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Positive HIV tests and AIDS diagnoses by year

Year AIDS diagnoses Positive HIV test reports
Adult male Adult female Total, all ages* Adult male Adult female Total, all ages**
Until end 1994† 12216 829 13192 25840 2791 33002
1995 1494 130 1653 2267 528 2994
1996 1021 145 1183 2055 537 2792
1997 613 104 732 1863 484 2517
1998 535 99 641 1690 469 2335
1999 440 84 533 1600 515 2234
2000 403 55 468 1538 484 2112
2001 326 60 390 1586 522 2181
2002 303 54 363 1810 619 2495
2003 184 62 249 1823 629 2499
June 2004 50 13 64 975 354 1362
Total 17585 1635 19468 43047 7932 56523
* Includes 18 AIDS cases for which gender was not reported or was reported as transgender
** Includes 2,701 positive HIV test reports for which gender was not reported or was reported as transgender
†AIDS reporting began in 1979; HIV reporting began in 1985; annual data are not available for positive HIV test reports prior to 1995 for all jurisdictions.

Trends in HIV diagnoses

The number of positive HIV test results increased between 2000 and 2003, following a steady decline since 1995. This rise may be partly due to recent changes in immigration policies which were introduced in 2002. HIV tests are now part of the routine assessment for immigrants and most provinces and territories include these results in their reports.

Women have accounted for around a quarter of adult HIV diagnoses reported with known gender in each year since 2000. This proportion has more than doubled from 12% in the period 1985-97.

When interpreting HIV test reports, it is important to note that there may be a "reporting delay" between the time when a person tests positive for HIV and the time when the report is received by the Centre for Infectious Disease Prevention and Control (CIDPC). The statistics for recent years are likely to rise as more reports are received. Even if adjustment is made for reporting delays, the statistics still include only those people who have come forward to be tested for HIV. Willingness to be tested may vary between different groups of people.

Trends in AIDS diagnoses

Since the beginning of the epidemic in the early 1980s, there have been 19,468 AIDS diagnoses reported to CIDPC. The number of annual diagnoses reached a peak in the mid 1990s and has since declined. A major factor in the initial drop was the delayed or prevented onset of AIDS due to highly active antiretroviral therapy (HAART). Use of these drugs has become widespread since 1996.

After steep falls between 1995 and 1997, a more gradual decline in the number of diagnoses continued until 2000. In the analysis of recent years, allowance should be made for delays in reporting. According to CIDPC estimates - which are adjusted for such delays - the numbers appear to have stabilized.1 Reasons for this trend remain unclear but possible issues include the development of resistance to antiretrovirals and the uncertain duration of the drug effect.

Females accounted for 7% of AIDS cases reported with known gender in the period 1979-94; in 2003 this figure was 25%.

AIDS cases by ethnic status and year of diagnosis

Ethnic status 2001 2002 2003 June
2004
Total
Aboriginal 20 38 30 7 532
South Asian/
West Asian/Arab
10 7 10 0 175
Asian 12 10 6 2 265
Black 53 49 43 11 1612
Latin American 10 9 6 0 280
White 231 183 112 15 14070
Other 4 5 1 2 126
Not reported 50 62 41 27 2408
Total 390 363 249 64 19468

The proportion of AIDS cases with known ethnicity reported by white people declined from 91.1% in 1988 to 53.8% in 2003. In the same period, there were increases in the proportions attributed to aboriginal and black people. These two groups are now highly overrepresented.

In the 2001 census, aboriginal and black people accounted for 3.3% and 2.2% of Canada’s population respectively. In the same year, these groups respectively reported 5.9% and 15.6% of AIDS cases with known ethnicity. In 2003, these proportions were 14.4% for aboriginal people and 20.7% for black people.

The relative size of exposure categories varies significantly between ethnic groups. Injecting drug use is a major route of transmission of infection in aboriginal communities. Among black people, most infections are probably acquired through heterosexual contact.

Positive HIV tests and AIDS diagnoses by age group, until end of June 2004

Age group AIDS diagnoses Positive HIV test reports
Male Female Total* Male Female Total*
Under 15 120 106 226 395 273 687
15-19 52 13 65 399 299 766
20-24 464 109 573 9972 2671 13663
25-29 2159 296 2455
30-34 3881 399 4281 17180 2943 21456
35-39 3922 278 4205
40-44 3045 221 3271 9118 1165 10897
45-49 1978 112 2095
50-54 1005 55 1062 3655 527 4433
55-59 562 58 620
60 or older 517 94 611
Total** 17709 1741 19468 45439 8383 56523
* Includes reports for which gender was not reported or was reported as transgender
** Includes 4 AIDS cases and 2,701 positive HIV test reports for which age group was not reported

In recent years the most notable trend in AIDS diagnoses across age groups has been the increase among young women. Prior to 1994, females represented 9.8% of all AIDS diagnoses in the age group 15-29; in 2003 this proportion was 41.0%.

In 2003, women accounted for 42.5% of positive HIV test reports in the age group 15-29.

 

Notes

AVERT.org also has a Canada statistics summary, statistics for other countries, and a guide to understanding the statistics.

Sources:

  • Public Health Agency of Canada. HIV and AIDS in Canada. Surveillance report to June 30, 2004. Surveillance and Risk Assessment Division, Centre for Infectious Disease Prevention and Control, Health Canada, November 2004.
  • Health Canada. HIV/AIDS EPI Updates, May 2004, Surveillance and Risk Assessment Division, Centre for Infectious Disease Prevention and Control, Health Canada, 2004.

References:

  • 1 Public Health Agency of Canada. HIV and AIDS in Canada. Surveillance report to December 31, 2003. Surveillance and Risk Assessment Division, Centre for Infectious Disease Prevention and Control, Health Canada, April 2004.

Last updated January 21, 2005

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