中国疾控中心性病艾滋病防控中心内，工作人员正在通过HIV快速检测设备做检测。本报记者王海欣摄

The Chinese CDC venereal disease AIDS control and prevention in the center，Staff are through the HIV rapid detection equipment for testing。Our reporter WangHaiXin perturbation

　　

截至去年我国艾滋病感染者和患者78万 Up to last year our country people infected with HIV and 780000 patients

　　

老年男性艾滋病感染率骤升 Older men AIDS infection rates sharply

　　60岁以上男性、大学生和“洋媳妇（女婿）”造成的输入性感染比例增多，已经成为我国艾滋病感染人群多样化的风向标。昨天，记者从中国疾控中心性病艾滋病防控中心发布的《2011年中国艾滋病疫情估计》报告中了解到，截至2011年底，我国存活艾滋病病毒感染者和艾滋病病人预计在78万人，当年新发病毒感染者4.8万人，死于艾滋病相关疾病者达2.8万人。

Men over the age of 60、College students and“Ocean daughter-in-law（son-in-law）”The input caused by infection ratio increased，Already became our country AIDS infected people from diverse wind vane。yesterday，Reporters from the Chinese CDC venereal disease AIDS prevention and control center released《In 2011, China AIDS epidemic estimation》Report to know，By the end of 2011，Our country live AIDS virus infection and AIDS patient is expected to 780000 people，The new hair virus infected 48000 people，Died of AIDS related disease person amount to 28000 people。

　　报告显示，截至2011年底，我国存活的约78万艾滋病病毒感染者和艾滋病病人中，女性占28.6%；艾滋病病人15.4万，全人群感染率为0.058%。估计2011年当年新发艾滋病病毒感染者4.8万人，其中，异性传播占52.2%，同性传播占。

The report shows that，By the end of 2011，Live in China about 780000 HIV infections, and HIV/AIDS patients，Women accounted for 28.6%；154000 AIDS patients，The whole crowd infection rate was 0.058%。Estimates 2011 new cases of HIV infections in 48000，the，The opposite sex communication accounted for 52.2%，Gay propagation of。

　　就传播途径而言，在78万感染者和患者中，经异性传播占46.5%，经同性传播占17.4%，经注射吸毒传播占28.4%，经既往有偿采供血、输血或使用血制品传播占6.6%，经母婴传播占1.1%。

Just for transmission way，In 780000 people and patients，The opposite sex communication accounted for 46.5%，The gay propagation accounted for 17.4%，Transmission by illegal drug injection accounted for 28.4%，By always paid CaiGongXie、Blood transfusion or the use of adjuvant therapies propagation accounted for 6.6%，The mother-to-child transmission accounted for 1.1%。

　　性病艾滋病防控中心主任吴尊友表示，在我国，性传播已经成为艾滋病传播的主要途径，所占比例继续增高，报告病例经性传播（包括同性传播和异性传播）所占报告者比例已经从2006年的33.1%上升到2011年的76.3%。其中，同性传播比例则由2.5%增至13%。

Venereal disease AIDS prevention and control center director wu zun friend said，In our country，Sexually transmitted has become the main way to the spread of AIDS，The proportion of continue to increase，Case report the sexually transmitted（Including gay spread and spread the opposite sex）The proportion of reporter has risen from 33.1% in 2006 to 76.3% in 2011。the，Gay transmission ratio is from 2.5% to 13%。

　　

呈现特点 Present characteristics

　　

死亡人数呈上升趋势 The death toll is rising trend

　　吴尊友称，我国既往艾滋病病毒感染者陆续进入发病期，发病和死亡病例增加。

Wu zun friend says，Our country always AIDS virus infections in the period of disease in succession，Morbidity and mortality increased cases。

　　艾滋病疫情估计结果显示，2005至2011年存活的艾滋病病人数量逐年增加，4次疫情估计中艾滋病病人数分别为7.5万、8.5万、10.5万和15.4万人。随着艾滋病病人的增多，艾滋病相关死亡人数也呈上升趋势，近几年内，死亡人数分别为2.5万、2万、2.6万、2.8万（去年）。

