National Epidemiology Center - DOH National Epidemiology Center-DOH

HIV and AIDS:

TRUTH BEHIND THE NUMBERS

Noel S. Palaypayon, RN, MGM-ESP
Deputy Unit Manager and Supervising Health Program Officer
National HIV/AIDS/STI Surveillance and Strategic Information Unit
National Epidemiology Center-DOH
The Rapidly Evolving HIV Epidemic
in the Philippines
National Epidemiology Center - DOH National Epidemiology Center-DOH


Increasing >25%
Bangladesh
Indonesia
Philippines
Sri Lanka

Kazakhstan
Kyrgyzstan
Georgia
Republic of Moldova
Guinea-Bissau

Source: UNAIDS Estimates
National Epidemiology Center-DOH
Global AIDS Profile
National Epidemiology Center - DOH National Epidemiology Center-DOH
ROTC
15%
NCR
49%
Reg 11
6%
Reg 7
9%
Reg 4A
13%
Reg 3
8%
Quick Glance at the Philippines HIV Profile
In 1984, the first Filipino HIV case reported in the Philippines
30, 650: Projected Number of People Living with HIV (15-49) by 2014
20,424 : Reported Cases from 1984 to August 2014
18,567 : HIV cases
1,857 : AIDS cases
5,289 : Young people (15-24 years old)
3,908 : Total Reported cases for Jan to August 2014
509 : Reported for August alone
Almost half of the reported HIV cases come from NCR

HIV Data Sources:
Philippine HIV/AIDS Registry (as of Aug2014)
EPP Spectrum
National Epidemiology Center-DOH
National Epidemiology Center - DOH National Epidemiology Center-DOH
'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 13 14
TOTAL 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 15912349333848143908
Asymptomatic 0 6 18 25 21 29 48 68 51 64 61 65 104 94 144 80 83 118 140 140 162 171 273 314 508 806 15712255315244763557
AIDS 2 4 11 13 11 10 18 17 21 38 57 51 50 23 45 78 40 56 44 53 37 39 36 28 20 29 20 94 186 338 351
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
*As of Aug 2014
Philippine HIV/AIDS Registry - DOH

20,424 Cumulative HIV Cases recorded from
January 1984 to August 2014*

N
u
m
b
e
r

o
f

C
a
s
e
s

812% Increase in New HIV Cases
(2008 compared to 2013)
National Epidemiology Center-DOH
National Epidemiology Center - DOH National Epidemiology Center-DOH
How fast is the epidemic growing?
As of Aug 2014
Philippine HIV/AIDS Registry - DOH
1 Filipino reported to be infected for life per day or
one (1) reported new case per 24 hrs.
2 Filipinos reported to be infected for life per day
or one (1) reported new case every 12 hrs.
9 Filipinos reported to be infected for
life per day or one (1) new case reported
every 3 hrs.
14 Filipinos reported to
be infected for life per day
or 1 new case reported
every 2hrs
2009:
2007:
2012:
2013:
2014: 16 Filipinos reported to
be infected for life per day
or 2 new cases reported
every 3 hrs
National Epidemiology Center-DOH
National Epidemiology Center - DOH National Epidemiology Center-DOH
Predominant Modes of Transmission
Before 2008 versus 2008-2014*
*As of Aug 2014
Philippine HIV/AIDS Registry - DOH
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1984-2007 2008-2014
P
e
r
c
e
n
t
a
g
e
Year
No Data
Bld
Transfusion
IDU
MTC
Heterosexual
Bisexual
MSM
National Epidemiology Center-DOH
National Epidemiology Center - DOH National Epidemiology Center-DOH National Epidemiology Center-DOH National Epidemiology Center-DOH
HIV Prevalence among
Males who have Sex with Males (MSM)
IHBSS 2005-2013
0.04
0.30
1.05
2.16
3.50
0
0.5
1
1.5
2
2.5
3
3.5
4
2005 2007 2009 2011 2013
H
I
V

