Some slides and information from Russian presentations

Transcription

1 International Seminar Hepatitis as a co-infection for HIV and tuberculosis St. Petersburg, 3-4 December 218 Some slides and information from Russian presentations

2 Northwestern on Russia s map

3 Northwest Russia in detail Northwest Russia includes 11 regions with the total population at 13,8 million people (9,5% of Russia s total population)

4 HIV screening in Russia in 217 covered over 3 million people (>15,7% versus 216) Source: NW Russian AIDS Centre (St. Petersburg)

5 HIV screening in Northwest Russia in Source: NW Russian AIDS Centre (St. Petersburg) Number of screened people Identification rate per 1, population 35 Average identification rate among Russian citizens in 217 was 218,2 per 1, people (in ,8), reduction by 16,7% ,8 363,5 369, ,9 38,8 33,8 34,9 261,8 218, , Выявляемость Identification per на 1, тыс. people обследованных Количество Number of screened обследованных people

6 Number of people HIV testing in key populations in the Northwest Russia by year The coverage with HIV testing in key population groups (drug users, MSM, STI patients, prisoners) increased in 217 by 5,2% as compared to 216. But if compared with 27, the reduction is 4%. Source: NW Russian AIDS Centre (St. Petersburg) 25 -,6% 2-7,5-15,3% 15-11,2% -,8% -1,1% -1,8% -1,9% +5,2 1-5,2%

7 Newly diagnosed HIV cases in 216 and 217 in NW Russia Source: NW Russian AIDS Centre (St. Petersburg) Vologda Kaliningrad Growth/drop, % , Впервые зарегистрированные случаи ВИЧ-инфекции 172 в 214 г. и 215 г ,6 Republic of Karelia Novgorod Pskov Arkhangelsk Komi Republic Leningrad Murmansk St. Petersburg Nenets , , , , , , , ,5 Northwest Russia ,6 Russia s average ,2

8 Key statistics Source: NW Russia s AIDS Centre (St. Petersburg) At the end of 217 there were 12,694 people living with HIV in the Northwest Russia All in all, 129,676 HIV cases were registered in Northwest Russia during the whole period of the infection registration up to late 217 (11% of all HIV cases recorded in Russia) 26,982 people with HIV died In 217, incidence rate for HIV infection in the Northwest Russia was 4,4 per 1, population (Russia s average rate 71,1 per 1, population)

9 Distribution of HIV cases by transmission routes in the Northwest Russia in 1996 to 217 (cases when the transmission routes was unknown are excluded) Source: NW Russian AIDS Centre (St. Petersburg) % ,5 62,5 65,3 In217, 65,3% of infection took place in heterosexual contacts (in Russia on average 53,5%), 29,1% in drug injecting (in Russia on average in 43,6%). Only in Arkhangelsk, drug injecting as a transmission route prevails (51%) ,2 32,4 29,1 4, В/в Drug наркотиков injecting Гетеросек. Heterosexual контакты contacts Перинат. Mother-to-child конт. с уст. диагн. ВИЧ-инф-я Гомосекс.контакты Homosexual contacts

10 Number of people Numbers of PLWHs who received ARV therapy in Source: NW Russian AIDS Centre (St. Petersburg) 1 Number of PLWHs; Number of PLWHs who received ARV therapy; In 217, there were 85,9% people under follow-up out of those who are subject to follow-up (68264 out of people); 33% of all PLWHs received ARV therapy

11 In 217, 34,1% of the people under the follow-up had a subclinical (latent) stage of the HIV-infection. The stage of secondary symptoms was diagnosed with 61,1% of the PLWHs (25 11,3%, 26 24,2%, 27 27,4%, 28 28,7%) 1,39 deaths were diagnosed as deaths from AIDS in 217. The common causes of death with AIDS patients are tuberculosis, pneumonia, lymphoma, encephalomeningitis Source: NW Russian AIDS Centre (St. Petersburg)

12 TB morbidity and mortality in Northwest Russian regions in 217, per 1, population Source: prof. Andrei Marjandyshev, chief TB expert in NW Russia Morbidity Mortality % of patients in prison sector Mortality from TB-HIV 29,2 3,3 31,8 37,2 38,3 38,7 41,7 43, ,4 22, ,5 14,7 2,7 2,9 2,5 2,9 13,8 12,2 6 4,1 5,4 5,2 4,1 5,6 4,1 4,5 4,5 12,8 9,2 1,2 6,2 5,9 6,3 5,2 2,9 1,8 9,5 5,9 6,6 7,2 4,7

13 TB morbidity and mortality in Northwest Russian regions in January-September 218, per 1, population Source: prof. Andrei Marjandyshev, chief TB expert in NW Russia 35 Morbidity 31, Mortality Mortality from HIV-TB 23,7 27,6 26,5 26,7 24,4 21, ,3 18, ,3 11, ,6 15,8 16,2 11,9 12,6 13, ,3 4,5 6 1,8 2,8 5,3 4 3,6 2,7 7,6 4,9

14 Comparative TB morbidity in NW Russia (January- September 217 vs. January-September 218) Source: prof. Andrei Marjandyshev, chief TB expert in NW Russia ,7 31,3 29,6 29,8 31,2 3, ,8 23,7 26,5 26,7 22,4 24, , ,3 15,8 16,2 11,3 11,6 1 5 Nenets Vologda Republic of Karelia Arkhangelsk Murmansk Leningrad Novgorod Kaliningrad St. Petersburg Pskov Komi Republic

15 TB mortality in NW Russia, per 1, population. January-September 217 vs. January-September 218 Source: prof. Andrei Marjandyshev, chief TB expert in NW Russia ,9 7,6 5, 4,5 5, 4,9 5, 5,3 3, 2,3 3,2 2,3 3,8 3,9 2,7 2,8 3,3 3,6 4, 2,8 1,8, Nenets Arkhangelsk Vologda St. Petersburg Murmansk Kaliningrad Novgorod Republic of Karelia Republic of Komi Leningrad Pskov