Burrows D, Sarankov Iu
Médecins Sans Frontières, Moscow, Russia.
Zh Mikrobiol Epidemiol Immunobiol. 1999 Jan-Feb(1):107-8.
The main principles of the concept of the "decrease of harm", realized in many countries of the world, are presented and the expediency of using this concept in Russia is substantiated. The beginning of the realization of the Project "Decrease of Harm: the Russian Federation", aimed at training specialists capable of carrying out prophylactic work among users of intravenous drugs (UID), is demonstrated. The principles of the selection of the groups of trainees are shown: the groups are made up of physicians working at AIDS centres, specialists in narcology and representatives of non-governmental organizations. The course of training provides the basic information on the strategy of the prophylaxis of HIV infection among UID, including evaluation and study, outreach, change of syringes and needles, replacement therapy, the program of the treatment of drug addiction. At the present moment 46 specialists from 18 regions of Russia are taking the course of training.
介绍了世界上许多国家所实施的“减少伤害”理念的主要原则，并论证了在俄罗斯运用这一理念的合理性。展示了“减少伤害：俄罗斯联邦”项目实施的开端，该项目旨在培训能够在静脉注射吸毒者中开展预防工作的专业人员。说明了培训学员群体的选择原则：这些群体由在艾滋病中心工作的医生、麻醉学专家和非政府组织代表组成。培训课程提供了关于静脉注射吸毒者中预防艾滋病毒感染策略的基本信息，包括评估与研究、外展服务、注射器和针头更换、替代疗法、戒毒治疗项目。目前，来自俄罗斯18个地区的46名专业人员正在参加培训课程。
