HIV / AIDS Surveillance in Europe. End-year report 2005 - 2006

Publié le 1 December 2006
Mis à jour le 10 septembre 2019

HIV infection remains of major public health importance in Europe, with evidence of increasing transmission of HIV in many European countries. In 2005, 77,553 newly diagnosed cases of HIV infection (104 per million population) were reported from 48 of the 52 countries in the European Region of the World Health Organization (major exceptions being Italy, Norway and Spain) and 8,346 cases of AIDS diagnosed (12/million) in 47 countries (major exceptions being the Norway, Russian Federation and Ukraine). In comparison to previous years, the number of newly diagnosed cases of HIV infection reported in 2005 has continued to increase and the number of diagnosed AIDS cases continued to decline. The largest number of HIV cases were reported from eastern Europe (53,024; 186 per million), over twice that reported in western Europe (22,723; 82 per million) and twenty times that in central Europe (1,806; 9.4 per million). In eastern Europe, the predominant transmission group for HIV infection is still among injecting drug users, but there is evidence of increasing heterosexual transmission. In central and western Europe, the predominant transmission group is heterosexual, although there have been increases in the number of new cases reported among homo/bisexual men. Recommendations for HIV/AIDS surveillance : HIV/AIDS surveillance data is vital to monitor the HIV epidemic and evaluate the public health responses, and all countries in Europe should: - Implement national reporting systems for HIV and AIDS cases. - Improve the quality of data reported, especially regarding probable routes of transmission. Recommendations for public health: Interventions to control the epidemic should be evidence based and adapted to the country and geographic area: - East: interventions to control HIV among IDU should be the cornerstone of HIV prevention strategies; measures should be strengthened to prevent heterosexual transmission, especially targeted at those with high risk partners; strengthening tuberculosis control; prevention amongst young people is essential. - Centre: prevention should be adapted according to the country to maintain their epidemiological advantages; - West: interventions for prevention, treatment and care must be adapted to reach migrant populations; renewed safer sex campaigns targeted at MSM are needed. In all regions, HIV testing should be promoted to ensure early access to treatment and counselling to prevent or reduce further transmission. (R.A.)

Année de publication : 2006