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PREDOMINANT CAUSES OF INCREASING OF HIV INFECTION MORBIDITY RATE, NEW WAVE AMONG DRUG USERS IN THE VOLOGDA REGION

2019; Volume: 10; Issue: 4 Linguagem: Inglês

10.22328/2077-9828-2018-10-4-83-89

2078-1792

T. Yu. Kurganova, T. N. Melnikova, С. В. Огурцова, N. А. Belyakov,

HIV, Drug Use, Sexual Risk

To determine the possible causes of an increase in the of HIV infection rate in the Vologda Region. HIV cases within the Vologda Region, 169 maps of epidemiological survey of the HIV nidus, state federal statistical monitoring forms № 4 «Data on the results of test on antibodies to HIV», annual reports of Budgetary Institution of Health Care «Center for Prevention of Infectious Diseases», Vologda were used as a data for study. The most probable cause of the increase of HIV infection rate in the Vologda Region is activation of narcotic channels of HIV infection the share of which increased from 30,2% to 48,2% for the period of 2015 through 2017. The highest HIV infection detection rates were observed in people surveyed by the code «102» which in 2017was 5,0 per 100 surveyed, exceeding the rates for 2014 and 2015 in 2,7 and 3,6 times, correspondingly. The data of laboratory examination of patients for immune status at registration indicated a recent HIV infection of a part of patients, probably, in the last 2 years (CD4 was over 500 c/ml in 22% of examined). At the same time, there is a factor of accumulation of sources of HIV infection among IDUs who have long-standing infection and have been living with HIV for many years (CD4 is less than 500 c/ml in 22% of examined) without knowing about it. The authors regard the activation of injection channels of HIV infection as a dangerous relapse in the evolution of epidemic previously observed in the NWFD.