OCTOBER 2012
DEPARTMENT OF HEALTH NATIONAL EPIDEMIOLOGY CENTER
In October 2012, there were 295 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=200 in 2011) [Figure 1].
Table 1. Quick Facts
Most of the cases (93%) were males. The median age was 28 years (age range: 15-56 years). The 20-29 year (57%) age-group had the most number of cases. Forty-six percent (137) of the reported cases were from the National Capital Region (NCR).
Demographic Data
Oct 2012
Jan-Oct 2012
Cumulative 1984—2012
295 273
2,761 2,613
11,125 9,995
Total Reported Cases Asymptomatic Cases AIDS Cases
22
148
1,130
Males
273
2,628
9,518*
Females
22
133
1,596*
Youth 15-24yo
60
748
2,665
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 (286) and needle sharing among injecting drug users (9). [Table 2, page 3]. Males having sex with other males (83%) were the predominant type of sexual transmission [Figure 2]. Most (93%) 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 295 HIV positive cases, twenty-two were reported as AIDS cases, all were males. The median age is 28 years (age range: 19-48 years). All acquired the infection through sexual contact (14 homosexual, 5 heterosexual and 3 bisexual). There was no reported death for this month.
300 250 200 150 100 50 0 J an
Feb
M ar
A pr
M ay
J un
Jul
A ug
Sep
Oc t
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
295
278
272
316
295
Figure 2. Comparison of the Proportion of Types of Sexual Transmission in 2012, 2011 & Cumulative Data (1984-2012)
Overseas Filipino Workers (OFW) Het erosexual
100%
Thirty-one of the 295 (11%) reported cases were OFWs [Figure 11, page 4]. There were 29 males and 2 females. The median age was 30 years (age range: 22-49 years). All acquired the infection through sexual contact (7 heterosexual, 15 homosexual and 9 bisexual).
Proportion of Cases
Philippine HIV and AIDS Registry
Newly Diagnosed HIV Cases in the Philippines
27
50
Bisexual Homosexual
3,254
75%
75
75 2,693
50%
161
25%
81
4,288
Oct 2 0 11
C umul at i ve
0%
O ct 2 0 12
Figure 3. Number of HIV/AIDS Cases Reported in the Philippines by Year, Jan 1984 to October 2012 (N=11,125) 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
2, 761
A sy mpt 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, 613
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
148
Deat 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
October 2012
Philippine HIV/AIDS Registry
AIDS Cases (1984-2012) Of the 2,761 HIV positive cases in 2012, one hundred forty–eight were reported as AIDS cases. Of these, 142 were males and 6 were females. Ages ranged from 7-81 years (median 31 years). Ninety-nine percent (146) acquired the infection through sexual contact (83 homosexual, 37 bisexual and 26 heterosexual), and 1% (2) mother-to-child transmission.
Figure 4. Proportion of Modes of Transmission of AIDS Cases by Year, Jan 1984—October 2012 100%
Proportion of Cases
75%
From 1984 to 2012, there were 1,130 AIDS cases reported. Seventy-six percent (864) 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% (1,064) of all reported AIDS cases. Almost half (500) of sexual transmission was through heterosexual contact, followed by homosexual contact (409) then bisexual contact (155).
50%
25%
0%
Other modes of transmission include: mother-to-child transmission (20), blood transfusion (10), injecting drug use (6), 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
Needl e P r i ck
2
0
0
0
2012 0
B l ood T r ans f usi 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
39
37
Homos ex ual Cont ac t
246
16
19
45
83
Het er os ex ual Cont ac t
442
6
3
23
26
*Note: 28 did not report mode of transmission
Demographic Characteristics (1984-2012) Figure 5. Proportion of Sex & Age-Groups in Oct 2012 & Jan-Oct 2012 100%
Proportion of Cases
Ninety-five percent of the 2,761 cases were males (2,628). 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 (25%), 25-29 years old (34%), and 30-34 years old (19%) [Figure 6]. From 1984 to 2012, there were 11,125 HIV Ab sero-positive cases reported (Table 1), of which 9,995 (90%) were asymptomatic and 1,130 (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 (9,518) 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% Oct 2012 (M )
Oc t 2012 (F)
2012 (M al e)
50 & ol der
2
0
53
2012 (Femal e) 10
35-49y o
42
9
437
42
25-34y o
174
8
1, 413
54
15-24y o
55
5
722
26
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
<15y o
15-19y o
20-24y o
25-29yo
30-34yo
35-39yo
40-44yo
45-49y o
50 & ol der
<15y o
15-19y o
20-24y o
25-29y o
30-34y o
35-39y o
40-44y o
45-49y o
50 & ol der
2012
3
72
650
906
507
231
129
77
53
2012
1
8
18
34
20
20
10
12
10
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
0
0
8
14
8
10
9
3
3
1984-2007
21
33
191
225
202
154
90
35
44
2008
2
11
92
140
90
59
36
23
20
1984-2007
27
15
157
374
414
364
279
185
176
*Note: 74 did not report age, 11 did not report sex, 10 did not report age and sex
2
October 2012
Philippine HIV/AIDS Registry
Geographic Distribution I
2%
II
1%
III
6%
IVA
12%
IVB
1%
V
2%
VI
2%
VII
9%
VIII
1%
IX
1%
X
1%
XI
9%
Fig 8. Comparison of Proportion of HIV Cases by Region & Year
In October 2012, bulk of the new HIV cases came from NCR, Region 4A, Region 7, Region 3, and Region 11 [Fig 7].
