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Challenge of HIV/AIDS and STD rising trends in eastern Europe.


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


Information in this article was accurate in December 30, 1998. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.