What the data tells us about mobility and migration; and AFAO’s response
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This presentation was given by Jill Sergeant at the AFAO National HIV Forum in Sydney, 17 October 2014. It provides an overview of HIV diagnoses in Australia among people born overseas, as well as a summary of activities at the African Diaspora Networking Zone at AIDS 2014.
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What the data tells us about mobility and migration; and AFAO’s response
- 1. What the data tells us HIV notifications in people born overseas
- 2. Overview of overseas-born 2009 - 2013 2,561 diagnoses (of 5,744 total) 44.4% 24% from UK/Europe/North America Others mostly from: Asia (886 / 15.3%) Sub-Saharan Africa (513 / 9%) Data from: HIV, viral hepatitis and sexually transmissible infections in Australia Annual Surveillance Report 2014
- 3. Trends in diagnosis by region of birth
- 4. Diagnoses by region of birth 2009 - 2013 Diagnoses Australian born Asia Sub-Saharan Africa Other oceania UK & Ireland Other Europe Middle East/North Africa North America Sth/Central America & Caribbean
- 6. Asian-born diagnoses 2002 - 2012 1,359 diagnoses – 981 male – 366 female 530 (39%) heterosexual 695 (51%) MSM 48 (3.5%) injecting drug use Majority from South East Asia Majority from NSW and Victoria
- 7. African-born diagnoses 2002 - 2012 926 diagnoses – 476 male – 450 female 768 (84%) heterosexual contact 102 (11%) MSM Majority from Southern and East Africa Mostly NSW/Vic/WA
- 8. Late diagnosis (2009-2013) Over 50% late or advanced for SEA & SSA – around 50/50 late/advanced
- 9. Partner from high prevalence country 256 (19%) diagnoses* Partner from: – SEA – 145 (11% - mostly male) – SSA – 52 (4% - slightly more females) * Of a total of 1,281 heterosexual diagnoses
- 10. AFAO’s African project @ AIDS 2014
Notas do Editor
- 618 (24.1% of all diagnoses) were from UK/Europe/North America (i.e. western developed countries) 44% of all diagnoses compared to 33.8% for preceding 5 years
- The number of diagnoses among people born overseas doubled between 2004 (280) and 2013 (566). Australian-born also rose but in spite of a peak in 2012 (675) only by 13.6% (from 558 to 634).
- This shows that for most regions of birth there was a significant incease, with the biggest increase among people born in Asia. The trajectory for SSA diagnoses seems to have stabilised the past couple of years although still significantly higher than in 2004. All other regions have substantially less than 100 diagnoses, although those for other Oceania have tripled since 2004 (31 to 77) as have those for S/C America & Caribbean (14 – 45). Middle East/North African diagnoses have doubled (15 – 31). I haven’t included UK or North America because North America showed virtually no change and UK didn’t rise a lot – alhtough it has fluctuated from as low as 39 to as high as 59 over the 10 years.
- Not all were from high prevalence countries Other/undetermined = 80 (5.8%) MTCT: 6
- Injecting not listed MTCT : 31 (3.3%) Other/undetermined: 12 (1.2%)
- Anomaly on p 42 of surveillance report – Other regions/Not reported 2009 – 2013 11% of SEA partners but 56% of ‘partner from high prevalence country’ 4% & 20% No way of knowing where these were acquired but possibly next surveillance report will include this info. Total heterosexual 1281
- AIDS 2014 main focus of AFAO’s African Reference Group over the past year. Approached by ABDGN in late 2013 to help locate a local partner MHSS to take a lead Financial support Facilitation of reference group
- Raising awareness about conference Encouraging African community members to attend Info about scholarships
- Around 40 people connected with AFAO’s African project or state-based networks and organisations attended the conference, including 11 Reference Group members & several African Australian PHIV. Some Melbourne African community leaders & personalities also visited the zone during the week, including footballer Harry Lumumba.
- Kwaku & Harry
- Lots of networking AIDS 2014 & the zone a great opportunity for Reference group & the people they brought with them. Several people have said the zone was more valuable to them than the main conference
- Formal presentations, discussions, skills-building for reference group members & their contacts – presenting, facilitating.
- Learning, network-building Affirmation of their work – possibility to share their knowledge & insights New ideas for health promotion Invigorating – energised to do the work Strengthened capacity of both AFAO and reference group members Turned stigma around for some community participants – less homophobic, less stigmatising of PHIV Didn’t achieve all our goals – e.g. not enough resources to support more engagement by Melbourne African community But – followed up with feedback sessions in several jurisdictions, which are an opportunity to engage with local communities & get HIV more on the radar. Those conducted so far have gone rally well. (Brisbane, Adelaide, Perth). Vic next week, NSW in November. Opportunity to build on this.