The first three case of by 2003, the reported cumulative number of cases amounted to some 58,000. Of these, slightly more than 6,000 persons, 11 per cent, had died of AIDS (Table 6.1). The number presented in Table 6.1 reflects only those who have been reported. About 80 per cent of reported HIV/AIDS cases occur among those aged 20-39, the younger and potentially more productive segment of the nation’s population.
Table 6.1 (Cumulative Number of reported HIV and AIDS Cases, Malaysia, 1990 – 2003)
Table 6.1
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The detection of HIV infection in the country may be affected by the policy on HIV
Screening which requires testing for eight groups:
1. Women receiving antenatal care in government facilities, (private practitioners are encouraged to carry out HIV testing on the small proportion of antenatal patients using private facilities, but this is not a universal practice 2. Blood donors 3. Drug rehabilitation Centre’s (DRC) inmates 4. High-risk prison inmates (drug users, drug dealers, and sex workers); 5. Confirmed tuberculosis cases (TB) 6. Sexually transmitted disease (STD) cases 7. Patients with suspected clinical symptoms 8. Traced contacts of HIV infected persons *other 9. Premarital couples 10. 10. Migrant workers 11. 11. Participants of harm reduction programmed
Routine screening was implemented for selected target groups in 1989 and expanded over a period of time to cover the eight groups above. Moreover, there is an increase in the number of Centre’s providing avenues for voluntary counseling testing. The rise in number of AIDS deaths has been even more dramatic from 14 in 1990 to6, 130 in 2003 (Table 6.1). Based on the World Health Organization (WHO)classification, the record to date classifies Malaysia as a country experiencing a concentrated epidemic, since HIV prevalence has been less than 1 per cent among the general population, but consistently higher