APRIL 2012
DEPARTMENT OF HEALTH NATIONAL EPIDEMIOLOGY CENTER
In April 2012, there were 233 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 36% higher compared to the same period last year (n=171 in 2011) [Figure 1].
Table 1. Quick Facts
Most of the cases (97%) were males. The median age was 27 years (age range: 19-66 years). The 20-29 year (62%) age-group had the most number of cases. Fifty percent (117) of the reported cases were from the National Capital Region (NCR).
Females Youth 15-24yo Children <15yo Reported Deaths due to AIDS
0 1
Demographic Data
April 2012
Jan-April 2012
Cumulative 1984â&#x20AC;&#x201D;2012
233 225
1,032 992
9,396 8,378
Total Reported Cases Asymptomatic Cases AIDS Cases Males
8
40
1,018
225
982
7,872*
8
50
1,513*
74
289
2,206
3 7
61 350
*Note: No data available on sex for (11) cases.
Reported mode of transmission were sexual contact (210) and needle sharing among injecting drug users (23) [Table 2, page 3]. Males having sex with other males (88%) were the predominant type of sexual transmission [Figure 2]. Most (97%) 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 233 HIV positive cases, eight were reported as AIDS cases, all were males. The median age is 26 years (age range: 22-66 years). All cases acquired the infection through sexual contact (6 homosexual, 1 bisexual and 1 heterosexual). Of the AIDS cases, there was one reported death for this month; a 22 year old male.
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
Figure 2. Comparison of the Proportion of Types of Sexual Transmission in 2012, 2011 & Cumulative Data (1984-2012)
Overseas Filipino Workers (OFW)
Heterosexual
100%
Proportion of Cases
Philippine HIV and AIDS Registry
Newly Diagnosed HIV Cases in the Philippines
Eighteen of the 233 (8%) reported cases were OFWs [Figure 11, page 4]. There were 15 males and 3 females. The median age was 33 years (age range: 23-46 years). All acquired the infection through sexual contact (3 heterosexual, 10 homosexual, and 5 bisexual).
26
23
Bisexual
3,000 75%
71
Homosexual
52 2,211
50%
25%
113
92
A p r il 2 0 12
A p r il 2 0 11
3,368
0%
C umulat ive
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to April 2012 (N=9,396) 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, 032
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
992
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
40
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
7
*Nine initially asymptomatic cases reported in 2011, died due to AIDS that same year.
1
April 2012
Philippine HIV/AIDS Registry
AIDS Cases (1984-2012) Of the 1,032 HIV positive cases in 2012, forty were reported as AIDS cases. Of these, 39 were males and 1 was female. Ages ranged from 7-81 years (median 32 years). Ninety-eight percent (39) acquired the infection through sexual contact (19 homosexual, 15 bisexual and 5 heterosexual) and 2% (1) mother-to-child transmission.
Figure 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984â&#x20AC;&#x201D;April 2012 100%
Proportion of Cases
75%
From 1984 to 2012, there were 1,018 AIDS cases reported. Seventy-four percent (757) were males. Median age is 35 years (age range: 1-81 years). Of the reported AIDS cases, 350 (34%) had already died at the time of reporting. Sexual contact was the most common mode of HIV transmission, accounting for 94% (953) of all reported AIDS cases. Half (479) of sexual transmission was through heterosexual contact, followed by homosexual contact (343) then bisexual contact (131). Other modes of transmission include: mother-to-child transmission (19), 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
1
I DU
4
0
0
2
0
B i s ex ual Cont ac t
64
8
7
37
15
Homos ex ual Cont ac t
245
16
18
45
19
Het er os ex ual Cont ac t
442
6
3
23
5
*Note: 28 did not report mode of transmission
Demographic Characteristics (1984-2012) Figure 5. Proportion of Sex & Age-Groups in April 2012 & Jan-April 2012 100%
Proportion of Cases
In 2012, there were a total of 1,032 cases reported. 95% of the cases reported were males (982). Ages ranged from 2-81 years old (median 28 years). The 20-29 year old age group (58%) 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 (32%), and 30-34 years old (20%) [Figure 6]. From 1984 to 2012, there were 9,396 HIV Ab sero-positive cases reported (Table 1), of which 8,378 (89%) were asymptomatic and 1,018 (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 (7,872) 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% A pr i l 2012 (M )
A pr i l 2012 (F)
2012 (M al e)
50 & ol der
4
0
16
2012 (Femal e) 2
35-49yo
39
1
172
16
25-34yo
109
6
509
25
15-24yo
73
1
282
7
1-14yo
0
0
3
0
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
24
258
316
193
90
52
30
16
2012
0
1
6
18
7
8
5
3
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
April 2012
Philippine HIV/AIDS Registry
Geographic Distribution I
2%
II
<1%
III
5%
IVA
15%
IVB
1%
V
1%
VI
3%
VII
16%
VIII
1%
IX
<1%
X
0
XI
4%
XII
0
CAR
R eg 4 A 15%
50%
25%
0%
R eg 7 16 % NCR 50 %
0
NCR
75%
R eg 3 5%
R OT C 10 %
1%
ARMM
100%
Figure 7. New HIV Cases by Region, April 2012
<1%
CARAGA
Fig 8. Comparison of Proportion of HIV Cases by Region & Year
In April 2012, bulk of the new HIV cases came from NCR, Region 7, Region 4A, Region 3, and Region 11 [Fig 7]. The three highest reporting regions were NCR, Region 4A, and Region 7.
