NOVEMBER 2012
DEPARTMENT OF HEALTH NATIONAL EPIDEMIOLOGY CENTER
In November 2012, there were 284 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 34% higher compared to the same period last year (n=212 in 2011) [Figure 1].
Table 1. Quick Facts Nov 2012
Jan-Nov 2012
Cumulative 1984—2012
Total Reported Cases
284
3,045
11,409
Asymptomatic Cases
260
2,873
10,255
Demographic Data
Most of the cases (97%) were males. The median age was 28 years (age range: 17-59 years). The 20-29 year (52%) age-group had the most number of cases. Forty-seven percent (134) of the reported cases were from the National Capital Region (NCR).
AIDS Cases
24
172
1,154
Males
275
2,903
9,793*
Females
9
142
1,605*
Youth 15-24yo
70
818
2,735
Children <15yo Reported Deaths due to AIDS
0 0
4 11
62 353
*Note: No data available on sex for (11) cases.
Reported mode of transmission were sexual contact (282) and needle sharing among injecting drug users (2). [Table 2, page 3]. Males having sex with other males (82%) were the predominant type of sexual transmission [Figure 2]. Most (92%) 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 284 HIV positive cases, twenty-four were reported as AIDS cases, all were males. The median age is 29 years (age range: 20-45 years). Ninety-six percent (23) acquired the infection through sexual contact (15 homosexual, 4 heterosexual and 4 bisexual) and 1 acquired through needle sharing among injecting drug users There was no reported death for this month.
300 250 200 150 100 50 0 J an
Feb
M ar
A pr
M ay
Jun
Jul
A ug
Sep
Oc t
Nov
D ec
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
295
278
272
316
295
284
Figure 2. Comparison of the Proportion of Types of Sexual Transmission in 2012, 2011 & Cumulative Data (1984-2012) Het erosexual
100%
Overseas Filipino Workers (OFW)
Proportion of Cases
Philippine HIV and AIDS Registry
Newly Diagnosed HIV Cases in the Philippines
Thirty-five of the 284 (12%) reported cases were OFWs [Figure 11, page 4]. There were 32 males and 3 females. The median age was 32 years (age range: 21-52 years). All acquired the infection through sexual contact (12 heterosexual, 16 homosexual and 7 bisexual).
31
52
Bisexual
3,306
Homosexual
75%
80
76 2,773
50%
25%
150
105
N o v 2 0 12
N o v 2 0 11
4,438
0%
C umul at ive
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to November 2012 (N=11,409) 3250 3000 2750 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
3, 045
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
505
804
1562
2, 239
2, 873
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
23
31
29
110
172
D eat h
2
4
10
12
9
8
15
13
13
11
19
24
27
10
16
17
8
20
11
11
8
16
18
10
7
1
3
*19
11
*Nine initially asymptomatic cases reported in 2011, died due to AIDS that same year.
1
November 2012
Philippine HIV/AIDS Registry
AIDS Cases (1984-2012) Of the 3,045 HIV positive cases in 2012, one hundred seventy-two were reported as AIDS cases. Of these, 166 were males and 6 were females. Ages ranged from 7-81 years (median 31 years). Ninety-eight percent (169) acquired the infection through sexual contact (98 homosexual, 41 bisexual and 30 heterosexual), 1% (2) mother-to-child transmission, and 1% (1) injecting drug use.
Figure 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984窶年ovember 2012 100%
Proportion of Cases
75%
From 1984 to 2012, there were 1,154 AIDS cases reported. Seventy-seven percent (888) were males. Median age is 34 years (age range: 1-81 years). Of the reported AIDS cases, 353 (31%) had already died at the time of reporting. Sexual contact was the most common mode of HIV transmission, accounting for 94% (1,087) of all reported AIDS cases. Almost half (504) of sexual transmission was through heterosexual contact, followed by homosexual contact (424) then bisexual contact (159).
50%
25%
0%
Other modes of transmission include: mother-to-child transmission (20), blood transfusion (10), injecting drug use (7), and needle prick injuries (2) [Figure 4]. Two percent (28) of the AIDS cases did not report mode of HIV transmission.
