Terrible statistics from the Center for Public Health

According to Joint United Nations Programme on HIV/AIDS (UNAIDS), the epidemic of HIV infection in Ukraine is the second largest among the countries of Eastern Europe and Central Asia. Ukraine continues to work in search of new resources and tools on the "way to accelerate the fight against AIDS". Despite the challenges and risks facing the country in the face of financial and military crises, the state, healthcare system and society are paying a lot of attention to HIV / AIDS problem. 

Based on the results of the annual reporting on HIV surveillance, the statistical indicators have been updated. For the period 1987 - 2017, the country officially registered 315,618 cases of this disease among Ukrainian citizens, including 102,205 AIDS cases and 45074 deaths from AIDS-related illnesses.

According to estimates, in Ukraine at the beginning of 2018, there were 241,000 people living with HIV of all ages. The prevalence of HIV in the age group of 15-49 years was 0.98%.

As of 01.01.2018, there were 141 371 HIV-infected persons under medical supervision, including one in three have a diagnos of AIDS.

Territorial spread of HIV infection is not uniform. The most intensively epidemic process of this disease takes place in the southern regions of Ukraine, in the territory of Dnipropetrovsk, Kyiv, Chernihiv and Donetsk regions, where the highest rates of HIV prevalence are recorded. In the western provinces of the country, the levels of HIV infection prevalence are the lowest. More than half of the patients, who are officially under medical supervision, live in the territories of Dnipropetrovsk, Donetsk, Odessa regions and Kyiv.

In 2017, the number of newly registered HIV-infected persons increased in Ukraine - 18 194 against 17 066 in 2016, the rate of growth was + 7%, the rate of morbidity was 42.8 per 100 100 thousand population versus 40.0 in the previous year. Significant growth rates of morbidity are registered in Dnipropetrovsk, Kirovograd, Odessa, Khmelnytsky, and Chernihiv oblasts.

The increase in the number of newly registered patients in more than 1,000 patients was due to the involvement of people with positive results of HIV testing in previous years and the revitalization of the work of the Donetsk and Luhansk regional AIDS centers in the medical surveillance.

Among people who became infected with HIV, 58.7% were men, 41.3% were women, 74.5% were urban residents, 25.5% were villagers.

HIV infection continues to spread among the general population at the expense of the sexual transmission pathway, retains the activity of the parenteral route of transmission when injected into narcotic drugs.

According to the strategy "Accelerated overcoming of the HIV epidemic", aimed at eradicating the epidemic until 2030, as a threat to public health, in order to ensure healthy life and well-being of all people, Ukraine needs to simultaneously implement a series of measures aimed at active detection of undiagnosed HIV infection, adherence to the continuous chain of provision of HIV services, intensive development of ART and effective treatment. It will provide an opportunity to live a life full of life of people living with HIV, stop the HIV / AIDS epidemic in the country, prevent new HIV infections and reduce the mortality of people from AIDS-related illnesses.

In article was used material from web site of  the state of The Center for Public Health.

Guiding Documents

Countering HIV / AIDS in Ukraine is one of the priorities of the state policy in the field of healthcare and social development, as well as a subject of international liabilities.

According to WHO / UNAIDS, Ukraine continues to be a region with high HIV prevalence in Central Europe and East Asia. Analysis of the situation with HIV / AIDS epidemic testifies to the fact that the epidemic control is not implemented to the full extent:

  • only every second person infected with HIV is aware of their positive status and addresses a medical establishment; 
  • there is a high percentage of positive results among blood donors, especially primary ones; 
  • the proportion of children with congenital HIV infection is not decreasing; 
  • increasingly stronger epidemic impact is related to the highly stigmatized group of men who have sex with men. 

It is particularly menacing that people living with HIV tend to address for medical help tardily; this results in late detection of AIDS and associated forms of TB / HIV, which is the reason for high mortality among patients. The above facts attest to the conclusion concerning the lack of comprehensiveness in approaches combining prevention and treatment programs at the national and regional levels into a single efficient response system.

For a better awareness of your health issues important to get acquainted with the guidance documents in this area.

Why is it important to know these documents?

  • In order to know who people should address in case of need;
  • To know their own rights and responsibilities and those of their loved ones and be able to protect them;
  • For professionals – to carry out their duties in accordance with the current legislation of Ukraine and best international practices and standards.

Today key guiding documents in the fight against the HIV / AIDS epidemic in Ukraine, which should be familiarized to individuals and profile organics, are:

The Laws of Ukraine:

          Decrees of the President

          Resolutions of the Cabinet of Ministers of Ukraine

The key guideline documents for counteracting the HIV / AIDS epidemic in Ukraine for physicians and specialized organizations are:

Protocols and standards

Orders of the Ministry of Healthcare

         Accounting and Reporting

* This article uses material from the website of the Center for Public Health of the Ministry of Health of Ukraine.

We continue to distribute knowledge about hygiene!

Recently, the leadership of the NGO "International Institute for HIV / AIDS and Tuberculosis" transferred to the Department of Restorative Treatment at the National Military Medical Clinical Center information playing cards for the collective promotion of hygienic knowledge and healthy lifestyle among the personnel of the military units (institutions) of the Ministry of Defense of Ukraine.  

Reference: according to the order of the Cabinet of Ministers of Ukraine No. 416-r dated 21.06.2017 and the Order of the Minister of Defense of Ukraine No. 128 dated 07.07.2017, the National Military Medical Clinical Center "Chief Military Clinical Hospital" has taken into operation the Sports and Health Complex from the economic management of the National Bank of Ukraine to the management of the Ministry of Defense of Ukraine.

