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Table INF-104. HIV infections newly diagnosed and AIDS diagnosed among injecting drug users, by country and year of diagnosis

Part (i)- HIV infection in the EU countries, Croatia, Turkey and Norway: (a) cases per million population, (b) number of cases and (c) population sizes

Country		1993	1994	1995	1996	1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010
(a) Cases per million population
Belgium		3.3	3.9	1.9	1.8	1.9	1.7	2.0	2.7	1.9	2.3	3.6	2.5	1.3	1.6	1.9	1.6	1.3	1.2
Bulgaria	(13)	:	0.2	0.2	:	0.1	0.2	0.1	0.1	:	0.3	:	0.9	1.5	4.4	5.6	7.1	9.7	7.4
Czech Republic		0.2	0.2	0.3	0.1	0.2	0.3	0.1	0.4	0.3	0.2	0.4	0.7	0.4	0.4	1.2	0.8	0.4	0.5
Denmark		4.4	5.6	6.5	4.8	5.7	2.6	4.9	3.8	5.8	5.8	4.5	2.4	3.1	1.8	3.9	2.4	2.5	1.4
Germany		3.1	3.5	2.9	2.3	3.0	2.5	2.4	2.1	1.4	1.3	1.7	1.6	1.7	2.0	1.9	1.5	1.2	1.1
Estonia	(9)	:	:	:	:	:	:	:	258.0	980.3	515.7	255.2	182.8	142.5	142.0	85.7	26.8	63.4	46.3
Ireland	(14)	14.6	5.6	5.3	5.5	5.7	7.0	18.5	22.0	9.9	12.8	12.6	17.9	16.1	13.8	11.6	8.2	6.7	4.9
Greece	(3)	1.4	1.3	1.5	1.6	1.3	1.3	2.6	1.9	1.2	1.0	0.8	1.3	1.8	0.8	0.9	0.6	1.2	1.1
Spain	(7)	:	:	:	:	:	:	:	:	:	:	19.3	19.0	16.6	15.1	9.5	8.6	7.8	5.2
France	(2)	:	:	:	:	:	:	:	:	:	:	3.3	3.1	2.9	2.7	2.4	2.2	1.9	1.4
Italy	(4)	:	:	:	:	:	:	:	:	:	:	:	10.0	7.6	7.0	5.6	5.1	3.3	2.7
Cyprus	(1 ; 11)	:	:	:	:	:	:	:	:	:	:	:	:	1.3	:	2.6	1.3	:	0.0
Latvia		:	:	0.4	:	2.0	50.8	80.4	161.6	281.3	169.7	101.2	63.0	49.4	47.1	61.8	44.0	32.7	38.2
Lithuania		:	0.3	0.3	1.1	6.4	10.4	13.0	13.7	15.8	109.0	24.5	29.3	24.8	18.2	17.4	12.5	34.9	31.8
Luxembourg		12.7	7.5	12.3	4.9	9.6	16.6	14.0	13.8	11.4	9.0	11.2	4.4	13.0	6.4	14.7	8.3	:	2.0
Hungary		:	:	0.2	:	0.1	0.1	:	0.1	0.3	0.1	0.1	0.2	0.2	:	0.3	0.2	:	0.0
Malta	(8)	:	:	:	:	:	:	:	:	:	:	:	2.5	:	7.4	:	4.9	:	0.0
Netherlands	(5)	2.6	2.9	2.5	3.0	3.1	1.7	1.5	1.3	1.2	1.1	1.7	0.8	1.0	0.8	0.7	0.2	0.2	0.4
Austria	(1)	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:
Poland		5.6	7.1	8.4	8.9	8.4	9.6	7.2	8.5	:	:	:	5.6	4.0	3.2	2.3	1.4	1.4	0.9
Portugal	(10)	16.9	18.3	30.7	52.7	64.9	65.5	94.9	146.8	99.1	77.3	62.1	53.2	48.1	40.1	31.9	31.0	19.1	10.9
Romania	(16)	:	:	:	:	:	0.0	0.1	:	:	0.1	0.3	:	0.0	0.1	0.0	0.0	0.1	0.1
Slovenia		0.5	0.5	:	2.0	0.5	1.0	:	0.5	0.5	:	:	:	:	:	:	:	:	0.0
Slovakia		:	:	0.2	0.2	:	:	:	:	:	:	:	:	:	0.2	0.2	0.6	0.2	0.4
Finland		0.8	0.4	:	0.4	0.2	3.1	16.5	11.0	9.8	4.8	4.2	1.9	3.1	1.7	2.5	1.3	2.1	1.7
Sweden		2.5	3.4	2.0	2.5	2.3	2.4	1.9	2.5	4.6	3.9	3.2	3.0	2.1	3.6	6.7	2.4	2.6	2.7
United Kingdom		4.0	3.2	3.7	3.4	3.1	2.6	2.1	2.0	2.5	2.2	2.8	2.5	3.1	3.3	2.9	3.0	2.4	2.3
Croatia		0.9	0.2	0.4	0.2	0.4	1.5	0.9	0.4	0.5	0.2	0.9	0.5	0.7	0.7	0.5	0.2	:	0.2
Turkey		0.1	0.1	0.1	0.0	0.0	0.1	0.1	0.0	0.0	0.0	0.1	0.0	0.1	0.1	0.1	:	0.0	:
Norway		3.0	3.0	2.5	2.1	2.5	1.8	2.7	1.6	1.8	3.5	2.9	3.3	4.3	1.5	2.8	2.5	2.3	2.3
(b) Number of cases
Belgium		33	39	19	18	19	17	20	28	20	24	37	26	14	17	20	17	14	13
Bulgaria	(13)	:	2	2	:	1	2	1	1	:	2	:	7	12	34	43	54	74	56
Czech Republic		2	2	3	1	2	3	1	4	3	2	4	7	4	4	12	8	4	5
Denmark		23	29	34	25	30	14	26	20	31	31	24	13	17	10	21	13	14	8
Germany		249	282	238	189	245	203	197	170	115	108	140	131	140	164	154	126	101	93