AIDS epidemic estimation results show，From 2005 to 2011 the AIDS patients survival number increases year by year，Four outbreaks in the third AIDS estimated respectively for 75000、85000、10.5 and 154000 people。With the increase of AIDS patients，AIDS related death toll also shows ascendant trend，In recent years，The death toll is respectively 25000、20000、26000、28000（Last year）。

　　疫情估计结果显示，2011年存活的艾滋病感染者和病人仍在增加，与2009年相比，总数增加了4万人。其中，艾滋病病人由2009年的10.5万人上升至2011年的15.4万人。但新发艾滋病感染控制在较低水平，2007年为5万人，2009年和2011年均为4.8万人。

Epidemic estimation results show，2011 people infected with HIV and survival of patients is still in the increase，Compared with 2009，Total 40000。the，AIDS patients from 2009 in 105000 rose to 2011 in 154000。But new cases of HIV infection control in a relatively low level，2007 to 50000 people，In 2009 and in 2011 with the same recipe for 48000 people。

　　对此，吴尊友表示，晚发现、晚报告是导致死亡病例增多的主因，2011年死亡病例中，近半数是当年首次报告艾滋病感染。

this，Wu zun friend said，Night that、Late report is leading to death cases due to increased，2011 death cases，Nearly half of all is the first report of AIDS infection。

　　

6个省区疫情较严重 6 provinces more severe disease

　　吴尊友表示，在我国，艾滋病疫情仍呈低流行态势，但部分地区疫情严重。

Wu zun friend said，In our country，AIDS epidemic is still low popular trend，But parts of the serious disease。

　　截至2011年9月底，全国31个省、自治区和直辖市均有疫情报告，其中93%的区县报告了艾滋病感染者或病人，累计报告数排在前六位的分别是云南、广西、河南、四川、新疆和广东，报告人数占全国报告总数的75.8%。

By the end of 2011 the end of September，The national 31 provinces、Autonomous regions and municipalities directly under the central government have the epidemic situation report，93% of the districts and counties reported people infected with HIV or patient，Total number of report the top six respectively is yunnan、guangxi、henan、sichuan、Xinjiang and guangdong，The report of the national report the number of 75.8% of the total。

　　全国范围内，艾滋病感染者和患者估计数超过5万人的省份有5个，占全国估计总数的六成，低于5000人的省份有12个。

A nationwide，People infected with HIV and more than 50000 people estimate patients provinces have five，Accounts for the estimated sixty percent of the total，Under 5000 provinces have 12。

　　其中，就2011年艾滋病感染者和患者的分布地区而言，云南、新疆、广西、广东、四川和贵州6个省（自治区）注射吸毒传播导致感染的估计数之和，占全国该人群估计数的87.2%。同时，异性传播多分布在艾滋病流行较为严重的省份，同性传播多分布在大中城市以及流动人口集中的地区。

the，In 2011 alone people infected with HIV and the distribution of patients for areas，yunnan、xinjiang、guangxi、guangdong、Six provinces of sichuan and guizhou（Autonomous region）Drug injection propagation lead to infection of the sum of estimate，The population of the estimate of 87.2%。At the same time，The opposite sex communication much distribution in the HIV/AIDS epidemic serious provinces，Gay spread much distribution on the large and middle cities and floating population centralized area。

　　

老年男性感染率上升 Older men infection rates rise

　　吴尊友说，2005年到2010年，60岁以上男性新报告艾滋病病毒感染者和病人的数量明显上升，2005年，男性艾滋病病毒感染者只占2.2%，到2010年，这一比例达到8.9%；2005年，60岁以上男性新发病人只占5.4%，到2010年达到11%。

Wu zun friend said，From 2005 to 2010，Men over 60 new report of AIDS virus infection and the number of patients increased dramatically，In 2005,，Men of AIDS virus infection only 2.2%，By 2010，This ratio reached 8.9%；In 2005,，Men over 60 new cases are only 5.4%，To reach 11% by 2010。

