Among all countries worldwide those in sub-Saharan Africa have the highest rates of HIV. The countries with the highest rates of HIV include Eswatini, South Africa, and Lesotho. In 2024, Eswatini had the highest prevalence of HIV with a rate of around ** percent. Other countries, such as Zimbabwe, have significantly decreased their HIV prevalence. Community-based HIV services are considered crucial to the prevention and treatment of HIV. HIV Worldwide The human immunodeficiency virus (HIV) is a viral infection that is transmitted via exposure to infected semen, blood, vaginal and anal fluids, and breast milk. HIV destroys the human immune system, rendering the host unable to fight off secondary infections. Globally, the number of people living with HIV has generally increased over the past two decades. However, the number of HIV-related deaths has decreased significantly in recent years. Despite being a serious illness that affects millions of people, medication exists that effectively manages the progression of the virus in the body. These medications are called antiretroviral drugs. HIV Treatment Generally, global access to antiretroviral treatment has increased. However, despite being available worldwide, not all adults have access to antiretroviral drugs. There are many different antiretroviral drugs available on the market. As of 2024, ********, an antiretroviral marketed by Gilead, was the leading HIV treatment based on revenue.

As of 2024, South Africa was the country with the highest number of people living with HIV in Africa. At that time, around 7.8 million people in South Africa were HIV positive. In Mozambique, the country with the second-highest number of HIV-positive people in Africa, around 2.5 million people were living with HIV. Which country in Africa has the highest prevalence of HIV? Although South Africa has the highest total number of people living with HIV in Africa, it does not have the highest prevalence of HIV on the continent. Eswatini currently has the highest prevalence of HIV in Africa and worldwide, with almost 26 percent of the population living with HIV. South Africa has the third-highest prevalence, with around 18 percent of the population HIV positive. Eswatini also has the highest rate of new HIV infections per 1,000 population worldwide, followed by South Africa and Mozambique. However, South Africa had the highest total number of new HIV infections in 2024, with around 170,000 people newly infected with HIV that year. Deaths from HIV in Africa Thanks to advances in treatment and awareness, HIV/AIDS no longer contributes to a significant amount of death in many countries. However, the disease is still the eighth leading cause of death in Africa, accounting for around 4.6 percent of all deaths. In 2024, South Africa and Mozambique were the countries with the highest number of AIDS-related deaths worldwide, with 53,000 and 44,000 such deaths, respectively. Although not every country in the leading 25 for AIDS-related deaths is found in Africa, African countries account for the majority of countries on the list. Fortunately, HIV treatment has become more accessible in Africa over the years, and now up to 94 percent of people living with HIV in Eswatini are receiving antiretroviral therapy (ART). Access to ART does vary from country to country, however, with around 81 percent of people who are HIV positive in South Africa receiving ART and only 34 percent in the Congo.

*Aged 13 and older in ASD and the US living HIV/AIDS cases, 18 and older in SHAS†Estimated number of persons living with HIV/AIDS at the end of 2003 from 33 areas with confidential name-based HIV infection reporting‡Not available: data on patients with Hispanic ethnicity are not reported in cohort profile [40]

Source: The World Bank Last Updated: 10/26/2023 Database: World Development Indicators Series: Prevalence of HIV, total (% of population ages 15-49) Adults (ages 15+) and children (ages 0-14) newly infected with HIV Adults (ages 15-49) newly infected with HIV Antiretroviral therapy coverage (% of people living with HIV) Antiretroviral therapy coverage for PMTCT (% of pregnant women living with HIV) Children (0-14) living with HIV Children (ages 0-14) newly infected with HIV Incidence of HIV, ages 15-24 (per 1,000 uninfected population ages 15-24) Incidence of HIV, ages 15-49 (per 1,000 uninfected population ages 15-49) Incidence of HIV, all (per 1,000 uninfected population) Prevalence of HIV, female (% ages 15-24) Prevalence of HIV, male (% ages 15-24) Women's share of population ages 15+ living with HIV (%) Young people (ages 15-24) newly infected with HIV

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Georgia GE: Female Adults with HIV: % of Population Aged 15+ with HIV data was reported at 19.600 % in 2017. This records an increase from the previous number of 19.200 % for 2016. Georgia GE: Female Adults with HIV: % of Population Aged 15+ with HIV data is updated yearly, averaging 27.900 % from Dec 1990 (Median) to 2017, with 28 observations. The data reached an all-time high of 41.200 % in 1990 and a record low of 18.800 % in 2014. Georgia GE: Female Adults with HIV: % of Population Aged 15+ with HIV data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Georgia – Table GE.World Bank.WDI: Health Statistics. Prevalence of HIV is the percentage of people who are infected with HIV. Female rate is as a percentage of the total population ages 15+ who are living with HIV.; ; UNAIDS estimates.; Weighted average;

