hiv-infection in russia alexander panteleev head of the hiv/tb department city tb hospital # 2,...
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HIV-infection in Russia
Alexander PanteleevHead of the HIV/TB department
City TB Hospital # 2, St-Petersburg, Russia
Prevalence of HIV in Russia and in St-Petersburg 1998-2008, per 100.000 population
7 1954 106 130 147 159
230 238 269307
8 17133
367435
461560
624644
688
763
0
200
400
600
800
1000
1200
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
St-PetersburgRussia
Transmission of HIV infection 1987-2008 St-Petersburg, Russia
0
67
818189
65
54
72
9797
70
1717
8101613
713
26
96
0
10
20
30
40
50
60
70
80
90
100
87-95 96-99 2000 2001 2002 2003 2004 2005 2006 2007 2008
parenteral sexual
%
St. Petersburg City AIDS Centre
Incidence of TB in Russia 1992-2008per 100.000 population
Ministry of health Russia, 2008
Two epidemics in Russia
HIV
HIV
TB
TB
14
38
55
3022 20
28 2935
68
9085
86 83 83 83
72
82
0
10
2030
40
50
60
7080
90
100
1999 2000 2001 2002 2003 2004 2005 2006 2007
HIV TB
New cases of HIV and TB in Russia1999-2007, per 100.000 population
O. Frolova 2009 Russian Federal Centre of TB/HIV Surveillance
New cases of HIV/TB in Russia 1999-2008
O. Frolova 2009 Russian Federal Centre of TB/HIV Surveillance
271 310 576 833 9901407
3907
5985
7387
2926
0,7
4,2
2,7
2,1
1,0
0,60,40,20,2
5,2
0
1000
2000
3000
4000
5000
6000
7000
8000
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
0
1
2
3
4
5
6
cases per 100.000 population
N o
f new
HIV
/TB
case
s
Per 1
00.0
00 p
opul
ation
050
100150200250300350400450
2000 2001 2002 2003 2004 2005 2006 2007 2008
TB other causes
TB mortality among overall mortality of HIV-patients 2000-2008 St-Petersburg, Russia
N o
f HIV
pati
ents
die
d
St. Petersburg City AIDS Centre
Incidence of HIV and TB in general population and incidence of TB in HIV-population
2000-2008 St.-Petersburg, Russia
37.1
660.7
1277
209.3 304.9329.2
397.2
556.7628.1
0
50
100
150
200
250
2000 2001 2002 2003 2004 2005 2006 2007 2008
0
200
400
600
800
1000
1200
1400
TB HIV TB+HIV
A. Panteleev et al 2009
Per 1
00.0
00 g
ener
al p
opul
ation
Per 1
00.0
00 H
IV-in
fect
ed
Proportion of HIV cases among newly diagnosed TB cases
TB hospital #2 St-Petersburg, Russia
26.2
0.1 0.10.9
2.6 3.1
6.28.0
10.6
15.6
0
5
10
15
20
25
30
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
%
MDR XDR
10%56%
Drug resistance in HIV/TB patients TB hospital #2 St-Petersburg, Russia
N tested 604 N tested 284
HAART in patients with HIV/TBTB hospital #2 St-Petersburg, Russia
HAART + HAART -
10%
29%
22%
39%
4%
5%
13%
78%
Cure Chronical forms Without dynamics Death