1984-2008
2009
2010
2011
2012
N eedl 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
2
I DU
4
0
0
2
1
B i sex ual C ont act
64
8
7
39
41
H omosexual C ont ac t
246
16
19
45
98
H et er osex ual Cont act
442
6
3
23
30
*Note: 28 did not report mode of transmission
Demographic Characteristics (1984-2012) Figure 5. Proportion of Sex & Age-Groups in Nov 2012 & Jan-Nov 2012 100%
Proportion of Cases
Ninety-five percent of the 3,045 cases were males (2,903). Ages ranged from 2 to 81 years old (median 28 years). The 20-29 year old age group had the most (58%) number of cases for 2012. For the male age group, the most number of cases were found among the 20-24 years old (24%), 25-29 years old (34%), and 30-34 years old (19%) [Figure 6]. From 1984 to 2012, there were 11,409 HIV Ab sero-positive cases reported (Table 1), of which 10,255 (90%) were asymptomatic and 1,154 (10%) were AIDS cases. As shown in Figure 6, there is a significant difference in the number of male and female cases reported. Eighty-six percent (9,793) 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 (29%), and 30-34 years (19%) [Figure 6].
75%
50%
25%
0% Nov 2012 (M )
Nov 2012 (F)
2012 ( M al e)
2012 (Femal e)
50 & ol der
6
1
59
11
35-49yo
56
3
493
45
25-34yo
144
4
1, 557
58
15-24yo
69
1
791
27
1-14yo
0
0
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 3000
2750
2500
2250
2000
Number of Female Cases
<15yo 1750
1500
1250
1000
750
500
250
0
0
250
500
750
1000
1250
1500
1750
2000
2250
2500
2750
3000
<15yo
15- 19y o
20-24yo
25-29yo
30-34y o
35- 39y o
40-44yo
45-49yo
50 & ol der
<15y o
15-19yo
20-24yo
25-29y o
30- 34yo
35-39yo
40-44yo
45- 49y o
50 & ol der
2012
3
85
706
993
564
265
144
84
59
2012
1
8
19
37
21
22
11
12
11
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
November 2012
Philippine HIV/AIDS Registry
Geographic Distribution % of Cases
I
2%
II
1%
III
8%
IVA
17%
IVB
1%
V
0
VI
4%
VII
6%
VIII
1%
IX
0
X
1%
In November 2012, bulk of the new HIV cases came from NCR, Region 4A, Region 3, Region 11, and Region 7 [Fig 7]. The three highest reporting regions were NCR, 4A and 3 Figure 7. New HIV Cases by Region, November 2012 R eg 3 8%
R OT C 14 %
R eg 4 A 17%
Fig 8. Comparison of Proportion of HIV Cases by Region & Year 100%
75%
Proportion of Cases
Region
50%
25%
0%
XI
R eg 7 6%
8%
XII
2012
2007-2011
1984-2012
R eg1
2%
2%
2%
R eg3
7%
6%
9%
13%
12%
12%
R eg6
3%
3%
3%
R eg7
9%
9%
9%
R eg11
7%
7%
6%
51%
54%
51%
8%
7%
8%
2%
CAR
1%
CARAGA
2%
ARMM
NCR 4 7%
0
NCR
R eg4A
R eg 11 8%
*ROTC: Rest of the Country
N CR
47%
R OT C*
Modes of Transmission (1984-2012) In 2012, 94% (2,871) were infected through sexual contact, 6% (170) through needle sharing among injecting drug users, and <1% (4) through mother-to-child transmission (Table 2). There were 2,747 males and 124 females infected through sexual transmission. The age range of those infected through sexual transmission was 15-81 years old (median 28 years). Of the 11,409 HIV positive cases reported from 1984 to 2012, 92% (10,517) were infected through sexual contact, 4% (435) 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 3% (375) of the cases.