% of Cases
Proportion of Cases
Region
2007-2011
1984-2012
2%
2%
2%
Reg3
6%
6%
9%
13%
12%
12%
Reg6
3%
3%
3%
Reg7
13%
9%
9%
7%
7%
6%
50%
54%
51%
6%
7%
7%
Reg4A
R eg 11 4%
50%
2012 Reg1
Reg11 NCR ROT C*
*ROTC: Rest of the Country
Modes of Transmission (1984-2012) In 2012, 90% (933) were infected through sexual contact, 9% (96) through needle sharing among injecting drug users, and <1% (3) through mother-to-child transmission (Table 2). There were 892 males and 41 females infected through sexual transmission. The age range of those infected through sexual transmission was 17-81 years old (median 28 years).
Table 2. Reported Mode of HIV Transmission Mode of Transmission
April 2012 n=233
Sexual Contact
Of the 9,396 HIV positive cases reported from 1984 to 2012, 91% (8,579) were infected through sexual contact, 4% (361) through needle sharing among injecting drug users, 1% (58) through mother-to-child transmission, <1% (20) through blood transfusion and needle prick injury <1% (3) [Table 2]. Other modes of transmission are listed in Table 2. No data is available for 4% (375) of the cases.
Jan-Apr 2012 n=1,032
Cumulative N=9,396
210
933
8,579
Heterosexual contact
26(12%)
124(13%)
3,000(35%)
Homosexual contact
113(54%)
480(51%)
3,368(39%)
Bisexual contact
71(34%)
329(35%)
2,211(26%)
Blood/Blood Products
0
0
20
Injecting Drug Use
23
96
361
Needle Prick Injury
0
0
3
Mother-to-Child
0
3
58
No Data Available
0
0
375
Cumulative data shows 35% (3,000) were infected through heterosexual contact, 39% (3,368) through homosexual contact, and 26% (2,211) 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=1,032)
Figure 9. Proportion of Types of Sexual Transmission, Jan 1984â&#x20AC;&#x201D;April 2012
550
100%
500 450
Number of Cases
90%
Proportion of Cases
80% 70% 60% 50%
400 350 300 250 200 150 100
40%
50 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 480
128 129 129 123 131 193 139 160 216 274 388 124 127 252 467 806 329
<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
2
-
-
-
-
-
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
31
25
1
Het er osexual Cont act - Femal e
-
-
-
5
19
15
2
Het er osexual Cont act - M al e
-
-
-
6
44
26
7
B i sexual Cont act
-
-
-
90
187
51
1
Homosexual Cont act
-
-
1
155
247
70
7
3
April 2012
Philippine HIV/AIDS Registry
Overseas Filipino Workers (OFW) In 2012, there were 109 HIV positive OFWs, comprising 11% of cases reported for the year [Figure 11]. Of these, 96 (88%) were males and 13 (12%) were females. All were infected through sexual contact. There were 1,897 HIV positive OFWs since 1984, comprising 20% of all reported cases [Figure 11]. Seventy-seven percent (1,466) 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 (1,613) were asymptomatic while 15% (284) were AIDS cases. Table 3. Mode of HIV Transmission Among OFWs
Figure 11. Number of OFWs Compared to Non-OFWs by Year (1984-2012) 2200
Apr 2012 n=18
Jan-Apr 2012 n=109
Cumulative N=1,897
18
109
1,835
Heterosexual contact
3(17%)
29(27%)
1,127(61%)
Homosexual contact
10(56%)
42(38%)
397(22%)
Bisexual contact
5(28%)
38(35%)
311(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
2000
Number of Cases
Mode of Transmission
1800 1600 1400 1200 1000 800 600 400 200 0 OFW Non-OFW % of OFW
Blood Units Confirmed for HIV As of March 2012, 69 blood units were confirmed positive for HIV by RITM. Data for April is not yet available. 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.
2012
2011
January
17
11
February
18
15
March
34
14
April
'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
130 106 122 164 174 271 109
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 2078 923
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% 11%
Data not yet available
20
As of March 2012, there are 2,278* People Living with HIV presently on Anti-Retroviral Therapy (ART). Data for April is not yet available. Table 5. Number of PLHIV on ART Month
2,087
February
2,169
March
10
June
32
July
22
August
18
September
10
October
22
November
17
October
December
18
November
209
December
69
2012
January
May
Total
'07
PLHIV on Anti-Retroviral Therapy
Table 4. Number of Confirmed HIV Positive Blood Units Month
'84
April May June July August
2,278 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 * 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