% of Cases
100%
75%
Figure 7. New HIV Cases by Region, October 2012 R eg 3 6%
R OT C 18 %
Proportion of Cases
Region
R eg 4 A 12 %
R eg 7 9%
50%
25%
0%
XII
3%
CAR
1%
CARAGA
2%
ARMM
R eg 11 9%
2007-2011
1984-2012
2%
2%
2%
Reg3
6%
6%
9%
13%
12%
12%
Reg4A
NCR 46%
Reg6
3%
3%
3%
Reg7
10%
9%
9%
6%
7%
6%
51%
54%
51%
8%
7%
8%
Reg11
0
NCR
2012 Reg1
*ROTC: Rest of the Country
NCR
46%
ROT C*
Modes of Transmission (1984-2012) In 2012, 94% (2,589) were infected through sexual contact, 6% (168) through needle sharing among injecting drug users, and <1% (4) through mother-to-child transmission (Table 2). There were 2,474 males and 115 females infected through sexual transmission. The age range of those infected through sexual transmission was 15-81 years old (median 28 years).
Table 2. Reported Mode of HIV Transmission Oct 2012 n=295
Mode of Transmission Sexual Contact
Of the 11,125 HIV positive cases reported from 1984 to 2012, 92% (10,235) were infected through sexual contact, 4% (433) 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.
Jan-Oct 2012 n=2,761
Cumulative N=11,125
286
2,589
10,235
Heterosexual contact
50(17%)
378(15%)
3,254(32%)
Homosexual contact
161(56%)
1,400(54%)
4,288(42%)
Bisexual contact
75(26%)
811(31%)
2,693(26%)
Blood/Blood Products
0
0
20
Injecting Drug Use
9
168
433
Needle Prick Injury
0
0
3
Mother-to-Child
0
4
59
No Data Available
0
0
375
Cumulative data shows 32% (3,254) were infected through heterosexual contact, 42% (4,288) through homosexual contact, and 26% (2,693) 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=2,761)
Figure 9. Proportion of Types of Sexual Transmission, Jan 1984â&#x20AC;&#x201D;October 2012
1500
100%
1350 1200
Number of Cases
90%
Proportion of Cases
80% 70% 60% 50%
1050 900 750 600 450 300
40%
150 0
30% 20% 10% 0%
'84
'85
'86
'87
'88
'89
'90
'91
'92
'93
'94
'95
'96
'97
'98
Het er os ex ual
1
7
24
24
16
19
35
30
41
47
58
56
81
82
138 114 93
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
B i s ex ual
0
2
0
4
2
2
4
4
5
2
3
8
7
7
9
10
8
5
8
14
12
14
26
74
Homos ex ual
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 10361400
128 129 129 123 131 193 139 160 216 274 388 378 127 252 467 806 811
<7yo
7-14yo
15-17y o
18-24yo
25-34yo
35-49yo
B l ood T r ans f usi on - Femal e
-
-
-
-
-
-
50&ol der -
M at er nal t o Chi l d
1
3
-
-
-
-
-
I nj ect i ng Dr ug Use - Femal e
-
-
1
3
9
4
-
I nj ect i ng Dr ug Use - M al e
-
-
2
54
50
43
2
Het er osexual Cont ac t - Femal e
-
-
-
22
45
38
10
Het er osexual Cont ac t - M al e
-
-
-
25
144
74
20
B i sexual Cont ac t
-
-
2
218
459
123
9
Homosexual Cont ac t
-
-
6
415
760
197
22
3
October 2012
Philippine HIV/AIDS Registry
Overseas Filipino Workers (OFW) In 2012, there were 295 HIV positive OFWs, comprising 11% of cases reported for the year [Figure 11]. Of these, 258 (87%) were males and 37 (13%) were females. All were infected through sexual contact. There were 2,083 HIV positive OFWs since 1984, comprising 19% of all reported cases [Figure 11]. Seventy-eight percent (1,628) were males. Ages ranged from 18 to 69 years (median 35 years). Sexual contact (97%) was the predominant mode of transmission (Table 3). Eighty-six percent (1,785) were asymptomatic while 14% (298) 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-Oct 2012 n=295
Cumulative N=2,083
31
295
2,021
Heterosexual contact
7(23%)
90(31%)
1,188(59%)
Homosexual contact
15(48%)
117(40%)
472(23%)
Bisexual contact
9(29%)
88(30%)
361(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
2600 2400 2200 2000 1800 1600 1400 1200 1000 800 600 400 200 0
Number of Cases
Oct 2012 n=31
Mode of Transmission
OFW Non - OFW % of OFW
Blood Units Confirmed for HIV As of October 2012, 194 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.
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
295
1
8
23
34
73
87
92
119
90
13 8
91
63
95
88
10 0
113
118
17 9
236
4 0 6 6 7 1 14 17 2 0 7 8 2 4 6 6
50% 20%
29
35
0%
8%
2 8 % 13 %
56
78
58
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 %
12 %
11%
34
As of June 2012, there are 2,761* 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 2,278
April
21
20
February
May
21
10
March
June
9
32
April
2,498
May
2,633
July
22
22
August
25
18
September
13
18
October
14
22
November
17
December
18
Total
11%
PLHIV on Anti-Retroviral Therapy
Table 4. Number of Confirmed HIV Positive Blood Units Month
'8 4
194
217
June
2,761
July
Data not yet available Data not yet available Data not yet available Data not yet available
August September October November December
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.
4