Laos LA: Female Adults with HIV: % of Population Aged 15+ with HIV data was reported at 45.500 % in 2017. This stayed constant from the previous number of 45.500 % for 2016. Laos LA: Female Adults with HIV: % of Population Aged 15+ with HIV data is updated yearly, averaging 41.800 % from Dec 1990 (Median) to 2017, with 28 observations. The data reached an all-time high of 45.500 % in 2017 and a record low of 25.000 % in 1990. Laos LA: Female Adults with HIV: % of Population Aged 15+ with HIV data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Laos – Table LA.World Bank.WDI: Health Statistics. Prevalence of HIV is the percentage of people who are infected with HIV. Female rate is as a percentage of the total population ages 15+ who are living with HIV.; ; UNAIDS estimates.; Weighted average;

This dataset helps to investigate the Spatial Accessibility to HIV Testing, Treatment, and Prevention Services in Illinois and Chicago, USA. The main components are: population data, healthcare data, GTFS feeds, and road network data. The core components are: 1) GTFS which contains GTFS (General Transit Feed Specification) data which is provided by Chicago Transit Authority (CTA) from Google's GTFS feeds. Documentation defines the format and structure of the files that comprise a GTFS dataset: https://developers.google.com/transit/gtfs/reference?csw=1. 2) HealthCare contains shapefiles describing HIV healthcare providers in Chicago and Illinois respectively. The services come from Locator.HIV.gov. 3) PopData contains population data for Chicago and Illinois respectively. Data come from The American Community Survey and AIDSVu. AIDSVu (https://map.aidsvu.org/map) provides data on PLWH in Chicago at the census tract level for the year 2017 and in the State of Illinois at the county level for the year 2016. The American Community Survey (ACS) provided the number of people aged 15 to 64 at the census tract level for the year 2017 and at the county level for the year 2016. The ACS provides annually updated information on demographic and socio economic characteristics of people and housing in the U.S. 4) RoadNetwork contains the road networks for Chicago and Illinois respectively from OpenStreetMap using the Python osmnx package. The abstract for our paper is: Accomplishing the goals outlined in “Ending the HIV (Human Immunodeficiency Virus) Epidemic: A Plan for America Initiative” will require properly estimating and increasing access to HIV testing, treatment, and prevention services. In this research, a computational spatial method for estimating access was applied to measure distance to services from all points of a city or state while considering the size of the population in need for services as well as both driving and public transportation. Specifically, this study employed the enhanced two-step floating catchment area (E2SFCA) method to measure spatial accessibility to HIV testing, treatment (i.e., Ryan White HIV/AIDS program), and prevention (i.e., Pre-Exposure Prophylaxis [PrEP]) services. The method considered the spatial location of MSM (Men Who have Sex with Men), PLWH (People Living with HIV), and the general adult population 15-64 depending on what HIV services the U.S. Centers for Disease Control (CDC) recommends for each group. The study delineated service- and population-specific accessibility maps, demonstrating the method’s utility by analyzing data corresponding to the city of Chicago and the state of Illinois. Findings indicated health disparities in the south and the northwest of Chicago and particular areas in Illinois, as well as unique health disparities for public transportation compared to driving. The methodology details and computer code are shared for use in research and public policy.

Egypt EG: Female Adults with HIV: % of Population Aged 15+ with HIV data was reported at 30.000 % in 2017. This records an increase from the previous number of 29.900 % for 2016. Egypt EG: Female Adults with HIV: % of Population Aged 15+ with HIV data is updated yearly, averaging 28.900 % from Dec 1990 (Median) to 2017, with 28 observations. The data reached an all-time high of 30.000 % in 2017 and a record low of 22.700 % in 1990. Egypt EG: Female Adults with HIV: % of Population Aged 15+ with HIV data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Egypt – Table EG.World Bank: Health Statistics. Prevalence of HIV is the percentage of people who are infected with HIV. Female rate is as a percentage of the total population ages 15+ who are living with HIV.; ; UNAIDS estimates.; Weighted average;

The graph illustrates the prevalence of HIV among adults in different world regions in 2000 and 2024. For 2024, UNAIDS estimated that *** percent of the adult population aged between 15 and 49 years in Latin America was living with HIV.

BackgroundCombination antiretroviral therapy (ART) has significantly increased survival among HIV-positive adults in the United States (U.S.) and Canada, but gains in life expectancy for this region have not been well characterized. We aim to estimate temporal changes in life expectancy among HIV-positive adults on ART from 2000–2007 in the U.S. and Canada.MethodsParticipants were from the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD), aged ≥20 years and on ART. Mortality rates were calculated using participants' person-time from January 1, 2000 or ART initiation until death, loss to follow-up, or administrative censoring December 31, 2007. Life expectancy at age 20, defined as the average number of additional years that a person of a specific age will live, provided the current age-specific mortality rates remain constant, was estimated using abridged life tables.ResultsThe crude mortality rate was 19.8/1,000 person-years, among 22,937 individuals contributing 82,022 person-years and 1,622 deaths. Life expectancy increased from 36.1 [standard error (SE) 0.5] to 51.4 [SE 0.5] years from 2000–2002 to 2006–2007. Men and women had comparable life expectancies in all periods except the last (2006–2007). Life expectancy was lower for individuals with a history of injection drug use, non-whites, and in patients with baseline CD4 counts <350 cells/mm3.ConclusionsA 20-year-old HIV-positive adult on ART in the U.S. or Canada is expected to live into their early 70 s, a life expectancy approaching that of the general population. Differences by sex, race, HIV transmission risk group, and CD4 count remain.

