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
1China1,444,216,107
2India1,393,409,038
3United States332,915,073
4Indonesia276,361,783
5Pakistan225,199,937
6Brazil213,993,437
7Nigeria211,400,708
8Bangladesh166,303,498
9Russia145,912,025
10Mexico130,262,216
11Japan126,050,804
12Ethiopia117,876,227
13Philippines111,046,913
14Egypt104,258,327
15Vietnam98,168,833
16Dr Congo92,377,993
17Turkey85,042,738
18Iran85,028,759
19Germany83,900,473
20Thailand69,950,850
21United Kingdom68,207,116
22France65,426,179
23Tanzania61,498,437
24Italy60,367,477
25South Africa60,041,994
26Kenya54,985,698
27Myanmar54,806,012
28South Korea51,305,186
29Colombia51,265,844
30Uganda47,123,531
31Spain46,745,216
32Argentina45,605,826
33Sudan44,909,353
34Algeria44,616,624
35Ukraine43,466,819
36Iraq41,179,350
37Afghanistan39,835,428
38Canada38,067,903
39Poland37,797,005
40Morocco37,344,795
41Saudi Arabia35,340,683
42Uzbekistan33,935,763
43Angola33,933,610
44Peru33,359,418
45Malaysia32,776,194
46Mozambique32,163,047
47Ghana31,732,129
48Yemen30,490,640
49Nepal29,674,920
50Venezuela28,704,954
51Madagascar28,427,328
52Cameroon27,224,265
53Ivory Coast27,053,629
54North Korea25,887,041
55Australia25,788,215
56Niger25,130,817
57Taiwan23,855,010
58Sri Lanka21,497,310
59Burkina Faso21,497,096
60Mali20,855,735
61Malawi19,647,684
62Chile19,212,361
63Romania19,127,774
64Kazakhstan18,994,962
65Zambia18,920,651
66Syria18,275,702
67Guatemala18,249,860
68Ecuador17,888,475
69Senegal17,196,301
70Netherlands17,173,099
71Cambodia16,946,438
72Chad16,914,985
73Somalia16,359,504
74Zimbabwe15,092,171
75Guinea13,497,244
76Rwanda13,276,513
77Benin12,451,040
78Burundi12,255,433
79Tunisia11,935,766
80Bolivia11,832,940
81Belgium11,632,326
82Haiti11,541,685
83South Sudan11,381,378
84Cuba11,317,505
85Dominican Republic10,953,703
86Czech Republic10,724,555
87Greece10,370,744
88Jordan10,269,021
89Azerbaijan10,223,342
90Portugal10,167,925
91Sweden10,160,169
92Honduras10,062,991
93United Arab Emirates9,991,089
94Tajikistan9,749,627
95Hungary9,634,164
96Belarus9,442,862
97Papua New Guinea9,119,010
98Austria9,043,070
99Israel8,789,774
100Switzerland8,715,494
101Serbia8,697,550
102Togo8,478,250
103Sierra Leone8,141,343
104Hong Kong7,552,810
105Laos7,379,358
106Paraguay7,219,638
107Libya6,958,532
108Bulgaria6,896,663
109Lebanon6,769,146
110Nicaragua6,702,385
111Kyrgyzstan6,628,356
112El Salvador6,518,499
113Turkmenistan6,117,924
114Singapore5,896,686
115Denmark5,813,298
116Republic Of The Congo5,657,013
117Finland5,548,360
118Norway5,465,630
119Slovakia5,460,721
120Oman5,223,375
121Palestine5,222,748
122Liberia5,180,203
123Costa Rica5,139,052
124Ireland4,982,907
125Central African Republic4,919,981
126New Zealand4,860,643
127Mauritania4,775,119
128Panama4,381,579
129Kuwait4,328,550
130Croatia4,081,651
131Moldova4,024,019
132Georgia3,979,765
133Eritrea3,601,467
134Uruguay3,485,151
135Mongolia3,329,289
136Bosnia And Herzegovina3,263,466
137Jamaica2,973,463
138Armenia2,968,127
139Qatar2,930,528
140Albania2,872,933
141Puerto Rico2,828,255
142Lithuania2,689,862
143Namibia2,587,344
144Gambia2,486,945
145Botswana2,397,241
146Gabon2,278,825
147Lesotho2,159,079
148North Macedonia2,082,658
149Slovenia2,078,724
150Guinea Bissau2,015,494
151Latvia1,866,942
152Bahrain1,748,296
153Equatorial Guinea1,449,896
154Trinidad And Tobago1,403,375
155Timor Leste1,343,873
156Estonia1,325,185
157Mauritius1,273,433
158Cyprus1,215,584
159Eswatini1,172,362
160Djibouti1,002,187
161Fiji902,906
162Reunion901,686
163Comoros888,451
164Guyana790,326
165Bhutan779,898
166Solomon Islands703,996
167Macau658,394
168Luxembourg634,814
169Montenegro628,053
170Western Sahara611,875
171Suriname591,800
172Cape Verde561,898
173Maldives543,617
174Malta442,784
175Brunei441,532
176Belize404,914
177Guadeloupe400,020
178Bahamas396,913
179Martinique374,745
180Iceland343,353
181Vanuatu314,464
182French Guiana306,448
183New Caledonia288,218
184Barbados287,711
185French Polynesia282,530
186Mayotte279,515
187Sao Tome And Principe223,368
188Samoa200,149
189Saint Lucia184,400
190Guam170,179
191Curacao164,798
192Kiribati121,392
193Micronesia116,254
194Grenada113,021
195Saint Vincent And The Grenadines111,263
196Aruba107,204
197Tonga106,760
198United States Virgin Islands104,226
199Seychelles98,908
200Antigua And Barbuda98,731
201Isle Of Man85,410
202Andorra77,355
203Dominica72,167
204Cayman Islands66,497
205Bermuda62,090
206Marshall Islands59,610
207Northern Mariana Islands57,917
208Greenland56,877
209American Samoa55,100
210Saint Kitts And Nevis53,544
211Faroe Islands49,049
212Sint Maarten43,412
213Monaco39,511
214Saint Martin39,234
215Turks And Caicos Islands39,231
216Liechtenstein38,250
217San Marino34,017
218Gibraltar33,698
219British Virgin Islands30,421
220Palau18,169
221Cook Islands17,565
222Anguilla15,117
223Tuvalu11,931
224Wallis And Futuna11,094
225Nauru10,876
226Saint Barthelemy9,907
227Saint Pierre And Miquelon5,766
228Montserrat4,977
229Falkland Islands3,533
230Niue1,619
231Tokelau1,373
232Vatican City800

Hiv Rates By Country 2021