Dr Shigeru Omi, World Health Organization Regional Director for the Western Pacific, has warned of the danger of HIV "bridging" into the general population from infected individuals with high-risk behaviour unless countries and areas in the Region act now to avoid a major HIV/AIDS epidemic.
WHO earlier cautioned that HIV/AIDS epidemics would likely continue to spread in countries in the Region unless prevention strategies were actively promoted and expanded in those with high-risk behaviour: injecting drug users, sex workers and men who have sex with men.
Addressing the 2004 Regional Committee for the Western Pacific, Dr Omi said, "The epidemic is still increasing in many countries. We are still not catching up with the epidemic despite success stories against HIV/AIDS epidemic in some countries in Asia, such as Cambodia and Thailand."
The Regional Committee, WHO's governing body in the Region, is meeting in Shanghai, China from 13 to 17 September to review WHO's work in the Region and to discuss future health directions. About 100 representatives, including several ministers of health from Member States in the Region, are attending the meeting.
"Most countries in the Region have low HIV prevalence but increasing HIV infections in sex workers and injecting drug users (IDUs)¯ coupled with high prevalence of sexually transmitted infections and high-risk sexual behaviour¯ implies a great potential of HIV spread to the general populations," Dr Omi warned.
He called on Member States to target evidence-based interventions in areas where HIV transmission is taking place and increase the coverage of these interventions. "Prevention strategies need to be actively promoted," Dr Omi said. "The ideal time for action is now to avoid a major epidemic."
At least 1.5 million people in the Region are living with HIV/AIDS. Surveillance data indicate that HIV infections in sex workers and injecting drug users are increasing in several countries. There is also evidence that the number of injecting drug users is increasing, and that they are engaging in risky sexual behaviour.
As HIV cases increase, so do AIDS cases, with patients requiring support from health systems. WHO warned that Member States need to take immediate action before health systems are pushed to the brink of collapse, and the epidemic undermines the economic, social and political gains of many countries in the Region.