Review on HIV & Associated Infections in Latvia

Transcription

1 Review on HIV & Associated Infections in Latvia Dr.Inga Upmace, Infectology Center of Latvia Second meeting on EG on HIV/AIDS and AI April 7, 2011, Riga

2 Negative influences: Several reorganizations of health and public health institutions in (loss of specialists, less capacity; new approaches); Short-time & inconsistent health strategy planning policy; Economical crisis & unemployment; Emigration of many health & public health specialists; Many tasks and limited budget for HIV/AIDS national program; Insignificant number of NGOs aimed to work on HIV/STI and shortage of financing model for NGO Problems to get external financial support incl. grants of European Comission

3 HIV case reporting HIV case reporting HIV case reporting Reports on HIV testing activity HIV/AIDS Surveillance System in Latvia WHO Euro ECDC Infectology Center of Latvia National HIV/AIDS Case Register Out-patient department TB register National Deaths register (HEC) LTCs Network (18) Primary HIV testing laboratories (20) Reports on HIV testing activity Confirmed HIV case reporting HIV Reference Laboratory (1) AIDS reporting VISUMS Infectology Center of Latvia HIV/AIDS out-patient & in-patient department Health care provider Patient 3

4 Number of cases HIV/AIDS Cases by Year of Diagnosis January 1, 2011 (LIC)

5 Number of cases Cumulative Number of HIV/AIDS Cases January 1, 2011 (LIC)

6 Number of cases 3000 Cumulative Number of HIV Cases by Transmission Group January 1, 2011 (LIC) MSM Heterosex.cont IDU Unknown Mother-to-child

7 Number of cases Cumulative Number of HIV Cases by Age and Sex January 1, 2011 (LIC) male female >=50 unknown age Age group (years)

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9 100 % Newly Registered HIV Cases by Transmission Group and Year January 1, 2011 (LIC) 90 % 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % 0 % IDU Unknown Heterosex.contact MSM Mother-to-child

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14 Rapid testing results among IDUs and bridging population LTCs Network, 2009 and 2010 /number of tests performed/ HIV HCV HBsAg

15 1200 Positive finding 6.4 % Positive finding 1.0 % Positive finding 54.2 % HIV HBsAg HCV positive result negative result Rapid testing results among IDUs. LTCs Network, 2009 and 2010 /number of tests performed/ Positive finding 8.8 % 1238 Positive finding 36.0 % HIV 192 HCV

16 Harm reduction programs for IDUs (2010) (NES) (OST)

17 Prevention Network for IDUs (LIC, municipalities &NGOs) Infectology Center of Latvia CONTRACT Municipalities Co-ordinator AKK State budget Projects grants TB NGOs 16 municipalities co-ordinators Local municipality budget Projects grants Management Services for Clients (IDUs) Training Covering of Staff costs Data collection on national level, analyse Medical equipment (purchase, distribution) Data collection on local level Premises

18 Coverage of needle / syringe programs in Latvia 2009 Reg.cl./month (787) + new cl. (4474) = 5261 Estimate of IDUs in Latvia ~ coverage = 26.3% 2010 Reg.cl./month (993) + new cl. (4568) = 5561 Estimate of IDUs in Latvia ~ coverage = 27.8%

19 Coverage of needle / syringe programs in Riga 2009 Reg.cl./month (499) + new cl. (2769) = 3270 Estimate of IDUs in Riga ~ coverage = 36.3 % 2010 Reg.cl./month (1503) + new cl. (2920) = 4423 Estimate of IDUs in Riga ~ coverage = 49.2 %

20 Low threshold AIDS Service on Bruņinieku street Since medical nurses Inform and consult clients, Inform and educate students; Train staff of municipalities; Provide HIV, VHC, VHB and syphilis rapid testing Ensure epidemiological surveys Syringe exchange Condoms etc.

21 Positive influence of UNODC project (I-VII, 2010): rapid grow of contacts Non - IDUs Clients (IDUs)

22 Prevalence of HIV in IDUs and MSM ( ) 2007: Prevalence of HIV among IDUs in Riga 22.6% (n=407; ENCAP project); 2009: Prevalence of HIV among IDUs in Ventspils 29.2% (n=195; UNODC project); 2008: Prevalence of HIV among MSM in Riga 4.0 % (n=252, Public Health Agency) 2010: The European MSM Internet Survey - self reported HIV prevalence 3.9% (n=734; EMIS project)

23 Cases/ ,0 Sexually transmitted infections in Latvia, ,0 49,8 46,3 40,0 33,7 35,7 31,2 30,0 25,1 32,5 31,0 20,0 10,0 0,0 2,2 20,6 3,9 13,2 10,3 3,3 19,1 7,7 15,9 6,0 2,4 Gadi Syphilis Gonorrhoea Chlamydia infections Genital Herpes

24 Sexually transmitted infections in Latvia

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26 Viral hepatitis in Latvia

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