<P> According to reports by Bhutan Ministry of Health, Bhutan had 246 reported cases of HIV / AIDS through August 2011 . </P> <P> The AIDS picture in South Asia is dominated by the epidemic in India . In South and Southeast Asia, the HIV epidemic remains largely concentrated in injecting drug users, men who have sex with men, sex workers, and clients of sex workers and their immediate sexual partners . Migrants, in particular, are vulnerable and 67% of those infected in Bangladesh and 41% in Nepal are migrants returning from India . This is in part due to human trafficking and exploitation, but also because even those migrants who willingly go to India in search of work are often afraid to access state health services due to concerns over their immigration status . </P> <P> Malaysia for World AIDS Day 2008 reported 82,704 cumulative HIV cases since 1986 as of June 2008 . </P> <P> HIV is not currently a dominant epidemic in Pakistan . However, the number of cases is growing . Moderately high drug use and lack of acceptance that non-marital sex is common in the society have allowed the AIDS epidemic to take hold in Pakistan, mainly among injection drug users, some male sex workers and repatriated migrant workers . AIDS may yet become a major health issue . The National AIDS Control Programme's latest figures show that over 4,000 HIV cases have so far been reported since 1986, but UN and government estimates put the number of HIV / AIDS cases around 97,000 (range 46,000 to 210,000). More realistic estimates that are based on actual surveillance figures, however, suggest that this number may be closer to 40,000 - 45,000 . The overall prevalence of HIV infection in adults aged 15 to 49 is 0.1% (and Shah et al. under review) (0.05% if one accepts the lower estimates). </P>

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