# Around half of new HIV infections are in people

Around half of new HIV infections are in people aged 15 to 24, the range in which most people start their sexual lives. In 1998, nearly three million young people became infected with the virus, equivalent to more than five young men and women every minute of the day, every day of the year.

By the same token, one-tenth of newly infected people were under age 15, which brings the number of children now alive with HIV to 1.2 million. Most of them are thought to have acquired their infection from their mother before or at birth, or through breastfeeding.

Africa, the global epicenter of the epidemic, continues to dwarf the rest of the world on the AIDS balance sheet. On the continent today, 21.5 million adults and a further one million children are living with HIV . In 1998 alone, AIDS will have caused an estimated two million African deaths—5,500 funerals a day. In addition, at least 95 percent of all AIDS orphans have been African.

Sub-Saharan Africa is the hardest hit (see chart). In 1998, 70 percent of all people who became infected with HIV, and 80 percent of those who died of AIDS, came from this region, even though only a tenth of the world's population lives in Africa south of the Sahara.

In North America and Western Europe, new combinations of anti-HIV drugs continue to reduce AIDS deaths significantly. In 1997, for example, the death rate for AIDS in the United States was the lowest in a decade—almost two-thirds below rates recorded just two years earlier. But since new infections continue to occur while antiretroviral drug cocktails keep already infected people alive, the proportion of the population living with HIV has actually grown.

During 1998, North America and Western Europe recorded no progress in reducing the number of new infections. During 1998 alone, nearly 75,000 people became infected with HIV, bringing the total number of North Americans and Western Europeans living with HIV to almost 1.4 million.