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EPIDEMICS
One in seven with HIV in Europe unaware of infection: study
by Staff Writers
Stockholm (AFP) Nov 29, 2016


HIV toll tops one million in Russia and keeps climbing
Moscow (AFP) Nov 29, 2016 - Russia's HIV infection rate is growing 10 percent a year and over one million Russian have been diagnosed with the disease in nearly three decades, the country's top AIDS expert said Tuesday.

The number of registered cases reached 1,087,339 on September 30, Vadim Pokrovsky, head of the national state AIDS centre, said at a news conference.

That number is a cumulative total of all those registered since 1987 and includes those who have since died.

According to the health ministry, around 820,000 Russians out of a population of 146 million are currently living with HIV.

In 2015, 110,000 new cases were officially registered in Russia, up from 85,252 new cases in 2014.

The real number of those infected is significantly higher -- 1.3 to 1.4 million or almost 1 percent of the population, Pokrovsky estimated.

A global AIDS study published in The Lancet HIV journal in July found that new infections have plateaued globally at around 2.5 million per year, with more than 75 percent of infections in sub-Saharan Africa.

In Europe, the highest rate of new infections was in Russia and Ukraine, the study found.

"The situation is just getting worse and today it is threatening national security," said Pokrovsky, warning of the risk of a huge epidemic breaking out by 2021.

Just over half of new cases in Russia -- 51 per cent -- result from injecting drugs, while 47 percent are infected by unprotected straight sex and only 1.5 percent say they got infected from gay sex.

"Russia is the only country in the world where drug users represent more than 50% of people with HIV," said Pokrovsky.

He slammed the lack of an HIV prevention campaign, such as handing out clean needles.

"The public funds aren't even enough to treat all those who are HIV positive. I'm not even talking about the prevention of new cases," he said.

Only one in three HIV positive people in Russia gets free medical treatment due to a lack of funding, while the medicines are often of low quality.

Russia's President Vladimir Putin has backed conservative values that align with those of the powerful Russian Orthodox Church, meaning health services have focused on AIDS treatment rather than prevention.

Russia has also banned supplying drug users with methadone as a substitute for heroin and has shifted its focus from information campaigns to those promoting abstinence.

The justice ministry blacklisted two major NGOs involved in HIV prevention in July under a controversial new law that labels them as "foreign agents."

One in seven people with HIV in Europe is unaware of their infection, the EU and World Health Organization reported Tuesday as 2015 marked another record year for new HIV cases in the region.

"HIV/AIDS continues to be a serious problem in Europe... The European Centre for Disease Prevention and Control's (ECDC) estimate that one in seven people living with HIV are unaware of their status is particularly worrying," EU Health Commissioner Vytenis Andriukaitis said in the report released ahead of World AIDS Day on Thursday.

"People who do not know they are infected cannot benefit from life-saving treatment, and can continue to transmit the virus to others," he noted.

The ECDC figure is based on data from the 28 EU nations plus Iceland, Liechtenstein and Norway.

Almost half of cases in those countries -- 47 percent -- are diagnosed at a late stage of infection, the ECDC said, estimating that on average it takes almost four years before an HIV infection is diagnosed and reported.

Sex between men remains the main reported HIV transmission mode in those 31 countries, accounting for 42 percent of diagnoses. Men who have sex with men is the only group that has seen a steady increase in infections over the years, the report said.

Heterosexual sex accounts for 32 percent of diagnoses, followed by drug use at four percent.

- High rates of infection -

Meanwhile, Europe registered its highest number of new HIV cases in a single year in 2015, at 153,407 cases, up from 142,000 in 2014, the WHO said.

The 2014 figures were also a record number, driven by cases in Russia and immigrants who acquired the virus after arrival.

The WHO regional office for Europe has a different definition of Europe and compiles data from 53 countries.

Almost 80 percent of the 2015 cases it tallied were reported in eastern Europe, 18 percent in western Europe and three percent in central Europe.

Russia, where HIV remains a largely taboo subject, accounted for 64 percent of all newly diagnosed infections in the WHO's European region, and 81 percent of cases in eastern Europe.

There, heterosexual sex is the main route of transmission of the virus which is spread through contact with contaminated body fluids.

Other countries with high rates of new infections last year were Ukraine, Belarus, Estonia, Moldova, Latvia and Georgia.

"Despite significant efforts, HIV remains among the main public health concerns in the WHO European region, in particular in its eastern part," the WHO regional director for Europe, Zsuzsanna Jakab, said.

She urged member countries to implement a new action plan they endorsed in September, including improving access to HIV testing and prevention methods, to reverse the HIV epidemic.


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