AIDS PREVENTION AND CONTROL SERVICE IN THE FAR EASTERN FEDERAL DISTRICT

Abstract

Objective: is to analyze main epidemical trends of HIV-infection distribution in different territorial subjects of Far Eastern Federal District (FEFD).
Methods: We have analyzed data from reports of Centers for the prevention and control of AIDS according to the letter of the Ministry of Health of the Russian Federation dated July 12, 2018. 
Results: Nowadays FEFD is a territory with the moderate level of HIV-infection prevalence. The number of infected population exceeds 25,000 people and accounts for 2.5 % of total cohort of people with HIV in the Russian Federation. The incidence rate calculated for 100,000 of people is 2.2 times lower in FEFD than in Russia in general. Primorskiy Territory is a top district by the absolute number of people with HIV and by the number of newly infected with HIV. The incidence rate of new cases in 2018 in district in general was 107 % (in Russia – 97 %) compared with 2017. The maximal growth rate was demonstrated by low population areas: Jewish Autonomous Region (162 %), Chukotka Autonomous Region (147.6 %) and Kamchatka Territory (124 %). According to the data obtained from the most Centers sexual transmission of infection prevailed in the FEFD; the group most involved in the epidemic process is men of 25–45 years old. In 2018, the district achieved the targets of the State Strategy on HIV Testing for the population – 25 % (2.1 million people) and the provision of antiretroviral therapy – 60 % of those under medical examination or 55.6 % of the entire cohort living with HIV in the district (in the Russian Federation – 55 %).
Conclusions: Far East was always at the bottom of Federal rating on HIV prevalence; a well-built policy of preventive measures helped to achieve such results. Modern diagnostic, therapeutic and preventive technologies are constantly being introduced into the practice of the service for the prevention and control of AIDS. All Anti-AIDS Center conducts traditional preventive measures, including free, voluntary, including anonymous HIV testing with mandatory pre- and post-test specialised medical consultation. The level of population awareness in FEFD on HIV infection was 87.2 % in 2018 that equals the performance of State Strategy.