Estonia	(9)	:	:	:	:	:	:	:	354	1340	702	346	247	192	191	115	36	85	62
Ireland	(14)	52	20	19	20	21	26	69	83	38	50	50	72	66	58	50	36	30	22
Greece	(3)	15	14	16	17	14	14	28	21	13	11	9	14	20	9	10	7	13	13
Spain	(7)	:	:	:	:	:	:	:	:	:	:	259	310	275	271	231	240	254	171
France	(2)	:	:	:	:	:	:	:	:	:	:	207	194	180	169	152	141	121	90
Italy	(4)	:	:	:	:	:	:	:	:	:	:	:	192	149	161	167	155	141	131
Cyprus	(1 ; 11)	:	:	:	:	:	:	:	:	:	:	:	:	1	:	2	1	:	0
Latvia		:	:	1	:	5	123	193	385	665	398	236	146	114	108	141	100	74	86
Lithuania		:	1	1	4	23	37	46	48	55	379	85	101	85	62	59	42	117	106
Luxembourg		5	3	5	2	4	7	6	6	5	4	5	2	6	3	7	4	:	1
Hungary		:	:	2	:	1	1	:	1	3	1	1	2	2	:	3	2	:	0
Malta	(8)	:	:	:	:	:	:	:	:	:	:	:	1	:	3	:	2	:	0
Netherlands	(5)	40	45	39	46	48	26	24	20	19	17	27	13	17	13	12	4	4	6
Austria	(1)	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:	:
Poland		216	274	324	345	325	370	278	330	:	:	:	212	151	124	88	53	53	34
Portugal	(10)	169	183	308	529	654	662	963	1497	1016	798	646	557	506	424	338	329	203	116
Romania	(16)	:	:	:	:	:	1	3	:	:	3	6	:	1	3	1	1	2	2
Slovenia		1	1	:	4	1	2	:	1	1	:	:	:	:	:	:	:	:	0
Slovakia		:	:	1	1	:	:	:	:	:	:	:	:	:	1	1	3	1	2
Finland		4	2	:	2	1	16	85	57	51	25	22	10	16	9	13	7	11	9
Sweden		22	30	18	22	20	21	17	22	41	35	29	27	19	33	61	22	24	25
United Kingdom		230	185	215	196	178	153	125	120	145	128	167	151	186	198	174	183	148	141
Croatia		4	1	2	1	2	7	4	2	2	1	4	2	3	3	2	1	:	1
Turkey	(15)	5	5	5	3	3	4	4	1	1	3	4	3	6	5	4	:	1	:
Norway		13	13	11	9	11	8	12	7	8	16	13	15	20	7	13	12	11	11
(c) Population sizes
Belgium		10068319	10100631	10130574	10143047	10170226	10192264	10213752	10239085	10263414	10309725	10355844	10396421	10445852	10511382	10584534	10666866	10753080	10839905
Bulgaria		8484863	8459763	8427418	8384715	8340936	8283200	8230371	8190876	8149468	7891095	7845841	7801273	7761049	7718750	7679290	7640238	7606551	7563710
Czech Republic		10325697	10334013	10333161	10321344	10309137	10299125	10289621	10278098	10266546	10206436	10203269	10211455	10220577	10251079	10287189	10381130	10467542	10506813
Denmark		5180614	5196642	5215718	5251027	5275121	5294860	5313577	5330020	5349212	5368354	5383507	5397640	5411405	5427459	5447084	5475791	5511451	5534738
Germany		80974632	81338096	81538600	81817496	82012160	82057376	82037008	82163472	82259536	82440312	82536680	82531672	82500848	82437992	82314904	82217840	82002352	81802256
Estonia		1511303	1476952	1448075	1425192	1405996	1393074	1379237	1372071	1366959	1361242	1356045	1351069	1347510	1344684	1342409	1340935	1340415	1340127
Ireland		3569367	3583154	3597617	3620065	3654955	3693386	3732006	3777565	3832783	3899702	3964191	4028851	4111672	4208156	4312526	4401335	4450030	4467854
Greece		10420059	10510996	10595074	10673696	10744649	10808358	10861402	10903757	10931206	10968708	11006377	11040650	11082751	11125179	11171740	11213785	11260402	11305118
Spain		39131968	39246832	39343100	39430932	39525440	39639388	39802828	40049708	40476724	40964244	13408973	16357690	16610118	17906092	24302432	28026012	32732970	32 843 416
France		58885928	59104320	59315140	59522296	59726384	59934884	60158532	60545024	60979316	61424036	61864088	62292240	62772872	63229636	63645064	64007192	64369048	64716212
