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The country has the highest number of people afflicted with HIV of any country, and the fourth-highest adult HIV prevalence rate, according to the United Nations statistics. HIV prevalence, instead, indicates that people remain alive, despite the infection. South Africa has the largest HIV treatment programme in the world.

A population with a larger proportion of diabetics, means more people are receiving treatment for the condition. Hence, a population with a larger proportion of HIV-positive people, means more people are receiving anti-retroviral treatment. Low national prevalence rates can be misleading, however. They often disguise epidemics that are initially concentrated in certain localities or population groups and threaten to spill over into the wider population.

In many developing countries most new infections occur in young adults, with young women especially vulnerable. Changes in procedures and assumptions for estimating the data and better coordination with countries have resulted in improved estimates of HIV and AIDS. The models, which are routinely updated, track the course of HIV epidemics and their impact, making full use of information in HIV prevalence trends from surveillance data as well as survey data.

The models take into account reduced infectivity among people receiving antiretroviral therapy which is having a larger impact on HIV prevalence and allowing HIV-positive people to live longer and allow for changes in urbanization over time in generalized epidemics.

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