MAY 2012
DEPARTMENT OF HEALTH NATIONAL EPIDEMIOLOGY CENTER
In May 2012, there were 273 new HIV Ab sero-positive individuals confirmed by the STD/AIDS Cooperative Central Laboratory (SACCL) and reported to the HIV and AIDS Registry (Table 1). This was 48% higher compared to the same period last year (n=184 in 2011) [Figure 1].
Table 1. Quick Facts
Most of the cases (96%) were males. The median age was 27 years (age range: 9-52 years). The 20-29 year (63%) age-group had the most number of cases. Fifty-one percent (138) of the reported cases were from the National Capital Region (NCR).
Demographic Data
May 2012
Jan-May 2012
Cumulative 1984—2012
273 261
1,305 1.243
9,669 8,627
Total Reported Cases Asymptomatic Cases AIDS Cases
12
62
1,042
Males
261
1,243
8,133*
Females
12
62
1,525*
Youth 15-24yo
76
365
2,282
Children <15yo Reported Deaths due to AIDS
1 2
4 9
62 352
*Note: No data available on sex for (11) cases.
Reported mode of transmission were sexual contact (268), needle sharing among injecting drug users (4) and motherâ&#x20AC;&#x201C;to-child transmission (1). [Table 2, page 3]. Males having sex with other males (87%) were the predominant type of sexual transmission [Figure 2]. Most (96%) of the cases were still asymptomatic at the time of reporting [Figure 3].
Figure 1. Number of New HIV Cases per Month (2010-2012) Number of New Cases
350
AIDS Cases Of the 273 HIV positive cases, twelve were reported as AIDS cases, 9 males and 3 female. The median age is 41 years (age range: 9-52 years). Eleven acquired the infection through sexual contact (8 homosexual, 2 heterosexual contact and 1 bisexual). One acquired through mother-to-child transmission. Of the AIDS cases, there were two reported deaths for this month; both were males, ages 27 and 42 years old.
300 250 200 150 100 50 0 Jan
Feb
M ar
A pr
M ay
Jun
Jul
A ug
Sep
Oct
Nov
Dec
2010
143
130
120
154
153
109
131
108
153
104
112
174
2011
152
159
172
171
184
178
204
196
253
200
212
268
2012
212
274
313
233
273
Figure 2. Comparison of the Proportion of Types of Sexual Transmission in 2012, 2011 & Cumulative Data (1984-2012) Heterosexual
100%
Proportion of Cases
Philippine HIV and AIDS Registry
Newly Diagnosed HIV Cases in the Philippines
Overseas Filipino Workers (OFW) Twenty-five of the 273 (9%) reported cases were OFWs [Figure 11, page 4]. There were 23 males and 2 females. The median age was 31 years (age range: 22-48 years). All acquired the infection through sexual contact (7 heterosexual, 12 homosexual, and 6 bisexual).
37
29
Bisexual
3,037 75%
86
Homosexual
64 2,297
50%
145
25%
78
3,513
M ay 2 0 11
C umulat ive
0%
M ay 2 0 12
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to May 2012 (N=9,669) 2500 2250 2000 1750 1500 1250 1000 750 500 250 0
'84
'85
'86
'87
'88
'89
'90
'91
'92
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
T OT A L
2
10
29
38
32
39
66
85
72
102
118
116
154
117
189
158
123
174
184
193
199
210
309
342
528
835
1591
2, 349
1, 305
A sympt omat i c
0
6
18
25
21
29
48
68
51
64
61
65
104
94
144
80
83
117
140
139
160
171
273
311
506
804
1563
2, 241
1, 243
A I DS
2
4
11
13
11
10
18
17
21
38
57
51
50
23
45
78
40
57
44
54
39
39
36
31
22
31
28
108
62
Deat h
2
4
10
12
9
8
15
13
13
11
19
24
27
10
16
17
9
20
11
11
8
16
18
10
7
1
3
*19
9
*Nine initially asymptomatic cases reported in 2011, died due to AIDS that same year.
1
May 2012
Philippine HIV/AIDS Registry
AIDS Cases (1984-2012) Of the 1,305 HIV positive cases in 2012, sixty-two were reported as AIDS cases. Of these, 57 were males and 5 were females. Ages ranged from 7-81 years (median 33 years). Ninety-seven percent (60) acquired the infection through sexual contact (33 homosexual, 17 bisexual and 10 heterosexual), and 3% (2) mother-to-child transmission.
