HIV in Ireland: Latest Trends November 2019 Report
"Explore the latest trends in HIV diagnoses, rates, and demographics in Ireland based on the November 2019 report. Gain insights into the impact of HIV prevention programs and the surveillance data collected. Acknowledgements to all contributors involved in tracking the HIV epidemic. Stay informed about the HIV situation in Ireland."
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HIV in Ireland: Latest Trends November 2019 Health Protection Surveillance Centre
Acknowledgements In order to accurately track the HIV epidemic in Ireland and to assess the impact of HIV prevention programmes, it is essential to have good quality surveillance data. The production of this annual report is the result of a huge amount of work carried out by many people in collecting and collating the data. We would like to sincerely thank all of the data providers and all who have contributed to this report including: National Virus Reference Laboratory (NVRL) Microbiology laboratories Departments of Public Health Consultants in Infectious Disease/Genitourinary Medicine Infectious Disease Unit, Our Lady s Hospital for Children (OLHC), Crumlin for paediatric data GPs HIV clinical nurse specialists Health Advisors All other clinical staff involved. 2
Please note: This slide set accompanies the HIV in Ireland, 2018 report. Part A of the slide set (slides 4-24) relate to all HIV diagnoses in Ireland (including people diagnosed for the very first time and those who are being diagnosed for the first time in Ireland but had a previous HIV positive diagnosis in another country before arrival to Ireland) Part B of the slide set (slides 25-32) relate to HIV diagnoses in Ireland excluding people who were previously diagnosed HIV positive abroad before arrival in Ireland 3
HIV diagnoses and rates (all diagnoses) 12.0 600 Improvement in case definition 10.0 500 Rate per 100,000 population Number of diagnoses 8.0 400 6.0 300 4.0 200 2.0 100 0.0 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Diagnoses Rate of Diagnosis (per 100,000)
HIV diagnoses by history of previous diagnosis abroad (all diagnoses) 400 350 300 250 Number 200 150 100 50 0 2012 2013 2014 2015 2016 2017 2018 Year of notification Previous positive Not previous positive/Unknown 6
HIV diagnoses by sex (all diagnoses) 400 350 300 Number of notifications 250 200 150 100 50 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Females Males 7
Rates of HIV diagnosis by sex (all diagnoses) 20.0 18.0 16.0 Rate per 100,000 population 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Females Males 8
HIV diagnoses by age group (all diagnoses) 140 120 100 Numbner of diagnoses 80 60 40 20 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 9
Rates of HIV diagnosis by age group (all diagnoses) 40.0 35.0 30.0 Rate oer 100,000 population 25.0 20.0 15.0 10.0 5.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 10
HIV diagnoses by age group in males (all diagnoses) 100 90 80 70 Number of diagnoses 60 50 40 30 20 10 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 11
Rates of HIV diagnosis by age group in males (all diagnoses) 70.0 60.0 Rate per 100,000 population 50.0 40.0 30.0 20.0 10.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 12
HIV diagnoses by age group in females (all diagnoses) 40 35 30 Number of diagnoses 25 20 15 10 5 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 13
Rates of HIV diagnosis by age group in females (all diagnoses) 30.0 25.0 Rate per 100,000 population 20.0 15.0 10.0 5.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 14
HIV age standardised notification rates by HSE Area (all diagnoses) 25.0 20.0 Rate per 100,000 population 15.0 10.0 5.0 0.0 East Midlands Midwest North East North West South South East West Ireland 2016 2017 2018 15
HIV diagnoses by probable route of transmission (all diagnoses) 350 300 250 Number of diagnoses 200 150 100 50 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year MSM Hetero female Hetero Male People who inject drugs Unknown/Other 16
HIV diagnoses by history of previous diagnosis abroad and route of transmission (all diagnoses) 200 180 160 Number of diagnoses 140 120 100 80 60 40 20 0 2012 2013 2014 2015 2016 2017 2018 Year MSM New Hetero New PWID New MSM Prev positive Hetero Prev pos PWID Prev pos 17
HIV diagnoses by region of birth (all diagnoses) 400 350 300 250 Number 200 150 100 50 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year of diagnosis Born in Ireland Born abroad Unknown 18
