HIV: surveillance, data and management
The surveillance and epidemiology of human immunodeficiency virus (HIV).
HIV is associated with significant mortality, serious morbidity and high costs of treatment and care. Around 100,000 people are living with HIV infection (diagnosed and undiagnosed) in the UK.
The infection is still frequently regarded as stigmatising and has a prolonged ‘silent’ period during which it often remains undiagnosed.
Anti-retroviral therapy (ART) has resulted in substantial reductions in acquired immunodeficiency syndrome (AIDS) and deaths in the UK.
People diagnosed promptly with HIV and started ART early can expect near normal life expectancy. Challenges remain, with high rates of late HIV diagnoses and an ageing population.
Further information on HIV is available on NHS.UK.
Data collection
The UK Health Security Agency (UKHSA) runs a number of HIV surveillance systems.
Epidemiology
National HIV prevention programme
UKHSA’s national HIV prevention programme comprises action to prevent HIV infection and transmission, through education and information, promoting safer sexual behaviour, facilitating access to HIV testing, increasing early diagnosis and treatment, and a pre-exposure prophylaxis (PrEP). The programme includes the following:
National reports
Regional reports
Management
There are a number of guidance documents relating to clinical care of those living with HIV:
British HIV Association (BHIVA) guidelines for the management of HIV infection
UK National Guidelines for HIV testing (BHIVA)
Standards of care for people living with HIV in 2013 (BHIVA)
UK Advisory Panel for Healthcare Workers Infected with Bloodborne Viruses (UKAP)
Updates to this page
Published 31 July 2014Last updated 12 January 2024 + show all updates
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Added 'HIV: positive voices survey' and 'HIV Action Plan monitoring and evaluation framework'.
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Added 'Sentinel surveillance of blood borne virus testing in England 2019'.
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Added link to the 'HIV: women in the UK' report under the national reports section.
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Added 'Annual Epidemiological Spotlight on HIV in the West Midlands: 2017 data'.
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New document added to collection: East Midlands HIV Spotlight report.
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Added 'National HIV self-sampling service' to the 'National HIV prevention programme' section.
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New report page added to collection: HIV: North East annual data spotlight
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Added ‘Sexual and reproductive health: Spend and Outcome Tool (SPOT)’ guidance under ‘Data collection’ section.
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Added 'HIV: North West annual data spotlight' under research and analysis.
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Added 'HIV: East of England annual data spotlight' under research and analysis section.
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Added 'HIV: South West annual data spotlight'.
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Added 2015 London data spotlight report.
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Added link to the ‘HIV testing in England: 2016 report’.
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Added HIV in South East England 2014 epidemiology spotlight.
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Added the guidance 'Sexual and reproductive health in England: a guide to local and national data'.
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First published.