By World Health Organization
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Extra resources for AIDS Epidemic Update: December 2004
Life Unlike in Latin America, HIV transmission in the Caribbean is occurring largely through heterosexual intercourse (almost two thirds of all AIDS cases to date are attributed to this mode of transmission), although sex between men, which is heavily stigmatized, and in some places illegal, remains a signiﬁcant—but still neglected—aspect of the epidemics. HIV transmission through injecting drug use remains rare, with the signiﬁcant exception of Bermuda, where it accounts for a * CARICOM comprises: Antigua and Barbuda, the Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Montserrat, Saint Lucia, St.
In a number of countries (including Bangladesh, India and the Philippines), the proportion of men in household studies reporting recent male-male sex has been found to range between 5% and 10%. , 2004). The ﬁndings represent the high-end of the risk spectrum, and should not be generalized to all men who have sex with men. However, they serve as a warning to Asian countries that they dare not neglect male-male sex in their prevention programming. Not only do men who have unprotected sex with other men risk infecting each other, but many of them also have sex with women (who often are unaware of the other liaison).
According to a population-based survey carried out in 2002, women younger than 24 years in the Dominican Republic were almost twice as likely to be HIV-infected compared with their male peers (MAP, 2003). 5 times more likely than boys in the same age group (10–19 years) to be infected— due partly to the fact that some girls have sexual relationships with older men who are more likely to be HIV-infected, a trend that has also been documented in several other countries. Haiti continues to have the largest number of people living with HIV in the Caribbean: some 280 000 [120 000–600 000] at the end of 2003 (UNAIDS, 2004).
AIDS Epidemic Update: December 2004 by World Health Organization