Figure 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984â&#x20AC;&#x201D;May 2012 100%
Proportion of Cases
75%
From 1984 to 2012, there were 1,042 AIDS cases reported. Seventy-five percent (777) were males. Median age is 35 years (age range: 1-81 years). Of the reported AIDS cases, 352 (34%) had already died at the time of reporting. Sexual contact was the most common mode of HIV transmission, accounting for 94% (976) of all reported AIDS cases. Half (484) of sexual transmission was through heterosexual contact, followed by homosexual contact (359) then bisexual contact (133). Other modes of transmission include: mother-to-child transmission (20), blood transfusion (10), injecting drug use (6), and needle prick injuries (2) [Figure 4]. Three percent (28) of the AIDS cases did not report mode of HIV transmission.
50%
25%
0% 1984-2008
2009
2010
2011
2012
Needl e P r i c k
2
0
0
0
0
B l ood T r ans f us i on
10
0
0
0
0
M T CT
16
1
0
1
2
I DU
4
0
0
2
0
B i s ex ual Cont ac t
64
8
7
37
17
Homos ex ual Cont ac t
246
16
19
45
33
Het er os ex ual Cont ac t
442
6
3
23
10
*Note: 28 did not report mode of transmission
Demographic Characteristics (1984-2012) Figure 5. Proportion of Sex & Age-Groups in May 2012 & Jan-May 2012 100%
Proportion of Cases
In 2012, there were a total of 1,305 cases reported. 95% of the cases reported were males (1,243). Ages ranged from 2-81 years old (median 28 years). The 20-29 year old age group (59%) had the most number of cases for 2012. For the male age group, the most number of cases were found among the 20-24 years old (26%), 25-29 years old (33%), and 30-34 years old (19%) [Figure 6]. From 1984 to 2012, there were 9,669 HIV Ab sero-positive cases reported (Table 1), of which 8,627 (89%) were asymptomatic and 1,042 (11%) were AIDS cases. As shown in Figure 6, there is a significant difference in the number of male and female cases reported. Eighty-four percent (8,133) were males. Ages ranged from 1-81 years (median 29 years). The age groups with the most number of cases were: 20-24 years (21%), 25-29 (28%), and 30-34 years (19%) [Figure 6].
75%
50%
25%
0% M ay 2012 (M )
M ay 2012 (F)
2012 (M al e)
50 & ol der
1
0
17
2012 (Femal e) 2
35-49yo
38
1
209
17
25-34yo
148
8
658
33
15-24yo
74
2
356
9
1-14yo
0
1
3
1
Figure 6. Comparison of the Distribution of Male and Female HIV Cases by Age-Group and Certain Highlighted Years 1984-2007
50 & o lder
2008
2009
2010
2011
2012
45-49yo 40-44yo 35-39yo 30-34yo 25-29yo 20-24yo 15-19yo
Number of Male Cases 2500
2250
2000
1750
1500
Number of Female Cases
<15yo 1250
1000
750
500
250
0
0
250
500
750
1000
1250
1500
1750
2000
2250
2500
<15yo
15-19yo
20-24yo
25-29yo
30-34yo
35-39yo
40-44yo
45-49yo
50 & ol der
<15yo
15-19yo
20-24yo
25-29yo
30-34yo
35-39yo
40-44yo
45-49yo
50 & ol der
2012
3
30
326
416
242
107
68
34
17
2012
1
1
8
22
11
8
5
4
2
2011
1
76
589
739
378
193
117
51
49
2011
2
3
36
44
23
21
10
8
9
2010
1
50
405
455
256
128
81
42
48
2010
2
5
28
21
34
15
9
7
4
2009
1
22
179
227
124
90
41
18
29
2009
1
4
13
19
21
20
14
7
5
2008
2
11
92
140
90
59
36
23
20
2008
0
0
8
14
8
10
9
3
3
1984-2007
27
15
157
374
414
364
279
185
176
1984-2007
21
33
191
225
202
154
90
35
44
*Note: 74 did not report age, 11 did not report sex, 10 did not report age and sex
2
May 2012
Philippine HIV/AIDS Registry
Geographic Distribution I
2%
II
<1%
III
8%
IVA
15%
IVB
0%
V
1%
VI
3%
VII
4%
VIII
1%
IX
1%
X
2%
XI
8%
XII
1%
CAR
1%
CARAGA
1%
ARMM
100%
75%
Figure 7. New HIV Cases by Region, May 2012 R eg 3 8%
R OT C 14 %
R eg 4 A 15%
50%
25%
0%
R eg 7 4%
2007-2011
1984-2012
2%
2%
2%
Reg3
7%
6%
9%
13%
12%
12%
Reg6
3%
3%
3%
Reg7
11%
9%
9%
7%
7%
6%
50%
54%
51%
7%
7%
7%
Reg11
NCR 51%
51%
2012 Reg1
Reg4A
R eg 11 8%
<1%
NCR
Fig 8. Comparison of Proportion of HIV Cases by Region & Year
In May 2012, bulk of the new HIV cases came from NCR, Region 4A, Region 11, Region 3, and Region 7 [Fig 7]. The three highest reporting regions were NCR, Region 4A, and Region 11.