P
r
e
v
a
l
e
n
c
e

Year
National Epidemiology Center - DOH National Epidemiology Center-DOH
672,270
101,916
59,563
51,778
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
Estimated # of MSM MSM Reached* (past 12 mos) MSM tested (past 12 mos) MSM tested and got HIV test
results (past 12 mos)
15% of the estimated # of MSM were reached
HIV Prevention Cascade among MSM
In the Philippines (2013)
National Epidemiology Center-DOH
* MSM who received free condoms and attended a seminar organized by either the Social Hygiene Clinics (SHC) or an
outreach workers (PE)
87% of MSM
tested got their
results
58% of MSM
reached were
tested for HIV
National Epidemiology Center - DOH National Epidemiology Center-DOH
Source: Philippine IHBSS, 2005-2013
45.6%
54.2%
62.1%
61.4%
66.0%
32.5%
31.9% 31.7%
34.1%
36.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2005 2007 2009 2011 2013
P
e
r
c
e
n
t
a
g
e

Year
anal sex
condom
use
MSM having anal sex and
use Condom during last anal sex
2005-2013
Reasons for not using
a condom
%
Condom not available 37.82
Don't like condoms 26.39
Not necessary 20.15
Partner objected 8.07
Forgot to put on a
condom
2.92
Don't know how to use a
condom
1.7
Condoms are expensive 1.18
National Epidemiology Center - DOH National Epidemiology Center-DOH
8% of MSM got tested and know their HIV status
IHBSS 2013, MSM
85%
6%
1%
8%
Never Tested
Tested, not in past 12 mo
Tested, past 12 mo,
didn't get result
Tested, past 12 mo,
know status
National Epidemiology Center - DOH National Epidemiology Center-DOH
HIV Knowledge & Awareness to Services of MSM
IHBSS 2013
35%
41%
9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Correct Knowledge on HIV
prevention and transmission
Know where to get tested Know about ARV
National Epidemiology Center - DOH National Epidemiology Center-DOH
26,300
16,516
7,761
5,564
893
0
5,000
10,000
15,000
20,000
25,000
30,000
Estimated # of
People Living with
HIV (PLHIV)
Reported HIV
Cases
(1984 to 2013)
PLHIV in Need of
ART (estimates)
PLHIV currently
on ART
Mortality among
PLHIV
HIV Care and Treatment Cascade
in the Philippines (2013)
National Epidemiology Center-DOH
Data sources: Estimates from EPP Spectrum2014
HIV Registry 2013
National Epidemiology Center - DOH National Epidemiology Center-DOH
Estimated PLHIV Needing ART &
Actual Number of PLHIV on ART
National Epidemiology Center-DOH
* Data from January to August 2014 only
6233
7761
9667
3492
5564
7380
0
2000
4000
6000
8000
10000
12000
2012 2013 2014*
Needing ART On ART
56%
Year Median CD4 upon
initiation
2013 148
2014 161
72%
76%
Data Sources:
Estimates from EPP Spectrum 2014
HIV Registry 2013
National Epidemiology Center - DOH National Epidemiology Center-DOH
1. Increase coverage of HIV preventive services to a greater
number of MSM

2. Increase uptake of HIV Testing and strengthen Treatment
Adherence by normalising HIV-related issues

3. Ensuring that a harmonized HIV response goes beyond the
health sector, hence MUST be Multi-Agency/Sectoral in the
provision of programmes
Way Forward
National Epidemiology Center-DOH
I
N
C
R
E
A
S
E

Awareness & understanding of MSM about
HIV, HIV testing and free treatment for PLHIV
Coverage of HIV prevention services
Coverage of HIV testing services to facilitate
early diagnosis
Access to continuous care to avail free
treatment when already needed
Linkage to care to assess eligibility for
treatment
Multi-Sectoral
coordination
to provide a
harmonized
HIV response
Through
National Epidemiology Center - DOH National Epidemiology Center-DOH
National HIV & STI
Surveillance and Strategic
Information Unit (NHSSS)
National Epidemiology Center,
Department of Health
2
nd
Floor, Bldg. 19, San Lazaro Compound,
Sta. Cruz, Manila 1003, Philippines

HIVepicenter@gmail.com
(02) 495-0513
(02) 651-7800 loc 2952


National Epidemiology Center-DOH