• For Public
  • For Healthcare Professionals

UPDATE ON THE HIV/AIDS SITUATION IN SINGAPORE 2017 (JUNE 2018)

16 Jul 2018

UPDATE ON THE HIV/AIDS SITUATION IN SINGAPORE 2017 (JUNE 2018) 

There were 434 new cases of human immunodeficiency virus (HIV) infections reported among Singapore residents[1] in 2017. This brings the total number of HIV-infected Singapore residents to 7,982 as of end 2017, of whom 1,960 had passed away. The number of new HIV cases among Singapore residents has remained consistent at about 450 per year since 2008.

2.    Of the 434 cases, 94% were male and 71% were between 20 to 49 years old. About 41% had late-stage HIV infection[2]when they were diagnosed.

3.    Sexual intercourse remains the main mode of HIV transmission. 96% (417 out of 434) of the cases acquired the infection through sexual intercourse. Heterosexual transmission accounted for 36% of all cases, while 50% were from homosexual transmission and 10% from bisexual transmission. (Please refer to the Annex for details.)

4.    45% of the newly reported cases were detected in the course of medical care provision[3]. Such cases are typically at the late stage of HIV infection. Another 27% were detected during routine programmatic HIV screening[4] and 23% were detected from self-initiated HIV screening i.e. voluntary screening. Cases detected via voluntary screening are more likely to be at the early stage of infection. When differentiated by sexual transmission, a higher proportion of homosexuals and bisexuals (33%) had their HIV infection detected via voluntary screening compared to heterosexuals (8%).

Public Advisory

5.    The most effective way to prevent HIV infection is to remain faithful to one’s spouse/ partner and to avoid casual sex, or sex with sex workers. Persons engaging in high-risk sexual behaviour, such as having multiple sexual partners or engaging in casual or commercial sex, are strongly advised to use condoms to reduce their risk of HIV infection. Condoms should be used consistently and correctly during every sexual encounter.

6.    The Ministry of Health and the Health Promotion Board (HPB) urge individuals who engage in high-risk sexual behaviour to go for early and regular HIV testing. With early diagnosis, an infected person can be treated earlier, and receive counselling on how to protect their partners from infection.  Early treatment and care can delay the onset of Acquired Immune Deficiency Syndrome (AIDS) and allows the infected individual to live a productive life. Early treatment also helps reduce HIV spread in the community.

7.    HPB has been working with partner organisations to conduct programmes and campaigns targeted at high-risk individuals to urge them to go for regular HIV testing. HPB’s partners conduct various educational outreach programmes on HIV prevention and management using a lifestyle approach. These programmes reach out to at-risk individuals through social settings to encourage them to take protective measures and to go for early and regular HIV testing.

8.    More information about HIV and AIDS can be found at www.healthhub.sg

ANNEX  

TABLE 1

NUMBER OF SINGAPORE RESIDENTS REPORTED WITH HIV /AIDS

(1985 – 2017)  

Year

HIV/AIDS

Male

Female

Total

Rate*

1985

2

0

2

0.8

1986

6

1

7

2.8

1987

10

0

10

3.9

1988

15

0

15

5.8

1989

9

1

10

3.8

1990

17

0

17

6.2

1991

39

3

42

15

1992

49

6

55

19.3

1993

58

6

64

22

1994

76

10

86

29.1

1995

102

9

111

36.8

1996

123

16

139

45.3

1997

157

16

173

55.4

1998

167

32

199

62.6

1999

171

35

206

63.8

2000

193

33

226

69

2001

204

33

237

71.3

2002

206

28

234

69.2

2003

212

30

242

71.9

2004

290

21

311

91.1

2005

287

30

317

91.4

2006

327

32

359

101.8

2007

392

31

423

118.1

2008

426

30

456

125.2

2009

418

45

463

124

2010

403

38

441

116.9

2011

430

31

461

121.7

2012

437

32

469

122.8

2013

428

26

454

118.1

2014

422

34

456

117.81

2015

423

32

455

116.6

2016

2017

380

408

28

26

408

434

103.7

109.4

Total

7287

695

7982

-

* per million resident population.

                        

TABLE 2

DISTRIBUTION OF HIV/AIDS - INFECTED SINGAPORE RESIDENTS

BY MODES OF TRANSMISSION

(1985 – 2017)  

Mode of Transmission

1985 - 2010

2011

2012

2013

2014

2015

2016

2017

Total

Sexual Transmission

 

 

 

 

 

 

 

 

 

Heterosexual

3130

210

220

188

217

171

148

155

4439

Homosexual

1098

195

210

210

181

232

213

218

2557

Bisexual

339

42

27

38

42

35

28

44

595

Intravenous drug use

105

4

2

4

1

4

4

0

124

Blood Transfusion

3

0

0

0

0

0

0

0

3

Renal Transplant overseas

5

0

0

0

0

0

0

0

5

Perinatal (mother to child)

31

0

0

0

0

0

2*

1*

34

Uncertain/Others

134

10

10

14

15

13

13

16

225

Total

4845

461

469

454

456

455

408

434

7982

*Transmission occurred overseas

 

 

HIV/AIDS - INFECTED SINGAPORE RESIDENTS

BY MARITAL STATUS AND SEX

(1985 – 2017)  

Marital status

1985 - 2010

2011

2012

2013

2014

2015

2016

2017

Total

Male

 

 

 

 

 

 

 

 

 

 

Single

2671

300

295

292

287

321

282

316

4764

 

Married

1204

101

102

92

102

64

68

65

1798

 

Divorced/Separated

399

26

31

38

27

29

24

23

597

 

Widowed

85

3

9

6

6

9

6

4

128

 

Total

4359

430

437

428

422

423

380

408

7287

Female

 