　　为什么这一人群的比例会上升？专家分析，主要是“闲的”。很多60岁以上的男性退休没事干且还有性需求，而他们的伴侣在60岁之后性需求明显降低，这些人外出寻求刺激又不注重“保护”。在进行健康宣教时，这一群体也比较“顽固”，很多人抱着得了艾滋病还有10年潜伏期的观念，对艾滋病的危害满不在乎。

Why this population proportion will rise？Expert analysis，Is mainly“idle”。Many men over the age of 60 and have nothing to do retirement sexual needs，And their partner before the age of sixty sexual demand significantly，These people go out seeking stimulation and does not pay attention to“protection”。In the health education，This group is“stubborn”，Many people hold AIDS and 10 years the concept of incubation period，The harm of AIDS care。

　　报告为学生的艾滋病感染者和病人数占当年病例报告总数的比例，由2006年的0.96%上升至2011年1至9月的1.64%，20至24年龄组所占比例上升明显，由20.3%增至49%，同性传播致感染比例超过半数，而5年前这个比例仅为8%。

The report for students' people infected with HIV and the third year accounted for of the total number of case report，From 2006 years of increasing from 0.96% in 2011 to 1.64% of the 1 to September，Age 20 to 24 proportion rise significantly，To 49% from 20.3%，Gay spread the infection rates more than half，And five years ago the ratio is only 8%。

　　此外，在山东、山西、吉林等地均发现了由“洋媳妇（女婿）”这类输入性病例造成配偶间的性传播以及经母婴传播感染艾滋病的报告。

In addition，In shandong、shanxi、Jilin, etc are found by“Ocean daughter-in-law（son-in-law）”This kind of input cased cause between the spouse sexually transmitted and the mother-to-child transmission of HIV/AIDS infection report。

　　

面临形势 Facing the situation

　　

三类危险因素仍广泛存在 Three kinds of risk factors still exist widely

　　吴尊友说，我国艾滋病防控形势依然面临着严峻挑战，我国将不断提高艾滋病防治的工作水平和实际效果。到2015年底，要实现艾滋病新发感染数减少25%，艾滋病病死率下降30%的目标。

Wu zun friend said，HIV/AIDS prevention and control in our country is still facing the situation of severe challenges，China will continue to improve the prevention and control of HIV/AIDS work level and actual effect。By the end of 2015，To realize the AIDS new infections number decreased by 25%，AIDS case fatality rate fell by 30% target。

　　他表示，艾滋病检测资料显示，我国艾滋病流行的危险因素仍广泛存在：25%的注射吸毒者仍共用注射器；有32%的暗娼不能坚持每次使用安全套；87%的男男性行为者最近6个月与多个同性性伴发生性行为。同时，虽然注射吸毒的情况有所遏制，但使用新型毒品的现象愈显流行，多性伴现象仍在蔓延。

He said，AIDS detection data shows，Our country the HIV/AIDS epidemic risk factors still exist widely：25% of the injection drug users are still common syringe；32% of the demimondaine cannot insist on each condom use；87% of the male actors for the last 6 months and many gay sex sex partners。At the same time，Although the situation of drug injection on the brakes，But use new-type drug phenomenon more sensible pop，More sexual partners phenomenon is still in the spread。

　　吴尊友介绍，为了切实做到早发现、早治疗，我国自去年起启用“天气预报法”，即根据艾滋病疫情形势，给各地区设定一个当年发现艾滋病感染者和病人的预计数字，到年底对各地进行考核。

Wu zun friend introduced，In order to make sure that early detection、Early treatment，Enable our country since last year“The weather forecast method”，According to the epidemic situation，Give each district set a when found that people infected with HIV and the patient's expected digital，By the end of the year for the different evaluation。

　　吴尊友称，下一步，我国将在重点地区、重点人群中加强各项防艾措施，进一步扩大艾滋病相关人群的检测面，以最大限度早发现感染者和病人，减少二代传播；同时，进一步加强艾滋病感染者和病人及时就诊和有效治疗，减少艾滋病死亡。将扩大艾滋病健康教育的覆盖面，加强行为干预，减少社会歧视，降低艾滋病危害。

