OCEANA BUILDING, 4th FLOOR, 2 KING STREET KINGSTON, JAMAICA WEST INDIES

Tel.: (876) 967-1100-1 Fax: (876) 967-1280

MINISTRY OF HEALTH HEALTH PROMOTION & PROTECTION DIVISION

NATIONAL HIV/STI PREVENTION & CONTROL PROGRAM FACTS AND FIGURES HIV/AIDS EPIDEMIC UPDATE January to June 2006
Four hundred and fifty-one persons with AIDS (256 males and 195 females) were reported between January and June 2006 compared to 473 persons between January and June 2005. That is, on average, 3 new cases of AIDS were diagnosed each day between January and June 2006. The total number of reported AIDS cases in Jamaica between January 1982 and June 2006 is 11,004. One hundred and ninety-six deaths (117 males and 79 females) were due to AIDS in the first half of 2006 compared to 305 in the corresponding period of 2005. The total number of reported AIDS deaths in Jamaica between January 1982 and June 2006 is 6,437. Between January and June 2006, a total of 34 new pediatric AIDS cases (children < 10 years old) were reported, compared to 24 pediatric AIDS cases January and June 2005. Four (4) pediatric AIDS deaths were reported between January and June 2006 (compared to 10 Pediatric AIDS deaths in the corresponding period of the previous year). Approximately 65% of all reported AIDS cases in Jamaica are in the 20-44 year old age group and 88% of all reported AIDS cases are between 20 and 60 years old. In 2004, HIV was the second leading cause of death for both young men and women in Jamaica (age group 15 - 24 years old). HIV was also a leading cause of death among Jamaican children. The most urbanized parishes continue to have the highest cumulative number of AIDS cases: Kingston & St. Andrew 665 cases per 100,000 persons and St. James 930 AIDS cases per 100,000 persons. Among reported AIDS cases on whom risk data are available (72% of cases), the main risk factors fueling the HIV/AIDS epidemic are multiple sex partners, history of STDs, crack/cocaine use, and sex with prostitutes.

NATIONAL HIV/STD PREVENTION & CONTROL PROGRAM FACTS AND FIGURES HIV/AIDS EPIDEMIC UPDATE January to June2006

Among reported male AIDS cases on whom data about sexual practices are available (60% of cases), homosexual or bisexual activity is reported by 14% of men. The sexual practice of 40% of reported male AIDS cases is unknown. Many of these persons may be men who have sex with men. In 2005, for every one thousand pregnant women in Jamaica, fifteen were infected with HIV. Overall, there was no significant change in HIV infection among pregnant women in 2005 compared to 2004. Between January and June 2006, approximately three out of four HIV-infected pregnant women received antiretroviral medication to prevent mother-to-child-transmission of HIV. For every one thousand persons with a sexually transmitted infection in 2005, forty-six persons (46) were infected with HIV. Approximately one out of every two persons reported with AIDS has a history of a sexually transmitted infection as a risk factor. 9 % of female sex workers are HIV infected.

N.B.

In July 2005, the AIDS case definition used for the Epidemiologic update was revised to include persons with advanced HIV (i.e. persons with CD4 counts < 350).

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE January to June 2006
TABLE 1: SUMMARY OF AIDS CASES IN JAMAICA PERIOD Cumulative 1982-2006 Jan - Dec. 2000 Jan - Dec. 2001 Jan - Dec. 2002 Jan Dec 2003 989 580 1070 611 1112 603 578 473 451 334 275 256 (54.2) (57.8) (58.1) (56.8) 509 244 198 195 (45.8) (42.2) (41.9) (43.2) (57.0) 459 (43.0) (58.6) 409 (41.4) TOTAL 11004 903 515 939 511 (54.4) 428 (45.6) (57.0) 388 (43.0) MALE 6380 (%) (58.0) FEMALE 4624 (%) (42.0)