Italy		56821248	56842392	56844408	56844196	56876364	56904380	56909108	56923524	56960692	56993744	57321072	19257120	19484080	23155738	29986548	30397560	43310056	49243752
Cyprus		619231	632944	645399	656333	666313	675215	682862	690497	697549	705539	715137	730367	749175	766414	778684	789269	796875	803147
Latvia		2585675	2540904	2500580	2469531	2444912	2420789	2399248	2381715	2364254	2345768	2331480	2319203	2306434	2294590	2281305	2270894	2261294	2248374
Lithuania		3693929	3671296	3642991	3615212	3588013	3562261	3536401	3512074	3486998	3475586	3462553	3445857	3425324	3403284	3384879	3366357	3349872	3329039
Luxembourg		394750	400200	405650	411600	416850	422050	427350	433600	439000	444050	448300	454960	461230	469086	476187	483799	493500	502066
Hungary		10365035	10350010	10336700	10321229	10301247	10279724	10253416	10221644	10200298	10174853	10142362	10116742	10097549	10076581	10066158	10045401	10030975	10014324
Malta		362977	366431	369451	371415	373958	376513	378518	380201	391415	394641	397296	399867	402668	405006	407810	410290	413609	414372
Netherlands		15239182	15341553	15424122	15493889	15567107	15654192	15760225	15863950	15987075	16105285	16192572	16258032	16305526	16334210	16357992	16405399	16485787	16574989
Austria		7882519	7928746	7943489	7953067	7964966	7971116	7982461	8002186	8020946	8063640	8100273	8142573	8201359	8254298	8282984	8318592	8355260	8375290
Poland		38418108	38504708	38580596	38609400	38639340	38659980	38666984	38653560	38253956	38242196	38218532	38190608	38173836	38157056	38125480	38115640	38135876	38167328
Portugal		9974591	9990590	10017571	10043180	10072542	10109697	10148883	10195014	10256658	10329340	10407465	10474685	10529255	10569592	10599095	10617575	10627250	10637713
Romania		22778532	22748028	22712394	22656144	22581862	22526092	22488596	22455484	22430456	21833484	21772774	21711252	21658528	21610212	21565120	21528628	21498616	21462186
Slovenia		1994084	1989408	1989477	1990266	1986989	1984923	1978334	1987755	1990094	1994026	1995033	1996433	1997590	2003358	2010377	2010269	2032362	2046976
Slovakia		5314155	5336455	5356207	5367790	5378932	5387650	5393382	5398657	5378783	5378951	5379161	5380053	5384822	5389180	5393637	5400998	5412254	5424925
Finland		5054982	5077912	5098754	5116826	5132320	5147349	5159646	5171302	5181115	5194901	5206295	5219732	5236611	5255580	5276955	5300484	5326314	5351427
Sweden		8692013	8745109	8816381	8837496	8844499	8847625	8854322	8861426	8882792	8909128	8940788	8975670	9011392	9047752	9113257	9182927	9256347	9340682
United Kingdom		57649208	57788016	57943472	58094588	58239312	58394596	58579684	58785248	58999780	59216136	59435480	59697036	60038696	60409920	60781344	61191952	61595092	62026960
Croatia		4555771	4645155	4658893	4581167	4533028	4536812	4527459	4497735	4438868	4444608	4442744	4441733	4443901	4442884	4441238	4436401	4435056	4425747
Turkey		58958564	60079060	61203584	62337616	63484660	64641676	65786564	66889424	67895584	68838072	69770024	70692008	71610008	72519976	69689256	70586256	71517104	72561312
Norway		4299167	4324815	4348410	4369957	4392714	4417599	4445329	4478497	4503436	4524066	4552252	4577457	4606363	4640219	4681134	4737171	4799252	4858199