% of Cases
Proportion of Cases
Region
NCR ROT C*
*ROTC: Rest of the Country
Modes of Transmission (1984-2012) In 2012, 92% (1,201) were infected through sexual contact, 8% (100) through needle sharing among injecting drug users, and <1% (4) through mother-to-child transmission (Table 2). There were 1,149 males and 52 females infected through sexual transmission. The age range of those infected through sexual transmission was 15-81 years old (median 27 years).
Table 2. Reported Mode of HIV Transmission
Sexual Contact
Of the 9,669 HIV positive cases reported from 1984 to 2012, 92% (8,847) were infected through sexual contact, 4% (365) through needle sharing among injecting drug users, 1% (59) through mother-to-child transmission, <1% (20) through blood transfusion and needle prick injury <1% (3) [Table 2]. No data is available for 4% (375) of the cases.
Jan-May 2012 n=1,305
May 2012 n=273
Mode of Transmission
Cumulative N=9,669
268
1,201
8,847
Heterosexual contact
37(14%)
161(13%)
3,037(34%)
Homosexual contact
145(54%)
625(52%)
3,513(40%)
Bisexual contact
86(32%)
415(35%)
2,297(26%)
Blood/Blood Products
0
0
20
Injecting Drug Use
4
100
365
Needle Prick Injury
0
0
3
Mother-to-Child
1
4
59
No Data Available
0
0
375
Cumulative data shows 34% (3,037) were infected through heterosexual contact, 40% (3,513) through homosexual contact, and 26% (2,297) through bisexual contact. From 2007 there has been a shift in the predominant trend of sexual transmission from heterosexual contact (21%) to males having sex with other males (79%) [Figure 9]. Figure 10. HIV Transmission by Age-Group, 2012 (n=1,305)
Figure 9. Proportion of Types of Sexual Transmission, Jan 1984â&#x20AC;&#x201D;May 2012
750
100%
675 600
Number of Cases
90%
Proportion of Cases
80% 70% 60% 50%
525 450 375 300 225 150
40%
75 0
30% 20% 10% 0% '84
'85
'86
'87
'88
'89
'90
'91
'92
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
Het er osexual
1
7
24
24
16
19
35
30
41
47
58
56
81
82
138 114 93
B i sexual
0
2
0
4
2
2
4
4
5
2
3
8
7
7
9
10
8
5
8
14
12
14
26
74
Homosexual
0
1
4
3
4
6
8
15
5
16
20
21
30
25
36
30
17
32
46
40
27
47
81
107 215 336 680 1036 625
128 129 129 123 131 193 139 160 216 274 388 161 127 252 467 806 415
<7yo
7-14yo
15-17yo
18-24yo
25-34yo
35-49yo
50&ol der
B l ood T r ansf usi on - Femal e
-
-
-
-
-
-
-
M at er nal t o Chi l d
1
3
-
-
-
-
-
I nj ect i ng Dr ug Use - Femal e
-
-
-
2
6
1
-
I nj ect i ng Dr ug Use - M al e
-
-
2
28
34
26
1
Het er osexual Cont act - Femal e
-
-
-
7
27
16
2
Het er osexual Cont act - M al e
-
-
-
10
62
30
7
B i sexual Cont act
-
-
1
111
239
63
1
Homosexual Cont act
-
-
1
203
323
90
8
3
May 2012
Philippine HIV/AIDS Registry
Overseas Filipino Workers (OFW) In 2012, there were 133 HIV positive OFWs, comprising 10% of cases reported for the year [Figure 11]. Of these, 118 (89%) were males and 15 (11%) were females. All were infected through sexual contact. There were 1,921 HIV positive OFWs since 1984, comprising 20% of all reported cases [Figure 11]. Seventy-seven percent (1,488) were males. Ages ranged from 18 to 69 years (median 35 years). Sexual contact (97%) was the predominant mode of transmission (Table 3). Eighty-five percent (1,631) were asymptomatic while 15% (290) were AIDS cases. Table 3. Mode of HIV Transmission Among OFWs Jan-May 2012 n=133