Table 2. Reported Mode of HIV Transmission Nov 2012 n=284
Mode of Transmission Sexual Contact
Jan-Nov 2012 n=3,045
Cumulative N=11,409
282
2,871
10,517
Heterosexual contact
52(18%)
430(15%)
3,306(31%)
Homosexual contact
150(53%)
1,550(54%)
4,438(42%)
Bisexual contact
80(28%)
891(31%)
2,773(26%)
Blood/Blood Products
0
0
20
Injecting Drug Use
2
170
435
Needle Prick Injury
0
0
3
Mother-to-Child
0
4
59
No Data Available
0
0
375
Cumulative data shows 31% (3,306) were infected through heterosexual contact, 42% (4,438) through homosexual contact, and 26% (2,773) through bisexual contact. From 2007 there has been a shift in the predominant trend of sexual transmission from heterosexual contact (20%) to males having sex with other males (80%) [Figure 9]. Figure 10. HIV Transmission by Age-Group, 2012 (n=3,045)
Figure 9. Proportion of Types of Sexual Transmission, Jan 1984窶年ovember 2012 100%
Number of Cases
90%
Proportion of Cases
80% 70% 60% 50% 40% 30% 20% 10% 0% '84
'85 '86
'87 '88
'89 '90
'91 '92
'93 '94
'95 '96
'97 '98
'99 '00
82 138 114 93
'01 '02
'03 '04
'05 '06
'07 '08
'09 '10
'11 '12
H eterosexual
1
7
24
24
16
19
35
30
41
47
58
56
81
Bisexual
0
2
0
4
2
2
4
4
5
2
3
8
7
7
9
10
8
128 129 129 123 131 193 139 160 216 274 388 430 5
8
14
12
14
26
74 127 252 467 806 891
H omosexual
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 10361550
1650 1575 1500 1425 1350 1275 1200 1125 1050 975 900 825 750 675 600 525 450 375 300 225 150 75 0 <7yo
7- 14y o
15-17y o
18-24yo
25-34y o
35-49yo
50&ol der
B l ood T r ans f us i on - Femal e
-
-
-
-
-
-
-
M at er nal t o C hi l d
1
3
-
-
-
-
-
I nj ect i ng Dr ug U se - Femal e
-
-
1
3
9
4
-
I nj ect i ng Dr ug U se - M al e
-
-
2
55
51
43
2
Het er osexual C ont act - Femal e
-
-
-
23
49
41
11
Het er osexual C ont act - M al e
-
-
-
28
168
87
23
B i s exual Cont ac t
-
-
2
243
498
137
11
Homos exual Cont ac t
-
-
7
454
840
226
23
3
November 2012
Philippine HIV/AIDS Registry
Overseas Filipino Workers (OFW) In 2012, there were 330 HIV positive OFWs, comprising 11% of cases reported for the year [Figure 11]. Of these, 290 (88%) were males and 40 (12%) were females. All were infected through sexual contact. There were 2,118 HIV positive OFWs since 1984, comprising 19% of all reported cases [Figure 11]. Seventy-eight percent (1,660) were males. Ages ranged from 18 to 69 years (median 34 years). Sexual contact (97%) was the predominant mode of transmission (Table 3). Eighty-six percent (1,819) were asymptomatic while 14% (299) were AIDS cases. Table 3. Mode of HIV Transmission Among OFWs
Figure 11. Number of OFWs Compared to Non-OFWs by Year (1984-2012)
Jan-Nov 2012 n=330
Cumulative N=2,118
35
330
2,056
Heterosexual contact
12(34%)
102(31%)
1,200(58%)
Homosexual contact
16(46%)
133(40%)
488(24%)
Bisexual contact
7(20%)
95(29%)
368(18%)
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
3000 2800 2600 2400 2200 2000 1800 1600 1400 1200 1000 800 600 400 200 0
Number of Cases
Nov 2012 n=35
Mode of Transmission
OFW Non - OFW % of OFW
Blood Units Confirmed for HIV As of November 2012, 216 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 t hey underwent voluntary counseling and testing as individuals.
