A sharp rise in new HIV infections in the Middle East and North Africa is a worrying trend, despite some positive developments, UNAIDS chief Michel Sidibe told AFP on Friday.
While the epidemic remains very "concentrated" within the region, with homosexuals, sex workers, migrants and drug addicts comprising the vast majority of cases, the Arab world has seen a dramatic increase in new cases in recent years.
This compares with a fall in global infection rates of 35 percent.
"There are regions we are worried about, notably the Middle East and North Africa, where a relatively quick rise in the number of new infections has been observed. The virus in these regions is difficult to contain," Sidibe said.
With 225,000 people infected and 22,000 new cases in 2013, "the epidemic is not huge, but what is worrying is above all the trend... In just a few years we've gone from 10,000 people infected to 225,000," he added, speaking on the sidelines of a regional HIV/AIDS conference.
Equally, access to treatment across the region is very poor, with Sidibe comparing medical coverage in the Middle East, of just 18 percent, to around 80 percent in certain African countries ravaged by the disease.
In the Middle East, only "11 percent of children with AIDS have access to treatment", he said.
Among the main obstacles to tackling the problem in the region are the "very strong stigma and discrimination" towards people at risk and "all the politics and laws" that penalise the same people, he added.
The UNAIDS official noted some progress in terms of governments taking the problem seriously, with the Arab League adopting its first strategy for combatting the virus, and a convention aimed at protecting people living with HIV.
But the texts must still be ratified by different member states.
"I don't think the rest of the world is more tolerant than the Arab world, I believe it's a problem of approach, that they will get there," Sidibe said.