HIV

Annual New HIV Infections

India is estimated to have around 86 (56–129) thousand new HIV infections in 2015 (Table 1), showing 66% decline in new infections from 2000 and 32% decline from 2007, the year set as baseline in the NACP-IV (Figure 3). Children (<15 years) accounted for 12% (10.4 thousand) of total new infections while the remaining (75.9 thousand) new infections were among adults (15+years). Andhra Pradesh & Telangana, Bihar, Gujarat and Uttar Pradesh currently account for 47% of total new infections among adults with each of the these States contributing 7.5 thousand or more new infections in 2015 (Figure 4, Table 4). West Bengal and Rajasthan have more than 5 thousand but less than 7.5 thousand new infections, while Maharashtra, Odisha and Tamil Nadu have new infections in the range of 3-4 thousand. Chhattisgarh, Delhi, Haryana, Jharkhand, Karnataka, Madhya Pradesh and 4 India HIV Estimations 2015 Punjab have 1-2.4 thousand new infections among adults and the rest of the States/UTs have less than 1 thousand new adult HIV infections in 2015.

State Wise Estimated New HIV Infections among Adults, 2015

A clear decline in new infections, as noticed at national level, has been also observed in most of the States/UTs. New infections among adults have declined by 50% or more in the States of Andhra Pradesh & Telangana, Karnataka, Maharashtra, Manipur and Odisha during 2007-15. Bihar, Jharkhand, Kerala, Mizoram, Nagaland, Rajasthan and Uttarakhand are the other States where annual adult new infections declined by 32-47% during the same period. However, a rising trend in new infections among adults during 2007-15 has been detected in Assam, Chandigarh, Chhattisgarh, Gujarat, Sikkim, Tripura and Uttar Pradesh. IV. AIDS-Related Deaths Since 2007, when the number of AIDSrelated deaths (ARD) started to show a declining trend, the annual number of AIDSrelated deaths has declined by 54%. In 2015 an estimated 67.6 [46.4–106.0] thousand people died of AIDS-related causes nationally (Figure 5, Table 5). This decline is consistent with the rapid expansion of access to ART in the country. It is estimated that the scale-up of free ART since 2004 has saved cumulatively around 4.5 lakhs lives in India until 2014.

Adult HIV Prevalence (%) in India, 1990–2015 with Uncertainty Bounds

National adult (15–49 years) HIV prevalence is estimated at 0.26% (0.22%–0.32%) in 2015. In 2015, adult HIV prevalence is estimated at 0.30% among males and at 0.22% among females (Table 1). Among the states/UTs, in 2015, Manipur has shown the highest estimated adult HIV prevalence of 1.15%, followed by Mizoram (0.80%), Nagaland (0.78%), Andhra Pradesh & Telangana (0.66%), Karnataka (0.45%), Gujarat (0.42%) and Goa (0.40%) (Table 2). Besides these States, Maharashtra, Chandigarh, Tripura and Tamil Nadu have shown estimated adult HIV prevalence greater than the national prevalence (0.26%), while Odisha, Bihar, Sikkim, Delhi, Rajasthan and West Bengal have shown an estimated adult HIV prevalence in the range of 0.21– 0.25%. All other States/UTs have levels of adult HIV prevalence below 0.20%. The adult HIV prevalence at national level has continued its steady decline from an estimated peak of 0.38% in 2001-03 through 0.34% in 2007 and 0.28% in 2012 to 0.26% in 2015 (Figure 1). Similar consistent declines are noted both in males and in females at the national level. Declining trends in adult HIV prevalence are sustained in all of the high prevalence States (Andhra Pradesh & Telangana, Karnataka, Maharashtra, Manipur, Nagaland and Tamil Nadu) and other States such as Goa, Odisha Technical Report 3 and West Bengal (Table 2). Stable adult HIV prevalence has been noted in States such as Bihar, Chhattisgarh, Gujarat, Mizoram, Rajasthan and Uttar Pradesh. However, rising trends in adult HIV prevalence has been observed in some of the hitherto relatively low prevalence States/UTs like Assam, Chandigarh, Delhi, Jharkhand, Punjab, Tripura and Uttarakhand.