2012
2011
January
17
11
February
18
15
March
'8 5
'8 6
'8 7
'8 8
'8 9
'9 0
'9 1
'9 2
'9 3
'9 4
'9 5
'9 6
'9 7
'9 8
'9 9
'0 0
'0 1
'0 2
'0 3
'0 4
'0 5
'0 6
'0 7
'0 8
'0 9
'10
'11
'12
1
2
0
3
9
5
10
7
14
29
31
24
35
27
51
67
60
79
96
93
86
92
13 0
10 6
12 2
16 4
17 4
271
3 30
1
8
29
35
23
34
56
78
58
73
87
92
119
90
13 8
91
63
95
88
10 0
113
118
17 9
2 36
4 0 6 6 7 1 14 17 2 0 7 8 2 7 15
0%
8%
15 %
8%
19 % 2 8 % 2 6 % 2 1% 2 3 % 2 3 % 2 7 % 4 2 % 4 9 % 4 5 % 5 2 % 4 8 % 4 3 % 4 4 % 4 2 % 3 1% 2 3 % 2 0 %
5 0% 20 %
2 8 % 13 %
12 %
11%
34
As of September 2012, there are 3,115* People Living with HIV presently on Anti-Retroviral Therapy (ART). Data for July and August is not yet available. Table 5. Number of PLHIV on ART Month
2012
14
January
2,087 2,169
April
21
20
February
May
21
10
March
2,278
June
9
32
April
2,498
May
2,633
June
2,761
July
2,914
August
3,026
July
22
22
August
25
18
September
13
18
October
14
22
November
22
17
December
18
September October November
Total
11%
PLHIV on Anti-Retroviral Therapy
Table 4. Number of Confirmed HIV Positive Blood Units Month
'8 4
216
217
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
3,115 Data not yet available Data not yet available
* 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
National HIV/AIDS & STI Strategic Information and Surveillance Unit National Epidemiology Center, Department of Health, Bldg. 19, San Lazaro Compound, Sta. Cruz, Manila 1003 Philippines Tel: +632 651-7800 local 2926, 2952 Fax: +632 495-0513 Email: HIVepicenter@gmail.com Website: http://www.doh.gov.ph
Philippine HIV & AIDS Registry Report Editorial Team: Patricia Isabel T. Gayya, RN, MSPH HIV Surveillance Assistant, HIV Unit Krizelle Anne G. Ronquillo, RSW Asst. HIV Surveillance Officer, HIV Unit Noel S. Palaypayon, RN, MGM-ESP HIV Surveillance Officer, HIV Unit Genesis May J. Samonte, MD, PHSAE Epidemiologist, HIV Unit Agnes B. Segarra, MD, PHSAE Chief, SRAE, NEC Enrique A. Tayag, MD, PHSAE,FPSMID,CESO III Director IV, NEC
Philippine HIV & AIDS Registry The Philippine HIV & AIDS Registry is the official record of the total number of laboratory-confirmed HIV positive individuals, AIDS cases and deaths, and HIV positive blood units in the Philippines. All individuals in the registry are confirmed by the STD/AIDS Cooperative Central Laboratory (SACCL) at San Lazaro Hospital. While all blood units are confirmed by the Research Institute for Tropical Medicine (RITM). Both are National Reference Laboratories (NRL) of the Department of Health (DOH). Mandatory HIV testing is unlawful in the Philippines (RA 8504). The process of reporting to the Registry is as follows: All blood samples from accredited HIV testing facilities that are screened HIV reactive are sent to SACCL (individuals) or RITM (blood units) for confirmation. Confirmed HIV positive individuals and blood units are reported to the DOH-National Epidemiology Center (NEC), and are recorded in the Registry. The Registry is a passive surveillance system. Except for HIV confirmation by the NRL, all other data submitted to the Registry are secondary and cannot be verified. An example would be an individualâ&#x20AC;&#x2122;s reported place of residence. The Registry is unable to determine if this reported address is where the person got infected, or where the person lived after being infected, or where the person is presently living, or whether the address is valid. This limitation has major implications to data interpretation. Thus, readers are cautioned to carefully weigh the data and consider other sources of information prior to arriving at conclusions.
4