Epidemiology and infectious diseases

doi: 10.25005/2074-0581-2017-19-2-249-253
SPECIAL CHARACTERISTICS OF HIV/AIDS AMONGST CONVICTED INDIVIDUALS AND THE REST OF THE POPULATION IN CONTEMPORARY CONDITIONS

H.K. Rafiev1, R.M. Nurov2, S.T. Ibodov3, Z.H. Rafieva4, G.M. Usmanova1, S.G. Ali-Zade5

1Department of Epidemiology, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
2Epidemiological Department, Tajik Scientific Research Institute of Preventive Medicine, Dushanbe, Tajikistan
3Department of Anatomy, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
4Department of Obstetrics and Gynecology of the Medical Faculty, Tajik National University, Dushanbe, Tajikistan
5Department of Science, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

Objective: Conduct an analysis of the clinical-epidemic process of HIV infection amongst the population and convicted individuals, and the development of the preventive measures to persons in the risk groups.

Methods: 3000 maps of epidemiological survey of the nidus of HIV-infection viruses among the population were analyzed, including 500 maps of the epidemiological survey amongst convicted for 2007-2012 periods, and 1 342 043 of express-testing of HIV-infection among the population, including 37 417 amongst convicted were conducted. As a result, 752 HIV-positive people were identified, of whom 356 were among those convicted.

Results: The epidemic mostly affected people aged 20-39 (83%) of the total number of HIV-infected people registered in 2012 among the civilian population. As of July 1, 2008, the share of the sexually transmitted diseases, according to registration, accounted for 25.1% of cases, in 2012 – 30.1 %, in 2016 – 42.4%. In penitentiary institutions, among injected prisoners in 2012 was 92.3%, and the sexual way – 7.0%, and in 2016 – 91.2% and 7.5% respectively.

Conclusions: Comparison data on the incidence of HIV infection among the population of the Republic of Tajikistan with registered data amongst convicted established essential distinctions. Counteraction is the priority of the HIV/AIDS agents and methods of non-specific prevention. Providing the risk group with information on the character of the behavior associated with HIV transmission, its change over time in certain areas improves the prognosis of the spread of HIV infection and allows analyzing the effectiveness of preventive and anti-epidemic measures.

Keywords: HIV infection, HIV/AIDS, epidemiological surveillance, penitentiary system.

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Authors informations:

Rafiev Hamdam Kutfiddinovich, Doctor of Medical Sciences, Full Professor, Professor of the Department of Epidemiology, Avicenna TSMU

Nurov Rustam Madzhidovich, Doctor of Medical Sciences, Head of the Epidemiological Department of the Tajik Scientific Research Institute of Preventive Medicine

Ibodov Saidmukim Tilloevich, Doctor of Medical Sciences, Full Professor, Professor of the Department of Anatomy, Avicenna TSMU

Rafieva Zarina Hamdamovna, Doctor of Medical Sciences, Full Professor, Head of the Department of Obstetrics and Gynecology, Medical Faculty, Tajik National University

Usmanova Gulnora Mukimovna, Doctor of Medical Sciences, Assistant of the Department of Epidemiology, Avicenna TSMU

Ali-Zade Sukhrob Gaffarovich, Candidate of Medical Sciences, Senior Researcher of the Department of Science and Innovation, Avicenna TSMU

Address for correspondence:

Ali-Zade Sukhrob Gaffarovich

Candidate of Medical Sciences, Senior Researcher of the Department of Science and Innovation, Avicenna TSMU

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: (+992) 928 217755

E-mail: suhrob_a@mail.ru

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