Hiv Rates By Country 2021

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HIV, or human immunodeficiency virus, is a virus that is spread through certain body fluids, such as blood, and weakens a person’s immune system by attacking cells that help fight off infection, specifically the CD4 cells. If HIV advances, it can lead to acquired immunodeficiency syndrome, or AIDS, if not treated.

Unlike most other viruses, the human body cannot fight off HIV completely; therefore, once it is contracted, the individual has it for life. Luckily, it can be controlled and its progression can be slowed significantly. There are three stages of HIV:

  1. Acute HIV infection
  2. Clinical latency (HIV inactivity or dormancy)
  3. Acquired immunodeficiency syndrome (AIDS)

HIV Treatment

HIV can be controlled and treated (not cured) through antiretroviral therapy (ART), also known as viral load suppression. ART can keep patients healthy for many years by reducing the amount of virus (viral load) in the blood and body fluids. ART is recommended for all people diagnosed with HIV as it not only helps slow its progression but also reduces the chances of transmitting the virus to other people.

ART is typically taken as a combination of three or more medications that can sometimes be combined into one pill. Those diagnosed with HIV should start ART as soon as possible after diagnosis.

As of 2018, 23.3 million people are receiving antiretroviral treatment for HIV, which means about 62% of the total population of those diagnosed with HIV are being treated with ART. Testing and treatment coverage of HIV has dramatically improved around the world; however, poverty, gender inequality, and HIV stigma and discrimination are major barriers to HIV prevention and treatment in many countries.

UNAIDS, the Joint United Nations Program on HIV/AIDS, is the world’s leading advocate for the comprehensive and coordinated global action against the HIV/AIDS pandemic. In 2014, UNAIDS established the 90-90-90 goals, which called for countries around the world to get 90% of people living with HIV diagnosed; 90% of those diagnosed accessing treatment, and 90% of people on treatment to have suppressed viral loads by 2020.

HIV Around the World

HIV is believed to have come from a type of chimpanzee in Central Africa, where the chimpanzee version of the virus, simian immunodeficiency virus or SIV, was transmitted to humans when they hunted the animal and came into contact with the blood. Once the virus was transmitted to humans, it mutated into HIV. It is believed that HIV was first transmitted in the 1800s and spread slowly across Africa and later into the rest of the world, reaching the United States around the mid to late 1970s.

According to the World Health Organization, there are about 37.9 million people globally living with HIV in 2018. The prevalence of HIV in adults ages 15 to 29 is estimated at about 0.8% of the global population. Unfortunately, being the believed origin of HIV, Africa has the highest prevalence of an estimated 3.9% (anywhere from 3.3-4.5%).

1. Eswatini

Swaziland (Eswatini) has the highest HIV prevalence and incidence of any country in the world of 27%. Luckily, through the implementation of expanded treatment and prevention services, Swaziland significantly reduced its rate of new infections by nearly half between 2011 and 2016. Additionally, the rates of viral load suppression among adult HIV patients increased from 34.8% to 71.3%. While the HIV epidemic is generalized in Swaziland, certain groups especially those who are marginalized and criminalized are particularly affected. For example, the country has an HIV prevalence among sex workers of 60.5%, the highest in the world.

2. Lesotho

Lesotho has the second-highest HIV rate in the world of 25%. Lesotho has a total of 340,000 people living with HIV. In 2018, the country saw 13,000 new HIV infections and 6,100 AIDS-related deaths. About 60% of all adults living with HIV and 70% of all children with HIV in Lesotho are receiving ART. About 57% of Lesotho’s population lives in poverty, which couple with HIV/AIDS, has led to the country’s low life expectancy of 52 years for men and 55 years for women.

3. Botswana

The country with the third-highest HIV prevalence is Botswana, with an estimated 21.90% of the population diagnosed. About 370,000 people in Botswana are living with HIV. 85% of total adults with HIV and 38% of total children with HIV are on ART. Botswana has one of the highest rates of HIV in the world despite its provision of universal free antiretroviral treatment to all people living with HIV. Botswana has a one-size-fits-all approach to HIV prevention, but the prevention programs are reaching less than half of those most at risk due to the lack of targeted services. Additionally, those affected by HIV in Botswana face barriers such as gender inequality, punitive laws against marginalized groups, and the withdrawal of funding from international groups.

4. South Africa

The HIV prevalence in South Africa is 18.90%, making it the fourth-highest rate in the world. There are 7.7 million people living with HIV in South Africa, the largest HIV epidemic in the world. In 2018, South Africa saw 240,000 new HIV infections. The country has the world’s largest ART program, with 62% of adults with HIV and 63% of children living with HIV receiving ART. The success of South Africa’s ART program is evident in increasing the national life expectancy from 56 years in 2010 to 63 years in 2018.

