Hamers F F
EuroHIV, European Centre for the Epidemiological Monitoring of AIDS, Institut de Veille Sanitaire, 12, rue du Val d'Osne, 94415 Saint-Maurice Cedex, France.
Rev Epidemiol Sante Publique. 2000 Apr;48 Suppl 1:1S3-1S15.
In Ukraine, the number of reported HIV infections increased extremely rapidly during the second half of the 1990s, from less than 50 per year until 1994 to more than 12,000 in 1996. The increase was initially observed and was particularly striking in the regions along the Black Sea. The majority of reported HIV infections were diagnosed in injecting drug users. The extend of HIV spread through sexual transmission is more difficult to assess because of the strong social stigma attached to homosexuality and the lack of information on sexual behaviour in general. The reported number of syphilis cases have also dramatically increased, from 3,000 cases in 1990 to nearly 80,000 cases in 1996. In this paper, we describe the surveillance systems for, and epidemiologic data on HIV infections, AIDS, and other STD in Ukraine from 1987 to 1996. We review the contributions of different vulnerable groups and we also discuss the factors influencing the past spread and the potential for future spread of HIV infection and make recommendations for surveillance, research and prevention.
在乌克兰，20世纪90年代后半期报告的艾滋病毒感染病例数急剧增加，从1994年之前每年不到50例增至1996年的12000多例。这种增长最初在黑海沿岸地区被观察到，且尤为显著。报告的艾滋病毒感染病例大多是在注射吸毒者中诊断出来的。由于同性恋存在强烈的社会污名以及普遍缺乏性行为方面的信息，通过性传播的艾滋病毒传播范围更难评估。报告的梅毒病例数也大幅增加，从1990年的3000例增至1996年的近80000例。在本文中，我们描述了1987年至1996年乌克兰艾滋病毒感染、艾滋病及其他性传播疾病的监测系统和流行病学数据。我们审视了不同弱势群体所起的作用，还讨论了影响艾滋病毒感染过去传播情况及未来传播可能性的因素，并就监测、研究和预防提出建议。
