The HIV/AIDS epidemic in eastern Europe : recent patterns and trends and their implications for policy-making.
To describe recent patterns and trends in the HIV epidemic in eastern Europe.
AIDS programme managers and epidemiologists of 23 countries were contacted and requested to provide national HIV surveillance data.
Joint United Nations Programme on HlV/AIDS/World Health Organisation country fact sheets were reviewed and analysed, and this information was supplemented with published HIV prevalence and sexually transmitted disease case reporting information, unpublished travel reports and expert evaluations.
The cumulative number of HIV cases reported in the region increased more than fivefold between 1995 and 1997, from 9111 to 46 573 ; Ukraine, Russia and Belarus accounted for about 90% of all new cases.
Dramatic increases in the number of HlV-infected injecting drug users (IDU) were reported from these countries, and a similar pattern was emerging in Moldova, the Baltic States, the Caucasus and Kazakstan.
In central Europe, the increase in the number of cases was much lower, and (with the exception of Poland) homosexual transmission was most common, whereas in the Balkan countries, cases due to heterosexual transmission were reported relatively more frequently.
At the end of 1997, more than 50% of all cases region-wide had been reported from IDU.
HIV prevalence data were inconclusive
The number of reported syphilis cases had risen significantly in the countries of the former Soviet Union. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Homme, Epidémie, Epidémiologie, Surveillance sanitaire, Politique sanitaire, Europe Est, Europe, Evolution, Maladie sexuellement transmissible, Incidence, Prévalence, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human, Epidemic, Epidemiology, Sanitary surveillance, Health policy, Eastern Europe, Europe, Evolution, Sexually transmitted disease, Incidence, Prevalence, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0273409
Code Inist : 002B05C02D. Création : 16/11/1999.