European Population Conference, 21 24 June 2006, Liverpool, United Kingdom Session 303: HIVAIDS

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European Population Conference, 21 24 June
2006, Liverpool, United KingdomSession 303
HIV/AIDS

• Chairman James Brown
• Speakers
• Boris Denisov
• Sabine Groos, Ulrich Mueller, Walter Krause
• Alessandro Valentini, Piero Manfredi, Linda
  Porciani
• Xiushi Yang, Guomei Xia

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The Russian HIV/AIDS Case Reporting System

• Boris Denisov
• Laboratory of Population Economics and
  Demography,
• Department of Economics,
• Moscow University,
• Moscow, Russia

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Why ?
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Data and method

• ?????? (Garant) national data base
• ???? (AIDS) full text search string
• Forty eight relevant documents for analysis
• Twenty six issues of Federal AIDS Center
  bulletins
• Consultations with persons, involved in the
  systems creation

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Case record Urgent dispatch on the person whose
blood immunoblot reaction revealed HIV antibodies

• Personal data
• Address (where report goes)
• Name (in Russian format three entries)
• Sex
• Date of birth
• Citizenship
• Place of residence in the USSR
• Mail address
• Address of job or learning
• Code of contingent

• Result of immunoblot reaction
• Date
• Type od a test system
• of series
• Revealed protein and glicoproteid
• Institution which previously revealed a positive
  result of IFA test
• Institution
• Address
• IFA date
• Position, name and signature of a reporter
• Phone number
• Date

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Case record (continued) codes of contingent

• 100 USSR citizen, including
• 101 Person having sexual contacts with PLWHA
• 102 Drug addict
• 103 Homo and bisexual (man)
• 104 Person with STD
• 105 Promiscuous person
• 106 Person being abroad for more than one month
• 108 Donor
• 109 Pregnant
• 110 Recipient of a blood product
• 111 Military servant
• 112 Prisoner
• 113 Tested due to clinical reasons
• 114 Tested anonymously
• 115 Having contacts with PLWHA

• 200 Foreign citizen, including
• 201 Person having sexual contacts with PLWHA
• 202 Drug addict
• 203 Homo and bisexual (man)
• 204 Person with STD
• 205 Promiscuous person
• 207 Entering the USSR for more than three months
• 209 Pregnant
• 210 Recipient of a blood product
• 211 Military servant
• 212 Prisoner
• 213 Tested due to clinical reasons
• 214 Tested anonymously
• 215 Having contacts with PLWHA

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A case reporting scheme
Labs blood takings and analyses
Federal AIDS Center
Territorial AIDS Centers
Regional AIDS Centers
Hospitals
Army, prisons, migration services
Maternity Homes
TB, STD, drug abuse dispensaries
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Stages of epidemic in Russia (in terms of
registered HIV cases)
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Epidemic strike
28 months
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Preliminary conclusions

• The system had been able to register the
  explosion
• It is pretty well designed and works
• Thus the undercount is unlikely, and
• The coverage is as full as possible
• i.e., a big national epidemic is well documented
  from the very beginning

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Contact

• denisov_at_demography.ru

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Acknowledgments

• M. I. Narkevich, A. A. Monisov, retired founders
  of the system for providing consultations
• V. V. Pokrovski, N. N. Ladnaia, Y. V. Sokolova of
  Federal AIDS center for providing data
• W. Gold (Liverpool University), S. Solnick (Ford
  Foundation, Moscow) for financial support of the
  trip to (and from) Liverpool