Cumulative N=1,921
25
133
1,859
Heterosexual contact
7(28%)
36(27%)
1,134(61%)
Homosexual contact
12(48%)
53(40%)
408(22%)
Bisexual contact
6(24%)
44(33%)
317(17%)
Blood/Blood Products
0
0
10
Injecting Drug Use
0
0
1
Needle Prick Injury
0
0
3
No Data Available
0
0
48
Sexual Transmission
2200 2000
Number of Cases
Mode of Transmission
May 2012 n=25
Figure 11. Number of OFWs Compared to Non-OFWs by Year (1984-2012)
1800 1600 1400 1200 1000 800 600 400 200 0 OFW Non-OFW % of OFW
Blood Units Confirmed for HIV As of May 2012, 111 blood units were confirmed positive for HIV by RITM. There is no available data yet on the total number of blood units donated. These are confirmed positive blood units, not blood donors. One donor can donate more than one blood unit. HIV positive blood donors may not be in the HIV & AIDS Registry unless they underwent voluntary counseling and testing as individuals.
*Update: Number of confirmed HIV Positive Units for March 2010 data was changed from 15 to 24. October 2010 data was changed from 20 to 27 and September 2011 was changed from 10 to 18.
2012
2011
January
17
11
February
18
15
March
'85
'86
'87
'88
'89
'90
'91
'92
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
1
2
0
3
9
5
10
7
14
29
31
24
35
27
51
67
60
79
96
93
86
92
130 106 122 164 174 271 133
1
8
29
35
23
34
56
78
58
73
87
92
119 90
138
91
63
95
88
100 113 118 179 236 406 671 1417 20781172
50% 20% 0%
'08
'09
'10
'11
'12
8% 28% 13% 15% 8% 19% 28% 26% 21% 23% 23% 27% 42% 49% 45% 52% 48% 43% 44% 42% 31% 23% 20% 11% 12% 10%
34
As of March 2012, there are 2,278* People Living with HIV presently on Anti-Retroviral Therapy (ART). Data for April and May is not yet available. Table 5. Number of PLHIV on ART M Month January
2,087 2,169
April
21
20
May
21
10
March
June
32
July
22
August
18
September
*18
October
22
November
17
December
18 111
2012
14
February
Total
'07
PLHIV on Anti-Retroviral Therapy
Table 4. Number of Confirmed HIV Positive Blood Units Month
'84
209
April May June July August
2,278 Data not yet available Data not yet available
Treatment Hubs in the Philippines 1. Baguio General Hospital and Medical Center 2. Ilocos Training and Regional Medical Center 3. Cagayan Valley Medical Center 4. Jose B. Lingad Medical Center 5. San Lazaro Hospital 6. Philippine General Hospital 7. Research Institute for Tropical Medicine 8. Makati Medical Center 9. The Medical City 10. Bicol Regional Training and Teaching Hospital 11. Western Visayas Medical Center 12. Corazon Locsin Montelibano Memorial Regional Hospital 13. Vicente Sotto Memorial Medical Center 14. Gov. Celestino Gallares Memorial Hospital 15. Zamboanga City Medical Center 16. Southern Philippines Medical Center
September October November December
* This is not a cumulative number. It does not include those who already have died, left the country, or decided to stop taking ART.
4