BBC - Friday, 28 January, 2000

The number of diagnoses of heterosexually-acquired HIV - 1,070 - in 1999 was higher than the 989 infections acquired through sex between men.

The decline in people dying from HIV and Aids in the UK appears to have stopped, triggering warnings against complacency from Aids charities.

Figures collected by the Public Health Laboratory Service (PHLS) show more people died of HIV and Aids last year than in 1998, reversing a trend of lower death rates since the introduction of combination therapies.

Last year is also set to show the highest number of new diagnoses of HIV in the 1990s - the PHLS has already received reports of 2,457 new HIV diagnoses in 1999 and expects to be told of many more in the coming months.

"The high number of diagnoses is worrying. The data indicate that despite the fact that HIV is a preventable infection, large numbers of infections have continued to occur."

Dr Angus Nicoll, PHLS

The 362 deaths so far reported for 1999 is slightly higher than the equivalent figure of 357 for 1998.

Dr Angus Nicoll, head of the PHLS HIV and STD division, said he could not be sure of the reason for this.

"It may be that many of these deaths occur in people who are only diagnosed at the time they become sick with Aids, when it can be too late for them to benefit from the new drug therapies.

"Alternatively, it may represent cases in which the drugs are not effective, perhaps because of the development of resistance."

Real risk

A spokesman for the Health Education Authority said: "The most recent research we have done among the heterosexual community shows that people sometimes do not appreciate that there is a very real risk of HIV transmission.

"These figures show that there is a very real risk and that there is a need to practise safe sex and to use a condom."

A spokesman for the National Aids Trust said: "These infection figures are extremely worrying.

HIV and Aids - UK 1999 Deaths - 362 New Diagnoses -2,457 New heterosexual diagnoses -1,070 New homosexual diagnoses -989

"We are concerned that the UK is losing its way in HIV prevention and more needs to be done to increase awareness."

The majority of heterosexual infections are of people who are from or have spent time in sub-Saharan Africa - the area of the world most affected by HIV and Aids.

It is though the increase in diagnoses may be in part a result of campaigns encouraging people to be tested for HIV and Aids.

Dr Nicoll added: "The high number of diagnoses is worrying. The data indicate that despite the fact that HIV is a preventable infection, large numbers of infections have continued to occur."

He said promoting the message of safe sex was extremely important, as was providing services to people and sharing Aids expertise internationally.

It is estimated that 30,000 people in Britain have HIV, of whom a third do not know they are infected.

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