Rates of HIV diagnosis by region of birth (all diagnoses) 60.0 50.0 Rate per 100,000 population 40.0 30.0 20.0 10.0 0.0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Born in Ireland Born abroad 19
HIV diagnoses among MSM by geographic origin (all diagnoses) 250 200 Number of diagnoses 150 100 50 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Born in Ireland Born outside Ireland Unknown 20
HIV diagnoses among MSM by geographic origin for those born outside Ireland (all diagnoses) 140 120 100 Number of diagnoses 80 60 40 20 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Latin America & Caribbean W Europe C&E Europe S&SE Asia Other 21
HIV diagnoses among heterosexuals by sex (all diagnoses) 160 140 120 Number of diagnoses 100 80 60 40 20 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Male Female 22
HIV diagnoses among heterosexuals by geographic origin (all diagnoses) 200 180 160 140 Number of diagnoses 120 100 80 60 40 20 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Sub-Saharan Africa Hetero other 23
HIV diagnoses among people who inject drugs by sex (all diagnoses) 50 45 40 35 Number f diagnoses 30 25 20 15 10 5 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year Male Female 24
Part B Diagnoses in Ireland excluding those previously diagnosed with HIV abroad 25
HIV diagnoses and rates per 100,000 population (excluding those previously positive) 400 8 350 7 355 300 6 313 310 306 293 rate per 100,000 population 285 278 Number of diagnoses 250 5 200 4 150 3 100 2 50 1 0 0 2012 2013 2014 2015 Year 2016 2017 2018
HIV diagnoses by sex (excluding those previously positive) 300 250 Number of diagnoses 200 150 100 50 0 2012 2013 2014 2015 2016 2017 2018 Year Male Female
Rate of HIV diagnosis by sex (excluding those previously positive) 14.0 12.0 10.0 Rate per 100,000 8.0 6.0 4.0 2.0 0.0 2012 2013 2014 2015 2016 2017 2018 Year Male Female
HIV diagnoses by age group (excluding those previously positive) 140 120 100 Numbner of diagnoses 80 60 40 20 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 29
Rate of HIV diagnosis by age group (excluding those previously positive) 25 20 15 Rate per 100,000 10 5 0 2012 2013 2014 2015 2016 2017 2018 Year 15-24 25-29 30-34 35-39 40-44 45-49 50+ 30
HIV diagnoses by probable route of transmission (excluding those previously positive) 200 180 160 Numner of diagnoses 140 120 100 80 60 40 20 0 2012 2013 2014 2015 2016 2017 2018 MSM Hetero male Hetero female PWID 31
HIV diagnoses by region of birth (excluding those previously positive) 200 180 160 Number of diagnoses 140 120 100 80 60 40 20 0 2012 2013 2014 2015 2016 2017 2018 Year Ireland Outside Ireland Unknown 32
Explanatory Notes It is important to note that - the HIV surveillance system captures new diagnoses of HIV infection and therefore does not measure incidence. - data are presented by date of notification on CIDR (Computerised Infectious Disease Reporting) system - data for this report were extracted from CIDR on 13th September 2019 and were correct at the time of publication. Data are updated on an ongoing basis in CIDR, and so data from previous years represents our most up to date data, and may not correspond with what was reported previously. Similarly, data for 2018 may be updated further in due course and will be reported on in subsequent reports. - while efforts are made to remove duplicate records from these data, it is not always possible to link and remove all duplicate records and some patients or disease events may be counted more than once. - rates were calculated using census data; 2016 census data for 2014-2018; 2011 census data for 2009-2013; and 2006 census data for 2003-2008. - Age standardised notification rates were calculated using the direct method in which the national population was taken as the standard population. Population data were taken from Census 2016 from the Central Statistics Office (www.cso.ie). Data were aggregated into the following age groups for analysis: 0-4 years, 5-9 years, 10-14 years, 15-19, 20-24, 25-34, 45-54, 55-64 and 65 years. 33
Further Information A detailed annual report on HIV in 2018 is available at http://www.hpsc.ie/a- z/hivandaids/hivdataandreports/ A slide set with more details on trends among MSM is available at http://www.hpsc.ie/a- z/sexuallytransmittedinfections/dataonhivandstisamongmenwhohavesexwithmenmsm/ Weekly HIV and STI reports are available at http://www.hpsc.ie/notifiablediseases/weeklyidreports/ 34