Haiti HT: Female Adults with HIV: % of Population Aged 15+ with HIV data was reported at 59.344 % in 2016. This records an increase from the previous number of 59.160 % for 2015. Haiti HT: Female Adults with HIV: % of Population Aged 15+ with HIV data is updated yearly, averaging 57.603 % from Dec 1990 (Median) to 2016, with 27 observations. The data reached an all-time high of 59.344 % in 2016 and a record low of 50.856 % in 1990. Haiti HT: Female Adults with HIV: % of Population Aged 15+ with HIV data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Haiti – Table HT.World Bank: Health Statistics. Prevalence of HIV is the percentage of people who are infected with HIV. Female rate is as a percentage of the total population ages 15+ who are living with HIV.; ; UNAIDS estimates.; Weighted average;

*Includes persons of unknown race/ethnicity.Because of small populations of Native Hawaiians and other Pacific Islanders they are grouped with multiple races/other.

Note: ARDA – Association of Religious Data Archives; BLS – Bureau of Labor Statistics; CDC – Centers for Disease Control and Prevention; FBI – Federal Bureau of Investigation; SAMSHA N-SSATS – Substance Abuse and Mental Health Services National Survey of Substance Abuse Treatment Services. We used intercensal estimates of population aged 15–64 [66], [67].*US AIDS Mortality Surveillance Data for 1991–2006 received by special data request (2009) from the US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for HIV and TB Prevention.**Estimates of IDUs per 10,000 adult population are estimates of the proportion of the adult population who injected drugs in the prior year.***Gini coefficients are measures of the extent to which distributions of resources within a population would need to change to create equality. Zero represents equality, 1 represents maximum inequality. The household Gini used here presents data on inequality in household incomes.

In 2024, approximately 1,100,000 people were living with HIV in Brazil, unchanged from the number recorded a year earlier. The number of patients with HIV in the South American country increased by approximately 15 percent during the period analyzed. Brazil’s approach to prevention With an increasing number of people living with HIV, the Brazilian government has implemented various policies related to prevention, diagnosis, and treatment. Among preventative measures, information campaigns, needle exchange programs, and the use of pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) have been carried out throughout the country, allowing for a contained epidemic. Antiretroviral therapy (ART) As of 2022, an increasing number of Brazilians living with the disease reported receiving antiretroviral therapy. That year, approximately three in every four people living with HIV were treated with ART. In comparison, less than 60 percent of HIV patients had access to the treatment in 2015 and less than 40 percent in 2010.

Number of cases attributable to heterosexual contact, statistically adjusted to account for reporting delays and missing risk factor information, but not for incomplete reporting.†Per 100,000 heterosexuals.§ Hispanics/Latinos may be of any race.¶ Other race includes American Indian/Alaska Native, Native Hawaiian/Other Pacific Islander, unknown race/ethnicity, and multiple races.* Relative standard error >30% for meta-analysis estimate of the population proportion heterosexual for this group.Note. Data include persons age 13 years and older with a diagnosis of HIV infection regardless of stage of disease at diagnosis. CI = confidence interval

Average number IDU living with AIDS, number of AIDS deaths, and AIDS mortality rates of IDUs living with AIDS per 10,000 adult population (age 15–64) in 86 large metropolitan statistical areas in the USA 1993–1995 (Pre-HAART) and 2004–2006 (HAART era), and the AIDS mortality rate ratio between late and early years.

In 2024, around *** percent of the adult population aged 15 to 49 years in Brazil was living with HIV, an increase compared to the *** percent HIV prevalence reported in 1990. This figure has remained stable throughout the analyzed period. In the last year, an estimated of *********** patients were living with HIV in the South American country.

Colombia CO: Female Adults with HIV: % of Population Aged 15+ with HIV data was reported at 18.553 % in 2022. This records a decrease from the previous number of 18.870 % for 2021. Colombia CO: Female Adults with HIV: % of Population Aged 15+ with HIV data is updated yearly, averaging 23.979 % from Dec 1990 (Median) to 2022, with 33 observations. The data reached an all-time high of 45.979 % in 1990 and a record low of 18.553 % in 2022. Colombia CO: Female Adults with HIV: % of Population Aged 15+ with HIV data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Colombia – Table CO.World Bank.WDI: Social: Health Statistics. Prevalence of HIV is the percentage of people who are infected with HIV. Female rate is as a percentage of the total population ages 15+ who are living with HIV.;UNAIDS estimates.;Weighted average;

In 2020, 1.7 million people in Nigeria were living with HIV. The prevalence rate of HIV was 1.3 percent and it was the highest among the female adult population, at 1.6 percent. Among male adults, the prevalence rate stood at one percent.