The role of a group of drug users in the development of the HIV infection epidemic on the example of the Moscow Region
- Authors: Drobyshevskaya E.V.1, Zhukova E.V.1, Bobkova M.R.2
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Affiliations:
- Center for the Prevention and Control of AIDS and Infectious Diseases
- I.I.Mechnikov Research Institute of Vaccines and Serums
- Issue: Vol 13, No 3 (2023)
- Pages: 49-55
- Section: Original Investigations
- URL: https://journals.eco-vector.com/2226-6976/article/view/625313
- DOI: https://doi.org/10.18565/epidem.2023.13.3.49–55
- ID: 625313
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Abstract
Objective. Analysis of the role of a group of drug users in the development of the HIV infection epidemic on the example of the Moscow Region.
Materials and methods. The data of personalized records of patients with HIV infection in the Moscow region, presented in the primary medical records of the AIDS Center, in the AIDS Info System computer database of the AIDS Center and medical information systems, as well as data from forms of federal statistical monitoring, were analyzed.
Results. A decrease in the significance of HIV transmission through intravenous drug use has been identified, but the true prevalence of the disease among drug users remains an open question. The arguments for the low level of HIV case detection were the decrease in the proportion of drug users among those tested for HIV infection, as well as the high proportion of people who became infected through intravenous drug use among cases of posthumously confirmed HIV diagnosis by the forensic medical examination service. An annual decrease in the proportion of drug users with severe immunodeficiency among those enrolled in care has been registered.
Conclusion. There is evidence to support a reduction in the importance of HIV transmission through intravenous drug use, but the issue of a «hidden» HIV infection epidemic among drug users requires further study.
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About the authors
Elena V. Drobyshevskaya
Center for the Prevention and Control of AIDS and Infectious Diseases
Author for correspondence.
Email: elena_dr@bk.ru
ORCID iD: 0000-0002-0654-8646
Deputy Chief Physician for the Medical Affairs
Russian Federation, MoscowEugenia V. Zhukova
Center for the Prevention and Control of AIDS and Infectious Diseases
Email: zhukovazh@mail.ru
ORCID iD: 0000-0002-3390-1302
Head, Department of Epidemiology and Prevention
Russian Federation, MoscowMarina R. Bobkova
I.I.Mechnikov Research Institute of Vaccines and Serums
Email: mrbobkova@mail.ru
ORCID iD: 0000-0001-5481-8957
ВD, Chief Specialist
Russian Federation, MoscowReferences
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