Wu zun friend says，The next step，Our country will be in the key areas、Focus on strengthening the crowd AIDS measures，To further expand the HIV/AIDS related testing surface，To the largest extent early found that infected people and patients，Reduce the second generation communication；At the same time，Further strengthen people infected with HIV and patient timely and effective treatment in clinic，Reduce died of AIDS。Will expand the coverage of the HIV/AIDS health education，Strengthen the behavior intervention，Reduce social discrimination，Reduce the harm of HIV/AIDS。

　　

热点回应 Hot response

　　

全球基金撤出后经费缺口财政补 The global fund after withdraw funds gap financial complement

　　2011年，全球基金因认为中国全球基金艾滋病项目的实施过程中，社会组织参与程度不足，并且存在财务管理问题，陆续暂停了对中国艾滋病、疟疾和结核病的数亿美元的资助资金。

In 2011,，The global fund for think that China's global fund AIDS project implementation process，Social organizations to participate in insufficient degree，And existing problem of financial management，Has suspended the HIV/AIDS in China、Malaria and tuberculosis of the hundreds of millions of dollars of funds。

　　据测算，按照项目二期原计划，我国上述三病种防治项目涉及资金总额为44.4亿元，其中艾滋病项目17亿元，结核病项目20.5亿元，疟疾项目6.9亿元。

According to the calculation，The second phase of the project in accordance with the original plan，Our country the above three diseases prevention and control project involves the total amount of funds for 4.44 billion yuan，The AIDS project 1.7 billion yuan，TB project 2.05 billion yuan，Malaria project 690 million yuan。

　　吴尊友表示，我国是全球使用全球基金表现最好的几个国家之一，去年我国卫生部门曾就此事和全球基金进行过多次沟通，但全球基金撤出中国更多是政治方面的因素，全球经济也不是很乐观。他表示，全球基金撤出对我国防艾工作的影响不大。

Wu zun friend said，Our country is the global use of global fund performance of the best one of the several countries，Last year our country health departments have the matter and the global fund many times communication，But the global fund out of China is more political factors，The global economy is not very optimistic。He said，The global fund to withdraw my defense ai work of influence is not big。

　　“在过去几年国际合作项目对中国的支持，经费的支持是一个方面，另外一方面更多是一些防治理念、防治策略思想的引进和影响，这些方面对中国艾滋病的影响应该说是双重的。”对于全球基金撤出导致的防艾经费缺口，吴尊友表示，财政部已承诺会补上。

“In the past few years international cooperation project on China's support，Funds support is an aspect，On the other hand is more some control concept、Control strategy thought introduction and influence，The impact of HIV/AIDS in China should say is double。”For the global fund out of lead to AIDS funding gap，Wu zun friend said，The ministry of finance has promised to catch up on。

　　

数说防艾 Chatter AIDS

　　12万2082个县开展抗病毒治疗，累计治疗成人和儿童155530人，正在治疗126448人。

120000 counties in antiviral treatment，Accumulated treatment of adults and children 155530 people，Is treating 126448 people。

　　34.4万截至2011年底开设738个美沙酮门诊，累计覆盖34.4万吸毒人群，2011年治疗20.13万人。

344000 by the end of 2011 to open 738 methadone clinics，Accumulated covering 344000 drug users，2011 years of treatment in 201300。

　　41.8吨2004-2010年美沙酮治疗吸毒者295182

41.8 tons of 2004-2010 methadone treatment 295182 drug addicts

　　人，以最小值2.07/100人每年算美沙酮减少HIV感染约7000人，减少海洛因消耗约41.8吨，减少毒品交易约258.1亿元人民币。（记者李秋萌）

people，With the minimum value each year 2.07/100 calculate methadone reduce HIV infection of about 7000 people，Reduce heroin consumption about 41.8 tons，Reduce the drug trade about 25.81 billion yuan RMB。（Reporter LiQiuMeng）