§ Ms Roseanna CunninghamTo ask the Secretary of State for Scotland how many new HIV infections there have been among(a) intravenous drug users, (b) heterosexuals and (c) homosexuals in the age groups (1) 16 to 25, (2) 26 to 35, (3) 36 to 45, (4) 46 to 55 and (5) over 55s by health authority (i) each year since 1985 and (ii) in total; if he will list the year on year change in each group in percentage terms; and if he will make a statement about the Government's targeting of HIV-AIDS prevention materials. [9221]
§ Mr. Galbraith[holding answer Monday 21 July 1997]: Information about diagnosed HIV infections in Scotland is held in the transmission categories and age groups shown in table 1. Individuals often do not seek testing unless they believe themselves to be at risk or develop symptoms and hence reported HIV infections underestimate the true number of cases. In addition, these figures may be subject to under-reporting.
The figures are given on an all-Scotland basis because presenting data by health boards may threaten confidentiality in low prevalence areas. Table 2 shows the year on year change in each group in percentage terms.
The Government's targeting of HIV-AIDS prevention materials is in line with the UK health Departments' Strategy, "HIV and AIDS Health Promotion: An Evolving Strategy", November 1995. This emphasised the need for better targeting of vulnerable groups such as gay men, as well as the need to inform the general population about the continuing potential risks from HIV.
In Scotland, recent data indicate that new infections among gay men remain the highest of all transmission categories. In line with the strategy, The Scottish Office Department of Health is funding a project involving prevention work for gay men in Scotland. In addition to work aimed at the general population, The Health Education Authority carry out a limited amount of prevention work UK-wide targeted at gay and bisexual men. HIV-AIDS is one of the priority areas for the Health Education Board for Scotland; and its work at national level is complemented by the local activities of health boards.
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Table 1: HIV reports, Scotland by transmission category, age group at report, and year of report—1985 to 1996 Transmission category Age group 1985 1986 1987 1988 1989 1990 Injecting drug use 0–4 0 0 0 0 0 0 15–24 88 143 106 31 32 18 25–34 60 80 57 30 14 13 35–44 8 12 8 5 4 4 45–54 0 0 0 0 0 0 55+ 0 0 1 0 0 0 Not known 5 6 3 1 0 0 Total 161 241 175 67 50 35 Sexual intercourse between men and women 0–14 0 0 0 0 0 0 15–24 1 4 8 5 9 15 25–34 0 15 10 18 10 14 35–44 0 0 5 7 5 7 45–54 0 0 0 0 2 2 55+ 0 0 0 1 0 2 Not Known 0 1 1 0 0 0 Total 1 20 24 31 26 40 Sexual intercourse between men 0–14 0 0 0 0 0 0 15–24 19 23 19 14 7 7 25–34 33 31 26 22 24 26 35–44 14 11 16 8 10 20 45–54 6 6 4 3 5 3 55+ 1 1 1 0 2 1 Not known 1 2 1 0 0 0 Total 74 74 67 47 48 57 Other (e.g. blood transfusion, mother to child, undetermined) 0–14 15 3 7 0 3 3 15–24 5 4 1 2 2 0 25–34 4 4 2 3 2 5 35–44 5 1 1 1 2 0 45–54 1 1 1 0 1 0 55+ 1 1 1 0 1 0 Not known 1 1 1 0 0 0 Total 32 15 14 6 10 8 Total 0–14 15 3 7 0 3 3 15–24 113 174 134 52 50 40 25–34 97 130 95 73 50 58 35–44 27 24 30 21 21 31 45–54 7 7 5 3 7 5 55+ 2 2 3 1 3 3 Not known 7 10 6 1 0 0 Total 268 350 280 151 134 140
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Transmission category Age group 1991 1992 1993 1994 1995 1996 Totals 1985–96 Injecting drug use 0–14 0 0 0 0 0 0 0 15–24 12 14 16 2 3 1 466 25–34 31 19 34 14 18 21 391 35–44 6 6 5 9 6 5 78 45–54 1 0 1 1 0 3 6 55+ 0 0 0 0 0 0 1 Not known 0 0 0 0 0 0 15 Total 30 39 56 26 27 307 957 Sexual intercourse between men and women 0–14 0 0 0 0 0 0 0 15–24 8 13 7 7 0 8 85 25–34 19 23 24 25 22 21 201 35–44 8 4 6 2 25 14 83 45–54 4 4 3 2 7 4 28 55+ 3 2 1 3 3 1 16 Not known 0 0 0 0 0 0 2 Total 42 46 41 39 57 48 415
