title: AIDS in Latin America: assessing the current status of the epidemic and the ongoing response.
abstract: BACKGROUND
  This article provides a summary of the current status of the HIV/AIDS epidemic in Latin America, as well as an outline of the diverse responses to it.
  
  
  METHODS
  A search of international databases (Pubmed and ISI-Web of Science), regional databases (Scielo and Lilacs), regional and national documents and UNAIDS reports. Data are presented according to subregion.
  
  
  RESULTS
  In Mexico HIV remains concentrated among urban men who have sex with men (MSM), and has been growing among injecting drug users (IDU) and in rural areas in relation to migration. An increasing proportion of women among those affected is observed in all countries in Central America, the most affected region, as well as increasing the impact on other vulnerable groups, such as indigenous populations. The Andean Countries have urban epidemics concentrated among MSM. In Peru, non-traditional vulnerable populations were identified. In the Southern Cone heterosexual transmission became more relevant, probably in connection with IDU epidemics and is increasingly affecting lower income groups. Incidence rates have been declining since 2002 in Brazil, the first country to guarantee free, universal access to antiretrovirals, where one-third of drug-naïve patients are still initiating treatment at an advanced stage. Generally, access to treatment has improved as a result of support from the Global Fund and other initiatives, but there are concerns regarding coverage, equity and sustainability.
  
  
  CONCLUSIONS
  HIV is still concentrated among MSM in Latin America. Non-traditional vulnerable groups such as migrants and lower income populations, usually considered part of the general population, deserve attention. Programmes confronting sexual exclusion are still needed. Access to treatment has improved over time, but inequalities persist.
authors.affiliation: Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil. Francisco.inacio.bastos@hotmail.com
authors.forename: Francisco I
authors.initials: FI
authors.lastname: Bastos
authors.forename: Carlos
authors.initials: C
authors.lastname: Cáceres
authors.forename: Jane
authors.initials: J
authors.lastname: Galvão
authors.forename: Maria Amélia
authors.initials: MA
authors.lastname: Veras
authors.forename: Euclides Ayres
authors.initials: EA
authors.lastname: Castilho
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000453:epidemiology*; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D004196:Disease Outbreaks; D005260:Female; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D007843:Latin America / Q000453:epidemiology; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D011477:Sex Work; D014505:Urban Population; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents