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HIV/AIDS epidemic in Belarus

HIV/AIDS epidemic in Belarus. Julia Dabravolskaj, MD Belarusian State Medical University. “Bare” Statistics. 11 .5 thousands of registered HIV+ people ≈45% live in Gomel region >70% of new cases – reproductive age group Unprotected sex – main route of transmission (80% of new cases).

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HIV/AIDS epidemic in Belarus

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  1. HIV/AIDS epidemic in Belarus Julia Dabravolskaj, MD Belarusian State Medical University

  2. “Bare” Statistics • 11.5 thousands of registered HIV+ people • ≈45% live in Gomel region • >70% of new cases – reproductive age group • Unprotected sex – main route of transmission (80% of new cases)

  3. Clinical issues • Atypical presentation of OIs –> HIV-infection is difficult to diagnose • IRIS • Difficulties in HIV/HCV treatment • Methodone and HAARTinconsistence • Fast development of new treatment strategies – not all specialists consider updates • Low consistency between specialists • Unsolved issues on care of elderly HIV+ • Low rates of disclosure

  4. HAART issues What is done • 4274 patients initiated HAART • 80.2% adherent in 1-year term • 23.6% new cases – AIDS (late presentation) What should be done • 8790 patients should initiate HAART Global Fund Grant is expiring. Life-time treatment of 1 HIV+ person costs ≈$35,000.

  5. Policy issues: • No laws that would allow stigmatization, but at the same time – no laws that might punish for discrimination • No laws that might clarify issues serodiscordant couples face • According to laws – sexual active HIV+ person ‘commits a crime’ without considering additional facts (condom use, rape etc.) • Government should provide an HIV+ person with necessary treatment, however, it’s often impossible due to economic factors

  6. Effective management of HIV/AIDS epidemic include: • High quality diagnostic tests • Free access to HAART • Psychological support If one of the key elements is affected …

  7. Thank you for attention!

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