Jan Dec 2004

Jan June 2004 Jan June 2005 Jan - June 2006

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE January to June 2006
TABLE 2: Summary of AIDS Cases by Parish in Jamaica (by date of reporting) PARISH KINGSTON & ST. ANDREW ST. THOMAS PORTLAND ST. MARY ST. ANN TRELAWNY ST. JAMES HANOVER WESTMORELAND ST. ELIZABETH MANCHESTER CLARENDON ST. CATHERINE PARISH NOT KNOWN OVERSEAS ADDRESS TOTAL Jan - June 2005 Jan - June 2006 1982 June 2006 Cumulative Total
176 10 7 5 19 16 72 13 36 13 16 30 60 0 0 473 175 9 9 13 40 16 49 8 37 14 11 20 49 1 0 451 4391 203 230 315 677 273 1688 251 537 243 271 410 1486 19 10 11004

RATE PER 100,000 POPULATION

664.7 219.2 286.7 279.3 392.1 373.9 929.1 378.3 376.9 166.6 139.2 170.1 305.2 0 0 423.2

TABLE 3: SUMMARY OF AIDS DEATHS, Jamaica PERIOD 1982 - June 2006 Jan -Dec. 2001 Jan -Dec. 2002 Jan - Dec 2003 Jan - Dec 2004 Jan June 2004 Jan June 2005 Jan June 2006 TOTAL 6437 588 692 650 665 277 305 196 MALE 3870 329 406 381 377 157 187 117 (%) (60.1) (56.0) (58.7) (58.6) (56.6) (56.7) (61.3) (59.7) FEMALE 2567 259 286 269 288 120 118 79 (%) (39.9) (44.0) (41.3) (41.4) (43.3) (43.3) (38.7) (40.3)

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE January to June 2006
TABLE 4: Summary of AIDS Death by Parish in Jamaica (by date of reporting) PARISH KINGSTON & ST. ANDREW ST. THOMAS PORTLAND ST. MARY ST. ANN TRELAWNY ST. JAMES HANOVER WESTMORELAND ST. ELIZABETH MANCHESTER CLARENDON ST. CATHERINE PARISH NOT KNOWN
0 1 0 196 15 5 6437

January - June 2005

122 4 4 5 4 13 44 12 31 8 7 7 44

January - June 2006

85 2 4 7 9 10 28 1 14 4 5 9 17

1982 June 2006 Cumulative Total

2559 95 135 230 303 196 1034 179 361 163 185 188 789

OVERSEAS ADDRESS
0

TOTAL

305

TABLE 5: SUMMARY OF PAEDIATRIC AIDS CASES (AGE 0-9 YEARS) PERIOD 1986- June 2006 Jan - Dec. 2001 Jan - Dec. 2002 Jan Dec 2003 Jan-Dec 2004 Jan June 2004 Jan June 2005 Jan June 2006 TOTAL 799 65 81 67 61 40 24 34 MALE 416 39 37 36 29 22 14 13 (%) (52.1) (45.7) (65.4) (53.7) (47.5) (55.0) (58.3) (38.2) FEMALE 383 26 44 31 32 18 10 21 (%) (47.9) (54.3) (34.5) (46.3) (42.5) (45.0) (41.7) (61.8)

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE January to June 2006
TABLE 6: Summary of Paediatric AIDS Cases by Parish in Jamaica (by date of reporting), 1982 June 2006 PARISH Cumulative Total RATE PER 100,000 POPULATION (2003 Est. STATIN 0 9 age group
265.9 127.9 81.3 108.1 88.7 63.9 274 105.5 75.9 57.4 59.7 84.4 122.1 0.0 0.0 145

KINGSTON & ST. ANDREW ST. THOMAS PORTLAND ST. MARY ST. ANN TRELAWNY ST. JAMES HANOVER WESTMORELAND ST. ELIZABETH MANCHESTER CLARENDON ST. CATHERINE PARISH NOT KNOWN OVERSEAS ADDRESS TOTAL

337 26 14 26 32 10 104 15 23 17 23 46 123 2 1 799

TABLE 7: SUMMARY OF PAEDIATRIC AIDS DEATH PERIOD 1986 - June 2006 Jan - Dec. 2001 Jan - Dec. 2002 Jan - Dec 2003 Jan - Dec 2004 Jan June 2004 Jan June 2005 Jan June 2006 TOTAL 383 27 45 29 34 18 10 4 MALE 192 14 22 17 17 12 6 4 (%) (50.1) (51.9) (48.9) (58.6) (50.0) (66.7) (60.0) (100.0) FEMALE 191 13 23 12 17 6 4 0 (%) (49.9) (48.1) (51.1) (41.4) (50.0) (33.3) (40.0) (0.0)

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE Jan to June 2006
TABLE 8: Summary of AIDS Cases by 5-Year Age Groups 1982 June 2006, Jamaica Male 289 127 13 25 247 668 1059 1114 915 674 497 341 194 84 43 12 2 3 73 6380 Female 256 127 13 95 367 730 793 724 535 364 229 149 102 58 23 10 6 2 41 4624 Total 545 254 26 1201 614 1398 1852 1838 1450 1038 726 490 296 142 66 22 8 5 114 11004 Age Group 00 to 4 05 to 9 10 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 50 to 54 55 to 59 60 to 64 65 to 69 70 to 74 75 to 79 80 to 84 85 to 89 Unknown Total

TABLE 9: AIDS CASES BY SEXUAL PRACTICE (1982 June 06 cumulative)1 SEXUAL PRACTICE CATEGORY Bisexual Male Heterosexual Homosexual Unknown* Total1
N/A not available/not applicable * Response not obtained
1 children <10 years old excluded from the total (N= 9788)

MALE
287 3076 212 2389 5964

FEMALE
N/A 4241 N/A N/A 4241

TOTAL
287 7317 212 2389 10205

(%)
(2.8) (71.7) (2.1) (23.4) (100.0)

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE Jan to June 2006
TABLE 10: REPORTED RISK BEHAVIOUR (1982 June 2006 cumulative) Total (7,927 reported) RISK Sex with Prostitutes Crack , Cocaine Use STD History IV Drug Use Multiple Sexual Partners/contacts No. of Persons (%) 1988 (25.0) 676 (8.5) 3733 (47.1) 89 (1.1) >80%

TABLE 11: HIV seroprevalence rates in pregnant women by parish Jan Dec 2005, Jamaica Parish Kingston & St. Andrew Manchester St. Ann St. Catherine St. James Westmoreland Jamaica Total tested 1128 322 290 835 303 240 3118 HIV positive 16 6 5 9 6 5 47 Percent (%) 1.42 1.86 1.72 1.07 1.98 2.08 1.51

*Survey conducted between April and September 2005

MINISTRY OF HEALTH NATIONAL HIV/STD CONTROL PROGRAM JAMAICA HIV/AIDS EPIDEMIC UPDATE January to June 2006
TABLE 12: HIV seroprevalence rates in STI Clinic attendees, by parish Jan Dec 2005, Jamaica Parish Kingston & St. Andrew Manchester
221 6 17 22 30 1 150 2.70 4.07 3.66 5.77 0.88 4.64

Total tested

HIV positive

Percent (%)

1361

74

5.44

St. Ann
419

St. Catherine
600

St. James
520

Westmoreland
113

Jamaica
3234 *Survey conducted between April and September 2005

Jamaica HIV/AIDS Update prepared by: Monitoring & Evaluation Unit Reference: Ministry of Health, National HIV/STI Prevention and Control Program, Jamaica AIDS Report 2006, Kingston Jamaica, Released on November 22, 2006 Website www.jamaica-nap.org Help line telephone #s 967-3830, 967-3764 Toll free 1-888-991-4444

MINISTRY OF HEALTH NATIONAL HIV/STI CONTROL PROGRAMME FACTS & FIGURES HIV/AIDS EPIDEMIC UPDATE
January to June 2006

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