Transmission category Age group 1991 1992 1993 1994 1995 1996 Totals 1985–96 Sexual intercourse between men 0–14 0 0 0 0 0 0 0 15–24 10 3 10 8 5 12 137 25–34 23 29 38 37 40 31 360 35–44 19 18 20 25 28 26 215 45–54 9 7 5 8 6 12 74 55+ 3 4 1 3 1 3 21 Not known 0 0 0 0 0 0 4 Total 64 61 74 81 80 84 811 Other(e.g. blood transfusion, mother to child, undermined) 0–14 6 0 3 2 4 0 46 15–24 0 1 0 1 2 0 18 25–34 0 2 0 1 3 5 31 35–44 1 1 2 0 2 2 18 45–54 2 0 1 2 2 1 11 55+ 0 0 0 1 0 1 6 Not known 0 0 0 0 0 0 3 Total 9 4 6 7 13 9 133 Total 0–14 6 0 3 2 4 0 46 15–24 30 31 33 18 10 21 706 25–34 73 73 96 77 83 78 983 35–44 34 29 33 36 61 47 394 45–54 16 11 10 13 15 20 119 55+ 6 6 2 7 4 5 44 Not known 0 0 0 0 0 0 24 Total 165 150 177 153 177 171 2,316
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Table 2: Percentage change from previous year Transmission category Age group 1985 1986 1987 1988 1989 1990 Injecting drug use 0–14 — — — — — — 15–24 5 63 -26 -71 3 -44 25–34 107 33 -29 -47 -53 -7 35–44 60 50 -33 -38 -20 0 45–54 — — — — — — 55+ — — — -100 — — Not known 67 20 -50 -67 -100 — Total 33 50 -27 -62 -25 -30 Sexual intercourse between men and women 0–14 — — — — — — 15–24 -50 300 100 -38 80 67 25–34 -100 — -33 80 -44 40 35–44 — — — 40 -29 40 45–54 — — — — — 0 55+ — — — — -100 — Not known — — 0 100 — — Total -67 1,900 20 29 -16 54 Sexual intercourse between men 0–14 — — — — — — 15–24 533 21 -17 -26 -50 0 25–34 560 -6 -16 -15 9 8 35–44 1,300 -21 45 -50 25 100 45–54 500 0 -33 -25 67 -40 55+ — 0 0 -100 — -50 Not known — 100 -50 -100 — — Total 640 0 -9 -30 2 19 Other (e.g. blood transfusion, mother to child, undetermined) 0–14 400 -80 133 -100 — 0 15–24 67 -20 -75 100 0 -100 25–34 -43 0 -50 50 -33 150 35–44 -58 -80 0 0 100 -100 45–54 -67 0 0 -100 — — 55+ — 0 0 -100 — -100 Not known — 0 0 -100 — — Total 14 -53 -7 -57 67 -20
Table 2:Percentage change from previous year Transmission category Age group 1985 1986 1987 1988 1989 1990 Total 0–14 400 -80 133 -100 — 0 15–24 23 54 -23 -61 -4 -20 25–34 131 34 -27 -23 -32 16 35–44 50 -11 25 -30 0 48 45–54 75 0 -29 -40 133 -29 55+ — 0 50 -67 200 0 Nor known 133 43 -40 -83 -100 — Total 65 31 -28 -46 -11 4 Note:
A dash denotes that there were no cases reported during the previous year.
Source:
Scottish Centre for Infection and Environmental Health (as at 30 June 1997).
Transmission category Age group 1991 1992 1993 1994 1995 1996 Injecting drug use 0–14 — — — — — — 15–24 -33 17 14 -88 50 -67 25–34 138 -39 -79 -59 29 17 34–44 50 0 -17 80 -33 -17 45–54 — -100 — 0 -100 — 55+ — — — — — — Not known — — — — — — Total 43 -22 44 -54 4 11 Sexual intercourse between men and women 0–14 — — — — — — 15–24 -47 63 -48 0 -100 — 25–34 36 21 4 4 -12 -5 35–44 14 -50 50 -67 1,150 -44 45–54 100 0 -25 -33 250 -43 55+ 50 -33 -50 200 0 -67 Not known — — — — — — Total 5 10 -11 -5 46 -16 Sexual intercourse between men 0–14 — — — — — — 15–24 43 -70 233 -20 -38 140 25–34 -12 26 31 -3 8 -23 35–44 -5 -5 11 25 12 -7 45–54 200 -22 -29 60 -25 100 55+ 200 33 -75 200 -67 200 Not known — — — — — — Total 12 -5 21 9 -1 5 Other (e.g. blood transfusion, mother to child, undetermined) 0–14 100 -100 — -33 100 -100 15–24 — — -100 — 100 -100 25–34 -100 — -100 — 200 67 35–44 — 0 100 -100 — 0 45–54 — -100 — 100 0 -50 55+ — — — — -100 — Not known — — — — — — Total 13 -56 50 17 86 -31 Total 0–14 100 -100 — -33 100 -100 15–24 -25 3 6 -45 -44 110 25–34 20 0 32 -20 8 -6 35–44 10 -15 14 9 69 -23 45–54 220 -31 -9 30 15 33 55+ 100 0 -67 250 -43 25 Not known — — — — — — Total 18 -9 18 -14 16 -3 Note:
A dash denotes that there were no cases reported during the previous year.
Source:
Scottish Centre for Infection and Environmental Health (as at 30 June 1997).
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