5. Namibia

Namibia has the fifth-highest rate of HIV in the world of 13.80%. HIV is the leading cause of death in the country. About 200,000 people in Namibia are living with HIV with about 6,100 newly infected individuals in 2018. About 92% of adults and children living with HIV in the country are receiving ART. According to the Namibia Population-Based HIV Impact Assessment (NAMPHIA), a household-based survey conducted to assess the progress of Namibia’s HIV response, the country exceeded many of the 90-90-90 targets set by UNAIDS.

6. Zimbabwe

Zimbabwe’s HIV rate is 13.50%, the sixth-highest in the world. There are 1.3 million people living with HIV in Zimbabwe. 89% of adults living with HIV and 7% of children living with HIV are receiving ART. Zimbabwe has achieved a decline of new HIV infections among infants thanks to PMTCT services allowing nearly every pregnant woman to receive ART. Women are disproportionately affected in Zimbabwe, especially adolescent girls and young women. One of Zimbabwe’s largest barriers in providing HIV services is the illegal nature of sex work and homosexuality in the country, making it extremely difficult for these groups to seek prevention and treatment help.

7. Zambia

Zambia has the seventh-highest HIV rate in the world of 12.40%. 1.2 million people in Zambia have HIV, with 78% of affected adults and 79% of affected children receiving ART. Among those who have access to ART, 75% are virally suppressed and life expectancy among people living with HIV has improved significantly. Unfortunately, the prevalence of HIV in Zambia has caused the tuberculosis epidemic to worsen.

8. Mozambique

Mozambique’s HIV rate is 12.30%, the eighth-highest in the world. As of 2018, 2.2 million people live with HIV in Mozambique with 150,000 people newly infected. Women are disproportionately affected by HIV in Mozambique: about 60% of the adults living with HIV are women and new HIV infections among young women (ages 15-24) were almost double those among young men. More than 95% of pregnant women living with HIV were able to access ART to prevent transmitting it to their newborns, preventing 18,000 new HIV infections among infants.

9. Malawi

Malawi is the first country on the list whose HIV rate is below 10% at 9.20%. This rate is the ninth-highest in the world. About 1 million people live with HIV in Malawi, with young people at particular risk. Around one0third of all new HIV infections in the country occurred among young people age 15 to 24 years old. Among those living with HIV, 79% of adults and 61% of children are receiving ART. One of Malawi’s largest barriers to HIV progress is stigma. Despite this, Malawi very close to reaching the UNAIDS 90-90-90 targets.

10. Uganda

Uganda has the tenth-highest HIV rate in the world of 6.50%. 1.4 million people in Uganda live with HIV. As far as Uganda’s 90-90-90 goals, 84% of those affected are aware of their status, 87% are on HIV treatment, and 88% of those on treatment are virally suppressed. Women are disproportionately affected by HIV in Uganda, with 8.8% of adult women living with HIV compared to 4.3% of men. Because of punitive laws against sex workers and homosexuality, these groups are most vulnerable to being infected by HIC and less likely to seek HIV services.

