FEBRUARY 2012
DEPARTMENT OF HEALTH NATIONAL EPIDEMIOLOGY CENTER
Table 1. Quick Facts
In February 2012, there were 274 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 72% higher compared to the same period last year (n=159 in 2011), and the highest number of cases ever reported in the registry [Figure 1].
February 2012
Jan-Feb 2012
Cumulative Data: 1984—2012
Total Reported Cases Asymptomatic Cases
274 268
486 474
8,850 7, 865
AIDS Cases Males Females
6 263 11 76
12 466 20 133
985 7,356* 1,483*
0 1
1 2
59 345
Demographic Data
Youth 15-24yo
Most of the cases (96%) were males. The median age was 28 years (age range:17-57 years). The 20-29 year (59%) age-group had the most number of cases. Forty-six percent (127) of the reported cases were from the National Capital Region (NCR).
Children <15yo Reported Deaths due to AIDS
2,050
*Note: No data available on sex for eleven (11) cases.
Figure 1. Number of New HIV Cases per Month (2010-2012)
Reported mode of transmission were sexual contact (235) and needle sharing among injecting drug users (39) [Table 2, page 3]. Males having sex with other Males (87%) were the predominant type of sexual transmission [Figure 2]. Most (98%) of the cases were still asymptomatic at the time of reporting [Figure 3].
Number of New Cases
300
AIDS Cases Of the 274 HIV positive cases, six were reported as AIDS cases, all were males. The median age is 36 years (age range: 27-42 years). All cases acquired the infection through sexual contact (1 homosexual, and 5 bisexual). Of the AIDS cases, there was one reported death for this month; a 41-year old male.
250 200 150 100 50 0 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
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
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-four of the 274 (9%) reported cases were OFWs [Figure 11, page 4]. There were 22 males and 2 females. The median age was 30 years (age range: 22-57 years). All cases acquired the infection through sexual contact (7 heterosexual, 7 homosexual, and 10 bisexual).
30
33
Bisexual
2,927
Homosexual
75%
87
53 2,051
50%
118
72
3,111
F eb r uar y 2 0 12
F eb r uar y 2 0 11
C umulat ive
25%
0%
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to February 2012 (N=8,850) 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
486
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
1564
2, 245
474
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
27
104
12
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
2
*Nine initially asymptomatic cases reported in 2011, died due to AIDS that same year.
1
February 2012
Philippine HIV/AIDS Registry
AIDS Cases (1984-2012) Of the 486 HIV positive cases in 2012, twelve were reported as AIDS cases. All were males. Ages ranged from 7-47 years (median 35 years). 92% (11) acquired the infection through sexual contact [homosexual (5), and bisexual contact (6)]. Other modes of transmission include (1) mother-to-child transmission.
Figure 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984窶認ebruary 2012 100%
Proportion of Cases
75%
From 1984 to 2012, there were 985 AIDS cases reported, 74% (725) were males. Median age was 35 years (age range: 1-72 years). Of the reported AIDS cases, 345 (35%) had already died at the time of reporting. Sexual contact was the most common mode of HIV transmission, accounting for 93% (920) of all reported AIDS cases. More than half (474) of sexual transmission was through heterosexual contact, followed by homosexual contact (327) then bisexual contact (119).
50%
25%
0%
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.
1984-2008
2009
2010
2011
2012
Needl e P r i ck
2
0
0
0
0
B l ood T r ansf usi on
10
0
0
0
0
M T CT
16
1
0
1
1
I DU
4
0
0
2
0
B i sexual Cont act
64
8
7
34
6
Homosexual Cont act
245
16
17
44
5
Het er osexual Cont act
442
6
3
23
0
*Note: 28 did not report mode of transmission
Demographic Characteristics (1984-2012) In 2012, there were a total of 486 cases reported. 96% of the cases reported were males (466). Ages ranged from 7-57 years old (median 28 years). The 20-29 year old age group (60%) 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 (25%), 25-29 years old (35%), and 30-34 years old (17%) [Figure 6].
Figure 5. Proportion of Sex & Age-Groups in February 2012 & Jan-Feb 2012
Proportion of Cases
100%
From 1984 to 2012, there were 8,850 HIV Ab sero-positive cases reported (Table 1), of which 7,865 (89%) were asymptomatic and 985 (11%) were AIDS cases. As shown in Figure 6, there is a significant difference in the number of male and female cases reported. Eighty-three percent (7,356) were males. Ages ranged from 1-73 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% February 2012 (M)
February 2012 (F)
2012 (Male)
2012 (Female)
50 & older
2
0
5
1
35-49yo
59
3
87
5
25-34yo
129
5
245
9
15-24yo
73
3
128
5
1-14yo
0
0
1
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 2250
2000
1750
1500
1250
1000
<15yo
15-19yo
20-24yo
25-29yo
2012
1
11
117
164
81
2011
1
76
589
739
378
2010
1
50
405
455
256
2009
1
22
179
227
2008
2
11
92
27
15
157
1984-2007
Number of Female Cases
<15yo
30-34yo
750
35-39yo
500
250
0
40-44yo
45-49yo
44
28
15
5
193
117
51
49
128
81
42
124
90
41
140
90
59
374
414
364
*Note: 74 did not report age, 11 did not report sex, 10 did not report age and sex
0
50 & ol der
250
500
750
20-24yo
1000
25-29yo
1250
<15yo
15-19yo
30-34yo
2012
0
1
4
7
2
2011
2
3
36
44
23
48
2010
2
5
28
21
34
18
29
2009
1
4
13
19
36
23
20
2008
0
0
8
279
185
176
1984-2007
21
33
191
1500
35-39yo
1750
2000
2250
40-44yo
45-49yo
50 & ol der
2
3
0
1
21
10
8
9
15
9
7
4
21
20
14
7
5
14
8
10
9
3
3
225
202
154
90
35
44
2
February 2012
Philippine HIV/AIDS Registry
Geographic Distribution In February 2012, bulk of the new HIV cases came from NCR, Region 7, Region 4A, Region 11, Region 3, and Region 1 [Fig 7]. The three highest reporting regions were NCR, Region 4A, and Region 7.