Notes:

Data provided by ECDC/WHO, 2011 data collection

Population sizes taken from Eurostat, adjusted for coverage in Italy and Spain

Data by year of diagnosis

(1) Cumulative total since 1998 (data not available by transmission group prior to 1998).

(2) HIV reporting system started in March 2003; data in the MSM transmission group include cases that are both MSM and injecting drug users. Most recent estimates of underreporting are 34% in 2004–2006 for AIDS and 28% in 2010 for HIV. Estimated number of new HIV diagnoses in 2010 is 6265 and estimated number or new AIDS diagnoses is 1510.

(3) Retrospective reporting before 1999; data for 1999 may include many cases diagnosed in previous years, Only one testing centre reported number of tests performed. Number of tests are underreported.

(4) HIV reporting exists in 10 of the 22 Italian regions (Bolzano, Friuli Venezia-Giulia, Lazio, Liguria, Modena, Piemonte, Rimini, Sassari,Trento, Veneto) for 2004–2006, 13 regions for 2007, 15 regions for 2009, 18 for 2010; rates based on the population of the regions adjusted accordingly.

(5) New HIV reporting system started in 2002; 2002 data include many cases diagnosed in previous years. Data prior to 2002 are from a national cohort of HIV-positive adults receiving antiretroviral therapy; 1999 data include many cases diagnosed in previous years.

(7) HIV reporting has existed since the 1980s in some of the 19 Autonomous Regions of Spain. For 2004–09 data are only available for nine Regions: Balearic Islands, Basque Country, Canary Islands, Catalonia, Ceuta, Extremadura, La Rioja, Navarre, and Galicia; since 2007, data are available for 11 Regions (+Asturias, Madrid); since 2008, data are available for 13 Regions (+ Aragón and Melilla); for 2009, data are available for 15 Regions (+Cantabria, Castilla-León); for 2010, 17 Regions (+ Castilla la Mancha, Murcia), covering 71% of the population. Rates based on the corresponding populations for each year.

(8) New HIV reporting system started in 2004. In 2008 data are partly by year of notification.

(9) Data not available by transmission group for adult cases after 2002, numbers of IDU reported separately. From 1993 to 2006 data are by year of notification. Surveillance system has been substantially modified in 2008.

(10) HIV reporting system modified in 2000; data for 2000 include many cases diagnosed in previous years; data prior to 2000 not available by year.

(11)HIV reporting system modified in 2000; data for 2000 include many cases diagnosed in previous years; data prior to 2000 not available by year.

(13) From 1993 to 2006 data by year of notification. Case-based reporting of HIV is available from 2007 onwards.

(14) From 1993 to 2002 data by year of notification.HIV is not notifiable in Ireland and date of notification is the date of reporting of a new infection. Additional 369 HIV cases are reported with no date of reporting , making total number of HIV cases 5 243.

(15) In line with the data prepared by the MoH General Directorate of Primary Healthcare Services, a total of 6 HIV cases reported in 2009, who are all male in the 20-44 age group, indicated that the possible route of transmission is IV drug use

(16) Due to technical problems, the data for HIV and AIDS on the following transmission modes was not reported: MSM and MTCT. For 2009, the HIV surveillance data show: 24 cases in MSM and 11 cases due to MTCT, AIDS diagnoses: 10 cases in MSM and 9 cases due to MTCT.

Sources:

European Centre for Disease Prevention and Control (http://ecdc.europa.eu/en/)

World Health Organization (http://www.who.int/en/)

Statistical Office of the European Communities (http://epp.eurostat.ec.europa.eu/)

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