The epidemiology of HIV and AIDS reports in migrants in the 27 European Union countries, Norway and Iceland: 1999-2006.
BACKGROUND
To describe the epidemiology of HIV and AIDS by geographical origin in the EU, 1999-2006.


METHODS
AIDS and HIV cases from the EU 27, Norway and Iceland reported to European Centre for Epidemiological Monitoring of AIDS were analysed.


RESULTS
Of 75,021 AIDS reports over 1999-2006, 35% were migrants. Of 2988 heterosexual AIDS reports in 2006, 50% were migrants, largely from Sub-Saharan Africa (SSA), 20% of 1404 AIDS cases in men who have sex with men (MSM) were migrants from Latin-America and Western Europe. Of 57 mother-to-child transmission (MTCT) AIDS cases, 23% were from SSA. AIDS cases decreased from 1999 to 2006 in natives (42%), Western Europeans (40%) and North Africa and Middle East (34%), but increased in people from SSA (by 89%), Eastern Europe (by 200%) and Latin-America (50%). Of 17,646 HIV infections in men and 9066 in females in 2006, 49 and 76% were migrants, largely from SSA. Of 169 MTCT infections, 41% were from SSA.


CONCLUSIONS
Migrants, largely from SSA, represent a considerable proportion of AIDS and HIV reports in EU, especially among heterosexual and MTCT infections. Their contribution is higher among female reports. A substantial percentage of diagnoses in MSM are migrants, largely from Western Europe and Latin-America.
National Center of Epidemiology, Instituto de Salud Carlos III, Madrid, Spain. jdamo@isciii.es
Julia
J
Del Amo
Giedrius
G
Likatavičius
Santiago
S
Pérez-Cachafeiro
Victoria
V
Hernando
Cristina
C
González
Inma
I
Jarrín
Teymur
T
Noori
Françoise F
FF
Hamers
Francisco
F
Bolúmar
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000453:epidemiology* / Q000635:transmission; D017954:Africa South of the Sahara / Q000208:ethnology; D005062:European Union / Q000706:statistics & numerical data; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000453:epidemiology; D006801:Humans; D007055:Iceland / Q000453:epidemiology; D018445:Infectious Disease Transmission, Vertical / Q000706:statistics & numerical data; D007843:Latin America / Q000208:ethnology; D008297:Male; D009664:Norway / Q000453:epidemiology; D012042:Registries; D017678:Sex Distribution; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000150:complications / Q000453:epidemiology