The challenge of HIV/AIDS to health, security, and economic development in the ECE region

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The challenge of HIV/AIDS to health, security,
and economic development in the ECE region

• Henning Mikkelsen
• Europe Regional Coordinator
• Joint United Nations Programme on HIV/AIDS

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• The appalling statistics do not begin to
  describe the magnitude of the destruction wrought
  by AIDS. AIDS is more devastating than any
  terrorist attack, any conflict or any weapon of
  mass destruction. It kills indiscriminately, and
  without mercy.
• As cruel as any tyrant, the virus can crush
  the human spirit. It is an insidious and
  relentless foe. AIDS shatters families, tears the
  fabric of societies, and undermines governments.
  AIDS can destroy countries and destabilize entire
  regions.

Colin Powell, UN General Assembly, September 2003
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Adults and children estimated to be living with
HIV/AIDS as of end 2002
Eastern Europe Central Asia 1.2 million
Western Europe 570 000
North America 980 000
East Asia Pacific 1.2 million
North Africa Middle East 550 000
South South-East Asia 6 million
Caribbean 440 000
Sub-Saharan Africa 29.4 million
Latin America 1.5 million
Australia New Zealand 15 000
Total 42 million
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HIV current prevalence and recent changes,
19962001
1 300
20
20
160
100
60
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Adult prevalence rate
15.0 36.0 5.0 15.0 1.0 5.0
0.5 1.0 0.1 0.5 0.0 0.1
not available
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World Health Organization
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New reported cases of HIV infections by age
group, Western Europe and Eastern Europe 2001
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Unemployment among youth, 1998 (percent)
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Many occasional young injectors
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The economic impact of HIV in Russia (World Bank
2001)

• GDP in 2010 would be up to 4.15 percent lower ,
  and in 2020 10.5
• Investment would decline by 5.5 percent in 2010
  and 14.5 percent in 2020
• HIV lowers productivity by 13 percent

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Demographic and security impact

• Life expectancy of men may drop 4 years by 2015
• Russian Ministry of Defense More than 5000 army
  recruits found to be HIV infected in 2002

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Male life expectancy at birth
HIV is a pressing problem for Russia, which goes
through a serious demographic crisis. (Igor
S.Ivanov, Minister of Foreign Affairs of the
Russian Federation, UN General Assembly,
September 2003)
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• Global Fund and World Bank in
• Eastern Europe and Central Asia

GF 12 countries approved (total US 227.2
million) WB projects 3 countries approved
(around US 86 millions)
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