Trends of HIV/AIDS in LATVIA. Inga Upmace, Infectology Center of Latvia, AIDS Program Department Saariselka,

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1 Trends of HIV/AIDS in LATVIA Inga Upmace, Infectology Center of Latvia, AIDS Program Department Saariselka,

2 Main tasks of our department: To coordinate HIV restriction policy implementation (HIV/AIDS Programm ) ; To provide an epidemiological surveillance of HIV/AIDS and STI at national level; To plan and provide HIV/AIDS un STI prevention activities To train and educate public, selective groups, PLWHA and individuals; To co-ordinate harm reduction measures (HIV prevention network)

3 Other tasks of Infectology Center: Treatment, follow up and care of PLWHA; Treatment and care for tuberculosis, STI and other infectious diseases; Reference laboratory for infectious diseases, incl. HIV infection

4 Main topics of the Programm: 1. Harm reduction (syringe exchange - councelling); 2. Maintence programm and health care for IDUs; 3. In prisons: to improve diagnostic, knowledge of staff, to introduce harm reduction programs and to involve NGOs in trainings of prisoners; 4. To improve public knowledge/skills about HIV prevention; 5. To ensure quality of counselling and incriese testing activities; 6. To improve health care and to organize evidence based studies; 7. To ensure tuberculosis and other oportunistic infections diagnostic for PLWHA; 8. To take a part in international projects

5 Number of cases HIV/AIDS Cases by Year of Diagnosis March 1, Latvia /Infectology Center of Latvia/

6 Number of cases Cumulative Number of HIV/AIDS Cases March 1, Latvia /Infectology Center of Latvia/

7 Number of cases 3000 Cumulative Number of HIV Cases by Transmission Group March 1, Latvia /Infectology Center of Latvia/ MSM Heterosexual contact IDU Unknown Mother-to-child

8

9 % Ikgadējo jauno HIV gadījumu sadalījums transmisijas grupās 2010.gada 1.janvāris /Latvijas Infektoloģijas centrs/ 100 % 90 % 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % 0 % Māte-bērns Homoseksuāls kontakts Heteroseksuāls kontakts Nenoskaidrots inficēšanās ceļš Injicējamo narkotiku lietotāji

10 Number of cases 900 Cumulative Number of HIV Cases by Sex March 1, Latvia /Infectology Center of Latvia/ Woman Man

11 Number of cases 900 Cumulative Number of HIV Cases by Age and Sex March 1, Latvia /Infectology Center of Latvia/ Male Female >=50 age unknown

12 New cases of HIV in Europe, gadā gadā

13 New AIDS cases in Europe, gadā gadā

14 Coordination of HIV Prevention Network 16 municipalities - 18 HIV prevention services United management; Data collection, analysis, central data basis; Calculation, purchase and distribution of syringes, condoms, disinfectants; Ongoing training for a staff of HIV prevention network; Practical training on the basis of AIDS counceling service for staff Training of IDUs - peers (UNODC project )

15 HIV Prevention Network for IDUs Infectology Center of Latvia Co-ordinator Contract Municipalities ACS State budget Projects budget Management Staff training TB 2 NGOs 16 coordinators Municipalities budget Projects budget Work with client (IDUs) Salaries / taxes for staff Data collection, analyse (national level) Equipment (syringes, condoms ) Data collection on local level, reporting to national level Rent of premices, electricity

16

17 STI in Latvia ( )

18 6. Expert groups: Northern Dimension; Think Tank on HIV/AIDS; Alert systems for new drugs and new infectious diseases Projects / Networks : 1. ENCAP Expending Network for Co-ordinated and Comprehensive Actions on HIV/AIDS among IDUs and the Bridging Population ( ) 2. UNODC project,,capacity Building for AIDS Couselling Service ( ) ; 3. BORDERNETwork Higly Active Prevention: scale up HIV/AIDS/STI prevention, Diagnostic and Therapy Accross Sectors and Borders in CEE and SEE; ; SPI Research; 4. EMIS project (Internet survey for MSM) 5. Epidemiological surveillance network for HIV and STI (ECDC):

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