Skip to main content

Global Trends in AIDS Mortality

  • Chapter
  • First Online:

Part of the book series: International Handbooks of Population ((IHOP,volume 2))

Abstract

This chapter reviews the evolution of the HIV/AIDS epidemic and provides estimates of past trends and future projections of AIDS mortality indicators, including numbers of AIDS deaths, the proportion of all deaths that are due to AIDS, and life expectancy. In 2007, a total of 2.0 million men, women, and children died of AIDS worldwide. The death toll will remain high in the future because 33 million individuals are currently infected and about 2.7 million new HIV infections occur each year. A cumulative total of 24 million people have died from AIDS between 1980 and 2007, and by 2030 this total is projected to reach 75 million. Despite the rapid spread of this new disease during the 1980s and 1990s, the epidemic has reached a major turning point in recent years as the rate of new infections peaked and began a decline. Worldwide, the proportion of all deaths caused by AIDS reached 3.9% in 2004. This proportion varies widely from a high of 15% in Sub-Saharan Africa to around 1% in Asia and other regions. In the future, the number of AIDS deaths and the proportion of deaths due to AIDS are projected to remain approximately at their current plateaus.

The views and opinions expressed in this chapter are those of the authors and do not necessarily reflect those of the United Nations.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   379.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    HIV is the Human Immunodeficiency Virus responsible for the Acquired Immune Deficiency Syndrome (AIDS), which left untreated results in premature death.

  2. 2.

    For some countries and for specific periods, estimates extracted from Spectrum files were also used. For consistency purposes, slight prorating adjustments were also made when deemed necessary.

  3. 3.

    Assuming the presence of proper screening of blood supply and organ donors from high-risk groups to prevent non-sexual transmission to the general population through medical procedures.

References

  • Boily, M.C., R.F. Baggaley, L. Wang, B. Masse, R. White, R. Hayes, and M. Alary. 2009. “Heterosexual Risk of HIV-1 Infection Per Sexual Act: Systematic Review and Meta-analysis of Observational Studies.” The Lancet Infectious Diseases 9(2):118–29.

    Article  Google Scholar 

  • Bongaarts, J., T. Buettner, G. Heilig, and F. Pelletier. 2008. “Has the AIDS Epidemic Peaked?” Population and Development Review 34(2):199–224.

    Article  Google Scholar 

  • Brown, T., J.A. Salomon, L. Alkema, A.E. Raftery, and E. Gouws. 2008. “Progress and Challenges in Modelling Country-Level HIV/AIDS Epidemics: The UNAIDS Estimation and Projection Package 2007.” Sexually Transmitted Infections, 84(Suppl 1):i5–i10. doi:10.1136/sti.2008.030437. http://sti.bmj.com/cgi/content/full/84/Suppl_1/i5

  • Caldwell, J.C. 2000. “Rethinking the African AIDS Epidemic.” Population and Development Review 26(1):117–35.

    Article  Google Scholar 

  • Ghys, P.D., N. Walker, W. McFarland, R. Miller, and G.P. Garnett. 2008. “Improved Data, Methods and Tools for the 2007 HIV and AIDS Estimates and Projections.” Sexually Transmitted Infections 84(Supp 1):i1–i4. doi:10.1136/sti.2008. 032573. http://sti.bmj.com/cgi/content/full/84/Suppl_1/i1

  • Halperin, D.T. and H. Epstein. 2004. “Concurrent Sexual Partnerships Help to Explain Africa’s High HIV Prevalence: Implications for Prevention.” The Lancet 364(9428):4–6.

    Article  Google Scholar 

  • Halperin, D.T. and H. Epstein. 2007. “Why is HIV Prevalence So Severe in Southern Africa?” The Southern African Journal of HIV Medicine (March) 8(1):19–24.

    Google Scholar 

  • Potts, M., D.T. Halperin, D. Kirby, A. Swidler, E. Marseille, J.D. Klausner, N. Hearst, R.G. Wamai, J.G. Kahn, and J. Walsh. 2008. “Reassessing HIV Prevention.” Science 320(5877):749–50.