Hiv Rates By Country 2021

Rank Country 2021 Population
China1,444,216,107
India1,393,409,038
United States332,915,073
Indonesia276,361,783
Pakistan225,199,937
Brazil213,993,437
Nigeria211,400,708
Bangladesh166,303,498
Russia145,912,025
Mexico130,262,216
Japan126,050,804
Ethiopia117,876,227
Philippines111,046,913
Egypt104,258,327
Vietnam98,168,833
Dr Congo92,377,993
Turkey85,042,738
Iran85,028,759
Germany83,900,473
Thailand69,950,850
United Kingdom68,207,116
France65,426,179
Tanzania61,498,437
Italy60,367,477
South Africa60,041,994
Kenya54,985,698
Myanmar54,806,012
South Korea51,305,186
Colombia51,265,844
Uganda47,123,531
Spain46,745,216
Argentina45,605,826
Sudan44,909,353
Algeria44,616,624
Ukraine43,466,819
Iraq41,179,350
Afghanistan39,835,428
Canada38,067,903
Poland37,797,005
Morocco37,344,795
Saudi Arabia35,340,683
Uzbekistan33,935,763
Angola33,933,610
Peru33,359,418
Malaysia32,776,194
Mozambique32,163,047
Ghana31,732,129
Yemen30,490,640
Nepal29,674,920
Venezuela28,704,954
Madagascar28,427,328
Cameroon27,224,265
Ivory Coast27,053,629
North Korea25,887,041
Australia25,788,215
Niger25,130,817
Taiwan23,855,010
Sri Lanka21,497,310
Burkina Faso21,497,096
Mali20,855,735
Malawi19,647,684
Chile19,212,361
Romania19,127,774
Kazakhstan18,994,962
Zambia18,920,651
Syria18,275,702
Guatemala18,249,860
Ecuador17,888,475
Senegal17,196,301
Netherlands17,173,099
Cambodia16,946,438
Chad16,914,985
Somalia16,359,504
Zimbabwe15,092,171
Guinea13,497,244
Rwanda13,276,513
Benin12,451,040
Burundi12,255,433
Tunisia11,935,766
Bolivia11,832,940
Belgium11,632,326
Haiti11,541,685
South Sudan11,381,378
Cuba11,317,505
Dominican Republic10,953,703
Czech Republic10,724,555
Greece10,370,744
Jordan10,269,021
Azerbaijan10,223,342
Portugal10,167,925
Sweden10,160,169
Honduras10,062,991
United Arab Emirates9,991,089
Tajikistan9,749,627
Hungary9,634,164
Belarus9,442,862
Papua New Guinea9,119,010
Austria9,043,070
Israel8,789,774
Switzerland8,715,494
Serbia8,697,550
Togo8,478,250
Sierra Leone8,141,343
Hong Kong7,552,810
Laos7,379,358
Paraguay7,219,638
Libya6,958,532
Bulgaria6,896,663
Lebanon6,769,146
Nicaragua6,702,385
Kyrgyzstan6,628,356
El Salvador6,518,499
Turkmenistan6,117,924
Singapore5,896,686
Denmark5,813,298
Republic Of The Congo5,657,013
Finland5,548,360
Norway5,465,630
Slovakia5,460,721
Oman5,223,375
Palestine5,222,748
Liberia5,180,203
Costa Rica5,139,052
Ireland4,982,907
Central African Republic4,919,981
New Zealand4,860,643
Mauritania4,775,119
Panama4,381,579
Kuwait4,328,550
Croatia4,081,651
Moldova4,024,019
Georgia3,979,765
Eritrea3,601,467
Uruguay3,485,151
Mongolia3,329,289
Bosnia And Herzegovina3,263,466
Jamaica2,973,463
Armenia2,968,127
Qatar2,930,528
Albania2,872,933
Puerto Rico2,828,255
Lithuania2,689,862
Namibia2,587,344
Gambia2,486,945
Botswana2,397,241
Gabon2,278,825
Lesotho2,159,079
North Macedonia2,082,658
Slovenia2,078,724
Guinea Bissau2,015,494
Latvia1,866,942
Bahrain1,748,296
Equatorial Guinea1,449,896
Trinidad And Tobago1,403,375
Timor Leste1,343,873
Estonia1,325,185
Mauritius1,273,433
Cyprus1,215,584
Eswatini1,172,362
Djibouti1,002,187
Fiji902,906
Reunion901,686
Comoros888,451
Guyana790,326
Bhutan779,898
Solomon Islands703,996
Macau658,394
Luxembourg634,814
Montenegro628,053
Western Sahara611,875
Suriname591,800
Cape Verde561,898
Maldives543,617
Malta442,784
Brunei441,532
Belize404,914
Guadeloupe400,020
Bahamas396,913
Martinique374,745
Iceland343,353
Vanuatu314,464
French Guiana306,448
New Caledonia288,218
Barbados287,711
French Polynesia282,530
Mayotte279,515
Sao Tome And Principe223,368
Samoa200,149
Saint Lucia184,400
Guam170,179
Curacao164,798
Kiribati121,392
Micronesia116,254
Grenada113,021
Saint Vincent And The Grenadines111,263
Aruba107,204
Tonga106,760
United States Virgin Islands104,226
Seychelles98,908
Antigua And Barbuda98,731
Isle Of Man85,410
Andorra77,355
Dominica72,167
Cayman Islands66,497
Bermuda62,090
Marshall Islands59,610
Northern Mariana Islands57,917
Greenland56,877
American Samoa55,100
Saint Kitts And Nevis53,544
Faroe Islands49,049
Sint Maarten43,412
Monaco39,511
Saint Martin39,234
Turks And Caicos Islands39,231
Liechtenstein38,250
San Marino34,017
Gibraltar33,698
British Virgin Islands30,421
Palau18,169
Cook Islands17,565
Anguilla15,117
Tuvalu11,931
Wallis And Futuna11,094
Nauru10,876
Saint Barthelemy9,907
Saint Pierre And Miquelon5,766
Montserrat4,977
Falkland Islands3,533
Niue1,619
Tokelau1,373
Vatican City800

Hiv Rates By Country 2021