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Explore this page to find out more about the people most affected by HIV in Latin America and Caribbean, testing and counselling, prevention programmes, antiretroviral treatment availability, barriers to the response, funding and the future of HIV in Latin America and Caribbean.

An estimated 2.2 million people were living with HIV in Latin America and the Caribbean in 2018 (1.9 million in Latin America and 340,000 in the Caribbean).

Plus, people don’t want to be recognised [as homosexual].

17 Transgender women are highly affected by HIV in Latin America and the Caribbean.

HIV prevalence among this group is thought to be 49 times higher than among the general population.18 In countries where data is collected on this key population, transgender women experience have some of the highest HIV prevalence.

In Latin America, recorded prevalence is lowest in El Salvador at 7.4% and highest in Ecuador at 35%.

However, little progress has been made on slowing the rate of new infections in the last decade, which overall have fallen by just 1% between 20, and new infections among young people within key populations are on the rise.

However, AIDS-related deaths over the same period have fallen by 12%.2 In 2018, 80% of people living with HIV in Latin America were aware of their HIV status.

However, the election of Jair Bolsonaro of the Social Liberal Party (PSL) as president in October 2018 could significantly reverse the progress made on HIV in Brazil and possibly the wider region, as well as deny human rights for many vulnerable populations.

Young people are also disproportionately affected by HIV in the region.

In 2017, gay men and other men who have sex with men accounted for 41% of HIV infections in Latin America, and key populations and their sexual partners represented more than three quarters of new infections overall.8 In the Caribbean, gay men and other men who have sex with men accounted for nearly a quarter of new infections in 2017.

Large numbers of men who have sex with men also have sex with women, forming a 'bridge' population.15 16 As one civil society worker explains, men who have sex with men are often hesitant to reveal how they became infected with HIV.

Many are mistakenly classed as heterosexual: Unless he’s a total queen, a man will always be [counted as] heterosexual.

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3 There has been moderate progress made on both prevention and treatment in the Caribbean.

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