New HIV prevention standards have been approved

The Ministry of Health of Ukraine has approved the Health Standards of pre-contact and post-contact drug prophylaxis of HIV infection. The relevant decision was made by the Order of 05.02.2021 № 189. From now on, the document takes into account the WHO recommendations developed on the basis of evidence-based medicine.

Pre-exposure HIV prevention (PrEP or oral DCP) is indicated for the prevention of HIV infection in people at high risk of infection, as part of a combination of measures to prevent the spread of HIV. The PrEP (DCP) standard provides for the updating of admission regimens for various key groups: a daily regimen for all those at high risk of infection; on-demand regimen - "dosing 2 + 1 + 1" for the key group of MSM. This update of the schemes is becoming more accessible to patients and, accordingly, allows to expand the coverage of people who will receive HIV prevention. Thanks to innovations, doctors have the opportunity to prescribe medication based on an individual approach to each patient. Also, in accordance with the Standards, each institution (PrEP service providers, AIDS Centers, etc.) updates its clinical routes.

Post-exposure prophylaxis (PCP) for HIV transmission begins as soon as possible, but no later than 72 hours after contact, which could potentially result in HIV transmission, regardless of the type of such contact. The PKP standard provides for a new approach to the administration of drugs in accordance with the recommendations of the WHO and evidence-based medicine. Drugs that are part of this method of HIV prevention are less toxic, highly effective and continue to be free for patients.

The International HIV/AIDS and Tuberculosis Institute has handed over to the Ministry of Defense a rapid tests to detect socially dangerous diseases

On January 21, the international non-governmental organization "International Institute of HIV / AIDS and Tuberculosis" passed another batch of rapid multi-tests to identify socially dangerous diseases among the personnel of the Armed Forces of Ukraine.

Thus, 5,000 units of rapid tests for hepatitis B, C, syphilis and HIV were transferred to the Sanitary and Epidemiological Department of the Medical Forces Command of the Armed Forces of Ukraine. During the week, the tests will be distributed among the medical services of military units and delivered to the regions. It should be noted that special attention is paid to military-mobile hospitals that perform assigned tasks in the area of ​​environmental protection.

HIV and TB statistics in Ukraine for January

It is 1,001 new cases of HIV infection and 1,265 cases of tuberculosis were officially registered in Ukraine in January 2021, according to the Center for Public Health of the Ministry of Health of Ukraine.

HIV infection

1,001 new cases of HIV infection were officially registered in Ukraine, 313 patients were diagnosed with AIDS, and 158 people died of AIDS. Ways of HIV infection in Ukraine in January 2021:

 

  • heterosexual - 606;

 

 

  • homosexual - 28;

 

 

  • parenteral - 360;

 

 

  • vertical - 167 **;

 

 

  • unknown - 0.

 

* Excluding data from the Autonomous Republic of Crimea from 2014 and parts of Donetsk and Luhansk oblasts from 2015.

** Most of them (about 98%) will not have HIV after 18 months.

Tuberculosis

In January 2021, 1,265 cases of tuberculosis were registered in Ukraine:

 

  • 998 new cases;

 

 

  • 267 patients with relapse;

 

 

  • 44 patients who resumed treatment after a break;

 

 

  • 68 patients who started re-treatment after failure;

 

 

  • 24 other cases;

 

 

  • 1 patient with an unknown history of previous treatment.

 

In January 2021, a total of 12,143 people were treated for tuberculosis.

A meeting of the working group was held, the purpose of which is to create and implement an effective procedure for interdepartmental cooperation in combating the spread of HIV in the ranks of the Armed Forces

On January 13, a meeting of the working group on preparation of the Procedure for Interaction of Medical Units of Military Units and Units, Military Medical Institutions of the Medical Forces of the Armed Forces of Ukraine, Health Care Institutions of the Ministry of Health of Ukraine took place on the territory of the National Military Medical Clinical Center in terms of diagnosis of HIV infection, ensuring the continuity of dispensary monitoring of HIV-positive people, the implementation of clinical and laboratory monitoring of the disease and antiretroviral therapy.

The meeting of the working group was initiated and organized by the NGO "Institute of HIV / AIDS and Tuberculosis" in order to create an effective algorithm of action in the fight against HIV and its spread among servicemen of the Armed Forces of Ukraine. The event was attended by 10 professional experts, in particular, Deputy Commander of the Medical Forces of the Armed Forces of Ukraine, Colonel of the Medical Service Andriy Galushka; Head of the Sanitary and Epidemiological Department of the Medical Forces Command of the Armed Forces of Ukraine Serhiy Morhun; Head of the Infectious Diseases Department of the Main Military Clinical Hospital Anatoliy Vyshnyagov; Chairman of the Board of the International Institute for HIV/AIDS and Tuberculosis Eliot Pearlman; Executive Director of NGO IHATI and others.

Результатом зустрічі стало створення проєкту спільного Наказу Міністерства охорони здоров’я України та Міністерства оборони України «Про затвердження «Порядку взаємодії медичних підрозділів військових частин і з’єднань, військово-медичних закладів Медичних Сил ЗС України, закладів охорони здоров’я МОЗ України у частині діагностики ВІЛ-інфекції, забезпечення наступності диспансерного спостереження за ВІЛ-позитивними особами, здійснення клініко-лабораторного моніторингу за перебігом хвороби та проведення антиретровірусної терапії».

The meeting resulted in the creation of a draft joint Order of the Ministry of Health of Ukraine and the Ministry of Defense of Ukraine on approval of the "Procedure for interaction of medical units of military units and formations, military medical institutions of the Medical Forces of the Armed Forces of Ukraine, health care facilities of the Ministry of Health of Ukraine infections, ensuring the continuity of dispensary monitoring of HIV-positive persons, clinical and laboratory monitoring of the disease and antiretroviral therapy".

 

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