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Epidemic Dynamics

An increase in the number of HIV-detected cases in Russia has drastically accelerated since the second half of the 1990s (Table 3). Overall, in the period from the start of 1987 to March 1, 2003, FRMC AIDS registered 232,400 HIV-infected Russian citizens, 87% of them were detected after 1999. The people living with HIV/AIDS (HIV/AIDS prevalence) accounted in 2002 for about 0.16% of the country’s population, or 0.3% of the adult population between the ages of 15 and 49. As of March 1, 2003, 811 patients, including 192 children, were diagnosed with AIDS.
Table 3. Registered of HIV+ cases, Russia
HIV/AIDS cases
1987 –1995
1996
1997
1998
1999
2000
2001
2002
Newly detected
-
1 525
4 366
4 058
19 953
59 257
88 422
50 378
Cumulative number
1 090
2 615
6 981
11 039
30 992
90 249
178 671
229 049
Source: Vich-infektsiya (HIV-Infection) Information bulletin (No. 25) published by the Federal Research and Methodological Center for AIDS Prevention and Control and the National Research Institute of Epidemiology, Russian Federation Ministry of Health.

Of the total number of those registered by FRMC AIDS, 3,200 HIV-infected persons, including 208 children, died. 603 people died with AIDS diagnosis. Most of the infected people died not of AIDS but of causes not related to HIV infection, such as drug overdose, suicide, accidents, etc. So far, HIV/AIDS has been an insignificant portion of the overall mortality. By way of comparison: over the entire period of observations (by 1-01-2003) 34,000 AIDS victims died in Spain, more than 33,000 - in Italy, about 33,000 – in France, 13,000 - in Germany, and 12,500 - in Great Britain.

The epidemic continued to spread in 2002, but the growth rate of the number of new cases of HIV-infection slowed down. HIV prevalence among the population of Russia rose from 0.12% in 2001 to 0.16% by the end of 2002.

A reduction in the number of new cases detected for the first time in 2002, as compared with 2001 (by 43%), according to the FRMC AIDS experts, may be attributed to a cutback in the number of those tested from among the population groups at greatest risk: drug users (by 33%), jail inmates (by 15%), and people suffering from venereal diseases (by 4%).

Demographic Impact of HIV/AIDS Epidemic in the Russian Federation

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