By World Health Organization
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Additional resources for AIDS Epidemic Update: December 2004
Several countries and territories with economies that are dependent on tourism rank among those most heavily affected by the epidemic in this region, including the Bahamas, Barbados, Bermuda, Dominican Republic, Jamaica, and Trinidad and Tobago. Yet most countries in the region have limited capacity to track the evolution of their epidemics, and are relying on data and systems that do not necessarily match the realities they are facing. 3%, the Caribbean is the second-most affected region in the world.
In Myanmar and in parts of India and China, HIV has become well-entrenched in some sections of society, despite modest efforts to halt the virus’ spread. Other countries are still seeing extremely low levels of HIV prevalence, even among people at high risk of exposure to HIV, and have golden opportunities to preempt serious outbreaks. These countries include Bangladesh, East Timor, Laos, Pakistan, and the Philippines (MAP, 2004). Some countries, by sheer virtue of size, simultaneously ﬁt several of those descriptions: China and India are examples.
Fortunately, India does boast some signiﬁcant prevention successes, such as the drop Reducing risk works All the scientiﬁc evidence points to the fact that programmes which provide opiate substitution treatment, increase access to sterile needles and provide other prevention services reduce new HIV infections among people who inject drugs. A recent review of over 400 surveillance reports and scientiﬁc papers found no evidence that HIV prevention services for drug injectors—including the provision of clean needles—are associated with an increase in the number of people injecting drugs (MAP, 2004).