% of Cases
I
3%
II
<1%
III
5%
IVA
12%
IVB
1%
V
1%
VI
2%
VII
15%
VIII
0
Reg 11 10%
ROTC 12%
<1%
X
2%
Reg 3 5%
1%
CAR
1%
CARAGA
1%
ARMM
50%
25%
2012
2007-2011
1984-2012
Reg1
2%
2%
2%
Reg3
6%
6%
9%
12%
11%
12%
Reg6
4%
3%
3%
Reg7
10%
9%
8%
Reg11
8%
7%
5%
52%
54%
51%
6%
7%
8%
Reg4A
NCR 46%
0
NCR
75%
0%
Reg 4A 12%
10%
XII
100%
Figure 7. New HIV Cases by Region, February 2012
IX
XI
Fig 8. Comparison of Proportion of HIV Cases by Region & Year
Proportion of Cases
Region
Reg 7 15%
NCR
46%
ROT C*
*ROTC: Rest of the Country
Modes of Transmission (1984-2012) In 2012, 91% (443) were infected through sexual contact, 9% (42) through needle sharing among injecting drug users, and <1% (1) through mother-to-child transmission (Table 2). There were 426 males and 17 females infected through sexual transmission. The age range of those infected through sexual transmission was 17-57 years old (median 27 years).
Table 2. Reported Mode of HIV Transmission Mode of Transmission
Feb 2012 n=274
Jan-Feb 2012 n=486
Cumulative N=8,850
235
443
8,089
Sexual Contact
Of the 8,850 HIV positive cases reported from 1984 to 2012, 91% (8,089) were infected through sexual contact, 3% (307) through needle sharing among injecting drug users, 1% (56) through mother-to-child transmission and <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.
Heterosexual contact
30(13%)
51(12%)
2,927(36%)
Homosexual contact
118(50%)
223(50%)
3,111(38%)
Bisexual contact
87(37%)
169(38%)
2,051(25%)
Blood/Blood Products
0
0
20
Injecting Drug Use
39
42
307
Needle Prick Injury
0
0
3
Mother-to-Child
0
1
56
No Data Available
0
0
375
Cumulative data shows 36% (2,927) were infected through heterosexual contact, 38% (3,111) through homosexual contact, and 25% (2,051) 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=486)
Figure 9. Proportion of Types of Sexual Transmission, Jan 1984窶認eb 2012
280
100%
260 240
Number of Cases
90%
Proportion of Cases
80% 70% 60% 50%
220 200 180 160 140 120 100 80 60 40
40%
20 0
30%
<7yo
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 224
128 129 129 123 131 193 139 160 216 274 388 50 127 252 467 806 169
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
-
-
-
-
-
I nj ect i ng Dr ug Use - Femal e
-
-
-
1
2
-
-
I nj ect i ng Dr ug Use - M al e
-
-
1
9
12
17
-
Het er osexual Cont act - Femal e
-
-
-
4
7
5
1
Het er osexual Cont act - M al e
-
-
-
3
18
11
2
B i sexual Cont act
-
-
-
40
101
28
-
Homosexual Cont act
-
-
1
74
114
31
3
3
February 2012
Philippine HIV/AIDS Registry
Overseas Filipino Workers (OFW) In 2012, there were 56 HIV positive OFWs, comprising 12% of cases reported for the year [Figure 11]. Of these, 52 (93%) were males and 4 (7%) were females; all infected through sexual contact. There were 1,850 HIV positive OFWs since 1984, comprising 21% of all reported cases [Figure 11]. Seventy-seven percent (1,427) 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 (1,570) were asymptomatic while 15% (280) 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
Feb 2012 n=24
Jan-Feb 2012 n=56
Cumulative N=1,850
24
56
1,788
Heterosexual contact
7(29%)
11(20%)
1,114(62%)
Homosexual contact
7(29%)
19(34%)
375(21%)
10(42%)
26(46%)
299(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
Bisexual contact
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 In February 2012, 18 blood units were confirmed positive for HIV by RITM. This was 20% higher compared to the same period last year (Table 4). 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.
'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
94
88
94
130 106 122 164 175 271 56
1
8
29
35
23
34
56
78
58
73
87
92
119 90
138
91
63
95
88
99
111 116 179 236 406 671 1416 2078 430
50% 20% 0%
2012
2011
January
17
11
February
18
15
March
'08
'09
'10
'11
'12
8% 28% 13% 15% 8% 19% 28% 26% 21% 23% 23% 27% 42% 49% 45% 52% 49% 44% 45% 42% 31% 23% 20% 11% 12% 12%
As of January 2012, there are 2,087* People Living with HIV presently on Anti-Retroviral Therapy (ART). Data for February is not yet available. Table 5. Number of PLHIV on ART Month
2012
14
January
2,087
April
20
February
Data not yet available
May
10
March
June
32
April
July
22
May
August
18
June
September
10
July
October
22
August
November
17
September
December
18
October
209
November
Total
'07
PLHIV on Anti-Retroviral Therapy
Table 4. Number of Confirmed HIV Positive Blood Units Month
'84
35
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
* This is not a cumulative number. It does not include those who already have died, left the country, or decided to stop taking ART.
December
4