Int Conf AIDS. 1998;12:1019 (abstract no. 60107). Unique Identifier :
For the past 5-7 years some countries of Eastern Europe and particularly
the Newly Independent States are experiencing an extraordinary epidemic
of sexually transmitted infections particularly syphilis and gonorrhea.
The incidence of HIV infection has also raised dramatically high in the
last two years in Belarus, Kazakhstan, Russian Federation and Ukraine.
In practically all Newly Independent States the incidence rates for
syphilis raised up to the 200 per 100,000 population and in some areas
even to the level of 700 per 100,000 of population and above. Deep
social and economical changes, obsolete legislation and policies towards
STD case management and treatment regimes, low financial support and
other factors determine the epidemic. WHO in close collaboration with
UNAIDS has started to assist these countries in mobilizing the
international assistance, in promoting policy changes towards an
appropriate STD case management, supporting establishment of "best
practice sites", promoting syndromic approach to STD care, introduction
of harm reduction practices and training in safety of blood transfusions
to diminish the spread of HIV infection. Positive signs of its impact
has been noted during the 1997 in some countries in slowing down the
upward trends of syphilis and other sexually transmitted diseases.
CONCLUSION: Working with STD policy makers, introduction of integrated
approach to HIV and STD prevention are some of the important mechanisms
for control of STD epidemic in Eastern Europe which were applied to
these countries and contributed to the positive results. The
presentation will review the current trends of HIV and STD in Eastern
Europe and the mechanisms which bring the change.
MEETING ABSTRACTS Acquired Immunodeficiency Syndrome/PREVENTION &
CONTROL/ *TRANSMISSION Cross-Sectional Studies *Disease Outbreaks
Europe Health Education Human HIV Infections/PREVENTION &
CONTROL/*TRANSMISSION Incidence Risk Factors Russia Sexually
Transmitted Diseases/PREVENTION & CONTROL/*TRANSMISSION *Social Change