    Article  Google Scholar 

  • Powers, K.A., C. Poole, A.E. Pettifor, and M.S. Cohen. 2008. “Rethinking the Heterosexual Infectivity of HIV-1: A Systematic Review and Meta-Analysis.” The Lancet Infectious Diseases 8(9):553–63.

    Article  Google Scholar 

  • Shapiro, R. 2002. “Drawing Lines in the Sand: The Boundaries of the HIV Pandemic in Perspective.” Social Science and Medicine 55:107–10.

    Google Scholar 

  • Shelton, J.D., D.T. Halperin, and D. Wilson. 2006. “Has Global HIV Incidence Peaked?” Lancet 367(9517):1120–21.

    Article  Google Scholar 

  • Stoneburner, R.L. and D. Low-Beer. 2004. “Population-Level HIV Declines and Behavioral Risk Avoidance in Uganda.” Science 304:714–18 (30 April).

    Article  Google Scholar 

  • UNAIDS Reference Group on Estimates, Modelling, and Projections. 2002. “Improved Methods and Assumptions for Estimation of the HIV/AIDS Epidemic and its Impact: Recommendations of the UNAIDS Reference Group on Estimates, Modeling and Projections.” AIDS 16:W1–W14.

    Article  Google Scholar 

  • UNAIDS. 2006. Report on the Global AIDS Epidemic. Joint United Nations Programme on HIV/AIDS. Geneva, UNAIDS.

    Google Scholar 

  • UNAIDS. 2007. AIDS Epidemic Update: December 2007. Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). Geneva, UNAIDS.

    Google Scholar 

  • UNAIDS. 2008. 2008 Report on the Global AIDS Epidemic. Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Health Organization (WHO). Geneva, UNAIDS. See online tables: “Adult (15–49) HIV Prevalence Percent by Country, 1990–2007 (with 95% Confidence Intervals)”; and “AIDS Deaths in Adults and Children by Country, 1990–2007”. http://data.unaids.org/pub/GlobalReport/2008/080813_gr08_prev1549_1990_2007_en.xls. http://data.unaids.org/pub/GlobalReport/2008/080818_gr08_deaths_1990_2007_en.xls

  • United Nations, Department of Economic and Social Affairs, Population Division. 2006. World Population Prospects: The 2004 Revision, vol. 3, Analytical Report (United Nations Publication, Sales No. E.05.XIII.7).

    Google Scholar 

  • United Nations, Department of Economic and Social Affairs, Population Division. 2009a. World Population Prospects: The 2008 Revision, CD-ROM Edition—Extended Dataset in Excel and ASCII formats. United Nations Publication, ST/ESA/SER.A/283; Special Tabulations Were Prepared for this Study.

    Google Scholar 

  • United Nations, Department of Economic and Social Affairs, Population Division. 2009b. Assumptions Underlying the Results of the 2008 Revision of World Population Prospects. http://esa.un.org/unpp/index.asp?panel=4

  • WHO/UNAIDS/UNICEF. 2008. Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector. Progress Report 2008. Geneva, WHO, June 2008, http://www.who.int/entity/hiv/pub/towards_universal_access_report_2008.pdf

  • World Health Organization. 2008. The Global Burden of Disease: 2004 Update. Geneva, WHO, http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_ part2. pdf

Download references

Acknowledgment

The authors are grateful to Mr. Thomas Buettner, Assistant Director of the Population Division, for kindly updating the Population Division’s AIDS program and designing queries that enabled the production of special tabulations, which were used in this study; the authors would also like to thank all other staff members of the Population Division who worked on the 2008 Revision of World Population Prospects: Mr. Gerhard Heilig, Mr. Kirill Andreev, Mr. Taeke Gjaltema, Ms. Vladimira Kantorova, Mr. Pablo Lattes, and Mr. Nan Li. The authors also wish to thank Ms. Hania Zlotnik, Director of the Population Division, for her insightful comments.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John P. Bongaarts .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Bongaarts, J.P., Pelletier, F., Gerland, P. (2011). Global Trends in AIDS Mortality. In: Rogers, R., Crimmins, E. (eds) International Handbook of Adult Mortality. International Handbooks of Population, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-9996-9_8

Download citation

Publish with us

Policies and ethics