A regional online conference dedicated to the presentation of the global report on AIDS for 2020 "Overcoming the pandemic: putting people's interests in the spotlight"

On March 1, 2021, a regional online conference dedicated to the presentation of the Global AIDS Report 2020 "Overcoming the Pandemic: Putting People's Interests in Focus" (Eastern Europe and Central Asia) was held, which became a platform for joint review of social and legal conditions in the region. to achieve the goals.

According to regional statistics, the treatment cascade of 90-90-90 in the regions is still far from being achieved and is rather 70-44-41. The reason for this indicator is considered to be late diagnosis - 53% of all new HIV / AIDS diagnoses in 2019 in the region were made at late stages.

It is noted that among the tasks of UNAIDS for 2025, much more attention is paid to social factors. But to achieve these goals, a new regulatory framework, laws, principles and educational campaigns are needed to eliminate stigma and discrimination, empower and stop marginalizing people at high risk of infection.

Thus, the report drew attention to the fact that in the region of Eastern Europe and Central Asia, the situation with the legislation still does not meet the conditions that would help to eradicate the infection and stop the pandemic. And although the criminal code has changed in many countries, discriminatory laws are changing very slowly.

Recordings of the presentation in Russian and English and all other materials from the speeches can be viewed here.

Training "HIV counseling and testing using rapid multitests in the Armed Forces of Ukraine" took place in Dnipro

At the end of February, a three-day training "HIV Counseling and Testing with the Use of Rapid Multitests in the Armed Forces of Ukraine" was held in Dnipro with the participation of military doctors of the military medical clinical centers of the Eastern Region and subordinate units. Within the implementation of the PEPFAR project HIV / AIDS Prevention in the Armed Forces of Ukraine: testing and counseling, reducing the risk of infection on the battlefield. 

The main purpose of the training is to improve skills in HIV counseling, including index testing of HIV-infected partners and testing using rapid multitests.

The event was attended by organizations working or involved in the field of combating HIV / AIDS, in particular, trainers from the National Medical Academy of Postgraduate Education. P.L. Shupik, City Center for AIDS Prevention and Control.

During the classes, the issues of the HIV / AIDS epidemic situation in Ukraine and among servicemen, ways to improve the interaction of medical units of the Ministry of Defense and the Ministry of Health of Ukraine on providing a package of services to servicemen of the Armed Forces of Ukraine on HIV / AIDS based on patient-centered approach were considered. the rights of HIV-positive servicemen, providing psychological and spiritual assistance to HIV-infected servicemen, in particular, in the war zone and more.

 

In 2020, the incidence of tuberculosis in Ukraine decreased by almost 30%

In 2020, 17,593 cases of active tuberculosis, including recurrences, were registered in Ukraine. This is 29.8% lower than in 2019, when 25,237 cases were registered, according to the Public Health Center of the Ministry of Health.

The highest incidence rates of tuberculosis were registered among the population of Odesa (2,171 cases), Dnipropetrovsk (2,005), Lviv (1,098) oblasts and the Ukrainian-controlled part of Donetsk (1,065) oblasts.

At the same time, in Ternopil region the largest decrease in morbidity was recorded - by 48.9%. There is also a noticeable decrease in Chernivtsi (43.8%), Ivano-Frankivsk (41.9%), Vinnytsia (39.4%) regions and Kyiv (37.8%).

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.

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