 

Single

94

8

7

8

4

5

1

7

134

 

Married

288

14

13

14

22

18

16

11

396

 

Divorced/Separated

67

6

10

3

6

9

9

7

117

 

Widowed

37

3

2

1

2

0

2

1

48

 

Total

486

31

32

26

34

32

28

26

695

Total

 

 

Single

2765

308

302

300

291

326

283

323

4898

 

Married

1492

115

115

106

124

82

84

76

2194

 

Divorced/Separated

466

32

41

41

33

38

33

30

714

 

Widowed

122

6

11

7

8

9

8

5

176

 

Total

4845

461

469

454

456

455

408

434

7982

 

TABLE 4

HIV/AIDS - INFECTED SINGAPORE RESIDENTS BY ETHNIC GROUP

(1985 – 2017)  

Ethnic Group

1985 - 2010

2011

2012

2013

2014

2015

2016

2017

Total

Chinese

3935

355

356

323

301

340

275

299

6184

Malay

551

77

80

94

90

72

88

82

1134

Indian

216

24

22

22

41

22

29

27

403

Others

143

5

11

15

24

21

16

26

261

Total

4845

461

469

454

456

455

408

434

7982

 

TABLE 5

HIV/AIDS - INFECTED MALE SINGAPORE RESIDENTS BY AGE AND MODES OF TRANSMISSION (1985 – 2017)  

Age group

1986 - 2010

2011

2012

2013

2014

2015

2016

2017

Total

Male

Heterosexual

 

 

 

 

 

 

 

 

 

15 – 19

6

0

0

0

1

1

0

1

9

20 – 29

258

12

15

14

15

13

10

17

354

30 – 39

696

28

25

23

29

25

17

19

862

40 – 49

800

48

42

36

50

41

30

31

1078

50 – 59

535

48

68

52

49

34

41

38

865

 

60 & above

394

45

39

38

39

30

23

26

634

 

Total

2689

181

189

163

183

144

121

132

3802

Homosexual/Bisexual

 

 

 

 

 

 

 

 

15 – 19

28

3

9

1

5

4

2

4

56

20 – 29

376

73

72

70

61

80

82

77

891

30 – 39

600

86

81

77

75

93

67

75

1154

40 – 49

333

52

58

66

50

56

60

62

737

50 – 59

79

18

12

31

28

29

25

38

260

 

60 & above

13

5

4

3

4

5

5

5

44

 

Total

1429

237

236

248

223

267

241

261

3142

Others

 

 

 

 

 

 

 

 

0 – 14

17

0

0

0

0

0

2

0

19

15 –19

5

1

1

1

0

0

1

2

11

20 –29

29

1

2

2

6

2

1

1

44

30 –39

81

2

2

2

4

2

3

3

99

40 –49

68

1

3

6

1

3

5

5

92

50 –59

30

7

2

3

3

4

4

3

56

 

60 & above

11

0

2

3

2

1

2

1

22

 

Total

241

12

12

17

16

12

18

15

343

Total

 

 

 

 

 

 

 

 

0 – 14

17

0

0

0

0

0

2

0

19

15 – 19

39

4

10

2

6

5

3

7

76

20 – 29

663

86

89

86

82

95

93

95

1289

30 – 39

1377

116

108

102

108

120

87

97

2115

40 – 49

1201

101

103

108

101

100

95

98

1907

50 – 59

644

73

82

86

80

67

70

79

1181

 

60 & above

418

50

45

44

45

36

30

32

700

 

 

Total

4359

430

437

428

422

423

380

408

7287

 

TABLE 6

HIV/AIDS - INFECTED FEMALE SINGAPORE RESIDENTS BY AGE AND MODES OF TRANSMISSION (1985 – 2017)  

Age group

1985-2010

2011

2012

2013

2014

2015

2016

2017

Total

Female

Sexual

 

 

 

 

 

 

 

 

 

15 – 19

9

0

1

1

1

0

0

0

12

20 – 29

131

6

3

5

2

2

5

7

161

30 – 39

126

7

4

8

8

8

3

3

167

40 – 49

88

4

8

5

9

9

7

6

136

50 – 59

63

5

12

4

9

7

8

5

113

 

60& above

32

7

4

2

5

3

4

3

60

 

Total

449

29

32

25

34

29

27

24

649

Others

 

 

 

 

 

 

 

 

 

0 – 14

15

0

0

0

0

0

0

0

15

15 –19

0

0

0

0

0

0

0

1

1

20 –29

6

0

0

0

0

0

0

0

6

30 –39

7

1

0

0

0

1

1

0

10

40 –49

6

1

0

1

0

1

0

0

9

50 –59

1

0

0

0

0

1

0

0

2

 

60 & above

2

0

0

0

0

0

0

1

3

 

Total

37

2

0

1

0

3

1

2

46

Total

 

 

 

 

 

 

 

 

0 – 14

15

0

0

0

0

0

0

0

15

15 – 19

9

0

1

1

1

0

0

1

13

20 – 29

137

6

3

5

2

2

5

7

167

30 – 39

133

8

4

8

8

9

4

3

177

40 – 49

94

5

8

6

9

10

7

6

145

50 – 59

64

5

12

4

9

8

8

5

115

 

60 & above

34

7

4

2

5

3

4

4

63

 

Total

486

31

32

26

34

32

28

26

695

 

[1] Singapore citizens and permanent residents 

[2] CD4+ cell count of less than 200 per cu mm or AIDS-defining opportunistic infections or both 

[3] Includes cases that presented with HIV-specific symptoms and cases with non-HIV related medical conditions  

[4] Includes screening programmes for individuals with sexually transmitted infections, hospital inpatients and those identified through contact tracing