On August 23 in 2017 with the participation of the President of Ukraine P.O. Poroshenko, on the basis of the mentioned complex, opened a department of restorative treatment of the National Military Medical Clinical Cente with new modern possibilities of rehabilitation and health improvement of patients.

The department includes: swimming pool, small hydrotherapy pool, gym, massage rooms, modern physiotherapy room and more.

Branch office: daily from 8.30 to 15.30, Friday to 14.30, Saturday and Sunday - day off.

For recovery retreatment (except for weekends and holidays), according to the medical indications, in this department are sent patients inpatient with diseases of the musculoskeletal system, neurological, psycho-neurological profiles.

Impressions for referral for regenerative treatment:

  • damage and disease of the peripheral nervous system in the recovering period (radiculopathy, cervical edema, thoracalogy, lumbalgia, ishiallgia, neuropathy);
  • injuries and diseases of the musculoskeletal system in the recovering period (osteochondrosis, scoliosis, spondylosis, damage between vertebral discs, other dorsopathies);
  • post-traumatic stress disorder, neurosis; border mental disorders (syndrome of chronic fatigue, professional burnout);
  • adaptive neurotic disorders; somatoform mental disorders; states after acute reactive stress, depressive disorders.

Management of the International Institute of HIV / AIDS and Tuberculosis wishes to all the good health!

Facts about tuberculosis

Tuberculosis can be treated!

Do you know that: 

  • Anyone can contract tuberculosis! 
  • Tuberculosis can be treated! 
  • It is impermissible to self-diagnose tuberculosis and self-treat it! 
  • If you have at least one tuberculosis symptom, address the doctor immediately! 

Tuberculosis is an infectious disease. It is caused by mycobacterium tuberculosis (MBT) called Koch's bacillus.

What is multi-drug resistant tuberculosis?

Multi-drug resistant tuberculosis or MRD-TB is a form of tuberculosis resistant to at least two most effective antituberculosis drugs. These are isoniazid and rifampicin. It means that these antibiotics will not be effective in killing the bacteria.

Main symptoms of the disease: 

  • cough lasting over 2 weeks; 
  • increased body temperature for more than 7 days; 
  • respiratory distress; 
  • pain in the chest; 
  • poor appetite, constant tenderness; 
  • groundless weight loss; 
  • increased perspiration, especially at night; 
  • blood spitting (presence of blood in sputum released by coughing) 

Why is tuberculosis dangerous?

A healthy person can contract tuberculosis by breathing in the drops of moisture containing MBT that are released by a patient with a contagious form of tuberculosis while coughing, sneezing, or talking. Most often, respiratory organs are impaired.

At first, the course of the disease is nonmanifest and people often do not pay attention to continuous feeling sick or try to treat “cold” and “a cough” by themselves. Therefore, treatment of such patients starts late and demands more time and efforts.

Early detection and right treatment result in a person stopping to release MBT into the environment and infecting others.

Early start of tuberculosis treatment is the key to successful recovery.

Who can contract tuberculosis? 

  • Anyone can contract tuberculosis, but some people are more vulnerable to the disease, namely: 
  • persons who have regular contacts with tuberculosis patients; 
  • HIV-infected and patients with AIDS; 
  • people suffering from alcohol addition, smokers, or drug users; 
  • people with weak immunity due to malnutrition, bad living conditions or chronic diseases (diabetes mellitus); 
  • children, for their immune system is not formed yet; 
  • elderly people due to weakening of their immune system. 

Who can contract MRD-TB?

Drug-resistant forms are usually contracted by people who: 

  • do not take antituberculosis drugs regularly; 
  • do not take medication recommended by the doctor; 
  • develop a repeated case of tuberculosis after treatment by antituberculosis drugs in the past; 
  • contacted with a patient with drug-resistant form of tuberculosis. 

What should you do if you notice similar symptoms in yourself or your relatives?

There is only one answer: go to the doctor as soon as possible! Do not bide time and do not self-medicate. The sooner you start treatment, the more chances for success you will have.

What will happen without treatment?

In some cases, patients without treatment die within one to two years. In other cases, tuberculosis acquires a chronic or drug-resistant form. If not treated, a patient with chronic tuberculosis releases MBT for many years and infects people around them. Exacerbation of tuberculosis is accompanied by high temperature and painful cough with blood spitting. Therefore, quality of life worsens significantly.

What tests allow establishing the diagnosis?

Main tests include doctor’s examination, microscopic investigation of sputum, and X-ray examination of thoracic organs. The scope of examination is determined by the doctor. Your task is to address him/her timely.

How is tuberculosis treated?

There are special antituberculosis remedies.

A doctor prescribes to a tuberculosis patient a combination of several drugs that supplement each other. A course of tuberculosis treatment lasts not less than six months, and, in the case of multi-drug resistant form – not less than twenty – twenty-four months.

The most important thing in the course of treatment is to strictly observe all prescriptions and recommendations of the doctor and never interrupt the treatment.

Tuberculosis does not care about the social status and is equally dangerous for everyone.

There are anti-tuberculosis programs and effective medications.

Treatment of tuberculosis should start as soon as possible to achieve the result quicker and easier.

Treatment by antituberculosis drugs is free of charge in Ukraine.



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Email: aids-institute@aids-institute.org

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