ukraine | 350,000 | 1.1 | 170,000 | 24,000 |
| Uzbekistan | 28,000 | 0.1 | 8,000 | <500 |
HIV statistics
In 2009 in Eastern Europe there were a reported 27,112 newly diagnosed HIV infections. However, this number does not include figures from the Russian Federation, where almost 58,500 new HIV cases were reported in 2009. The Ukraine has the second highest number of annual infections; in 2009 16,241 were reported.
Of the new HIV diagnoses in Eastern European countries in 2009 (where data on transmission routes were available):
- 51% were acquired through heterosexual transmission;
- 44% resulted from injecting drug use;
- 0.8% were acquired through male-to-male sexual contact;
- 14% were aged 15-24 years;
- and 41% were female.
In addition to the Russian Federation and Ukraine, high rates of HIV were reported in Estonia (30.7 per 100,000 population) and the Republic of Moldova (19.7 per 100,000 population). Rates of newly diagnosed HIV infection have generally declined in Estonia and Latvia, but in Armenia, Kazakhstan, Kyrgyzstan, Azerbaijan and Tajikistan rates have significantly increased since 2003/4.
AIDS statistics
A total of 1,803 AIDS diagnoses were reported in 2009 in Eastern Europe. However, this figure significantly underestimates the actual number, due to reporting delays and incomplete data from a number of countries (including the Russian Federation). In fact, UNAIDS estimated that in the same year, some 76,000 people died of AIDS in this region.3 Nearly all countries providing data since 2000 have seen an increase in the number of AIDS diagnoses.
Where Next?
AVERT.org has more about:
Sources back to top
- European Centre for Disease Prevention and Control/WHO Regional Office for Europe (2010) 'HIV/AIDS surveillance in Europe 2009' - 2010
- UNAIDS (2010) 'UNAIDS report on the global AIDS epidemic' - 2010
References back to top
- WHO/UNAIDS/UNICEF (2011) ‚'Global HIV/AIDS Response: Epidemic update and health sector progress towards Universal Access 2011'
- UNAIDS (2010) 'UNAIDS report on the global AIDS epidemic'
- UNAIDS (2010) 'UNAIDS report on the global AIDS epidemic'
