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HIV rises in China, India

November 28, 2004

The massive populations of China and India are sitting on potential HIV timebombs.

While Africa is still acknowledged as the world's HIV/AIDS crisis zone, Asia is gaining ground, recording the steepest rises in HIV infection over the last two years.

The Australian government is taking the threat seriously, boosting its commitment to the regional fight against HIV/AIDS by $350 million, taking funding for a six-year program to combat the disease to $600 million.

As the globe gears up for World AIDS Day on Wednesday, the United States is warning of the importance of remembering the HIV/AIDS problem extends beyond Africa.

Randall Tobias, the US government's global AIDS coordinator, said India and China were on the verge of an explosion in HIV infections.

"It's very important that the world's attention not be directed solely at Africa, where the problem has been so great, but also directed to Asia and the rest of the world," he said.

"Many experts in the field believe India and China (are) among two of the countries in the world that are on the verge of explosive expansions (in infections)."

With populations in excess of one billion in both China and India, even relatively low infection rates could result in large numbers of people with the disease.

Mr Tobias said India had an infection rate of 0.8 per cent, which totalled about five million HIV infections. By comparison, the worst HIV infection rate in the world was in South Africa, but with its smaller population, it also had around about five million infections.

A report this week from the World Health Organisation and UNAIDS backs warnings about the growing threat of HIV/AIDS in Asia.

"The populations of many Asian nations are so large that even low national HIV prevalence means large numbers of people are living with HIV," the report said.

The report noted the spread of HIV to all of China's 31 provinces, with infections primarily occurring in injecting drug users and to a lesser extent sex workers and their clients.

Strategies to prevent the disease in China were insufficient, for example few Chinese brothels kept condoms on their premises.

"China can still shape the course of its epidemic but it needs to move swiftly and with great resolve," the report said.

Paid sex and injecting drug use were behaviours aiding the spread of HIV through India, as well as a significant level of bisexuality throughout the country.

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