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India second after S Africa in healthy yrs lost to HIV/AIDS

India is a close second to South Africa in healthy, productive years people lose to HIV/AIDS, a 2010 study published in journal AIDS shows. There were 2.4 million people estimated to have HIV in 2010 with a Disability Adjusted Life Years (DALYs) of 9,265.13 (in thousands). DALYs represent productive years lost due to premature death or disability to HIV/AIDS.

In 2010, India accounted for 11.4 per cent of DALY's global HIV/ AIDS. The 5 countries with the largest percentage of total global deaths from HIV/AIDS are South Africa (14.6%), India (11.4%), Nigeria (11.1%), Tanzania (5.7%), Mozambique (4.7%.)

HIV/AIDS is a formidable problem in India but no longer on the rise, showing a peak in mortality in 2007. Since 2007, HIV/AIDS deaths dropped by 8.7%.

Although HIV/AIDS is the 5th cause of disease burden in the world, it did not breach the top 10 causes of disease burden in India in 2010, said Prof Lalit Dandona, Research Professor at Public Health Foundation of India and Professor of Global Health at the University of Washington.

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Diarrhoea and ischemic heart disease accounted for 5.2% and 5.1% respectively of India's DALYs in 2010.

"While India has made advances in control of many infectious diseases and malnutrition over two decades, these remain significant contributors to the disease burden. On the other hand, the contribution of heart disease, major depression, obstructive lung disease, as well as road accidents, to the disease burden has increased over this period", Dandona said.

The overall annual death rate from AIDS has fallen by 21% since 2006, a recent study in Global Burden of Disease (GBD) series shows. The report says in 22% of the 182 countries with documented cases of AIDS, AIDS–related mortality and HIV–related disability are rising.In most cases, this is because countries still have low prevalence or in some cases, HIV arrived late.

In 2011, eight million HIV positive people received ARTs (a 20–fold increase since 2003), translating into 54% of all eligible in low and middle–income countries. Expansion of ART coverage is likely to have contributed to reversal of the global trend in HIV/AIDS mortality.

Indian Express
14 Sep 2013

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