Epidemiology of HIV/AIDS in Moldova, Russia and Ukraine

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Epidemiology of HIV/AIDS in Moldova, Russia and
Ukraine

• Dr Irina Eramova World Health Organization
  Regional Office for Europe Copenhagen

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Adults and children estimated to be living
with HIV/AIDS as of end 2003
Eastern Europe Central Asia 1.2 1.8 m
Western Europe 520 000 680 000
North America 790 000 1.2 million
East Asia Pacific 700 000 1.3 m
North Africa Middle East 470 000 730 000
South South-East Asia 4.6 8.2 m
Caribbean 350 000 590 000
Sub-Saharan Africa 25.0 28.2 m
Latin America 1.3 1.9 m
Australia New Zealand 12 000 18 000
Total 34 46 million
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Definition of Geographic Areas
East
West
Centre
Source EuroHIV
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HIV infections, newly diagnosed in Europe,
1997-2003
Eastern Europe
Western Europe
Central Europe
Source EuroHIV
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East
Population 292 million
Source EuroHIV
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Newly reported HIV cases in adults by
transmission, 1993-2003,Eastern Europe
IDUs
Unknown
HS transmission
MSM
Source EuroHIV
7
HIV infections newly diagnosed in males by
transmission groups, 1997-2002, Eastern Europe
Injecting drug users
Unknown
Infected heterosexually
MSM
Source EuroHIV
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HIV infections newly diagnosed in females by
transmission groups, 1997-2002, Eastern Europe
IDUs
Unknown
MTCT
Infected heterosexually
Source EuroHIV
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HIV infections newly diagnosed in Moldova, Russia
and Ukraine 1997-2003
RUS
UKR
MDA
Source EuroHIV
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HIV infection rate per million in Moldova, Russia
and Ukraine 1997-2003
RUS
UKR
MDA
Source EuroHIV
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HIV infections newly diagnosed in IDUs in
Moldova, Russia and Ukraine 1997-2003
RUS
UKR
MDA
Source EuroHIV
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HIV infections newly diagnosed by transmission
groups, 1997-2003, Moldova
Injecting drug users
Infected HS
MSM
MTCT
Source EuroHIV
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HIV infections newly diagnosed by transmission
groups, 1997-2003, Russia
Injecting drug users
Infected HS
MTCT
MSM
Source EuroHIV
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HIV infections newly diagnosed by transmission
groups, 1996-2003, Ukraine
Injecting drug users
Infected HS
MTCT
MSM
Source EuroHIV
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Male/female ratio in newly diagnosed HIV cases
1996-2003, Ukraine
Source MOH Ukraine
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HIV prevalence rates in IDU, SW, IDU SW, non IDU
SW 2002, Ukraine
Source MOH Ukraine
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AIDS incidence (per million population) WHO
EuropeanRegion, 1986-2002

Cases per
million
60
40
West
20
East
Centre
Update at 31 December 2002
0
1986
1988
1990
1992
1994
1996
1998
2000
2002
Year of diagnosis
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Newly Reported HIV/AIDS Cases - Western Europe
Introduction of Antiretroviral Treatment
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AIDS cases in Moldova, Russia and Ukraine
1997-2003
UKR
RUS
MDA
Source EuroHIV
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Need and Access to ARV March 2003

• PLWHA Need ARV Receive ARV
• West 600,000 300,000 270,000 (90)
• Centre 64,000 11,000 6,400 (58)
• East 1,200,000 70,000
  900 (1,3)
• Total 1,864,000 381,000 277,300

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Access to HAART
RUS
EST
LAT
LIT
BEL
UKR
KAZ
MOL
ROM
KYZ
UZB
GEO
AZE
BUL
ALB
ARM
TKM
TJK
TUR
BIH, FYM, YUG
no access to HAART individuals on HAART poor
access ( lt10) partial access (10-70) good
access (over 70)
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ART for IDUs

• In many countries in Eastern Europe and Central
  Asia the majority who need ART are IDUs
• IDUs are often excluded from ART
• Stigma
• Adherence

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Persons receiving ARV () by Transmission
(Ukraine)
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