European Population Conference, 21 – 24 June 2006, Liverpool, United Kingdom Session 303: HIV/AIDS Chairman: James Brown Speakers: Boris Denisov Sabine Groos, Ulrich Mueller, Walter Krause Alessandro Valentini, Piero Manfredi, Linda Porciani Xiushi Yang, Guomei Xia
The Russian HIV/AIDS Case Reporting System Boris Denisov Laboratory of Population Economics and Demography, Department of Economics, Moscow University, Moscow, Russia
Why ?
Data and method Гарант (Garant) national data base СПИД (AIDS) full text search string Forty eight relevant documents for analysis Twenty six issues of Federal AIDS Center bulletins Consultations with persons, involved in the systems creation
Case record: Urgent dispatch on the person whose blood immunoblot reaction revealed HIV antibodies Personal data: Address (where report goes) Name (in Russian format: three entries) Sex Date of birth Citizenship Place of residence in the USSR Mail address Address of job or learning Code of contingent Result of immunoblot reaction : Date Type od a test system # of series Revealed protein and glicoproteid Institution which previously revealed a positive result of IFA test: Institution Address IFA date Position, name and signature of a reporter Phone number Date
Case record (continued): codes of contingent 100 USSR citizen, including 101 Person having sexual contacts with PLWHA 102 Drug addict 103 Homo and bisexual (man) 104 Person with STD 105 Promiscuous person 106 Person being abroad for more than one month 108 Donor 109 Pregnant 110 Recipient of a blood product 111 Military servant 112 Prisoner 113 Tested due to clinical reasons 114 Tested anonymously 115 Having contacts with PLWHA 200 Foreign citizen, including 201 Person having sexual contacts with PLWHA 202 Drug addict 203 Homo and bisexual (man) 204 Person with STD 205 Promiscuous person 207 Entering the USSR for more than three months 209 Pregnant 210 Recipient of a blood product 211 Military servant 212 Prisoner 213 Tested due to clinical reasons 214 Tested anonymously 215 Having contacts with PLWHA
A case reporting scheme Federal AIDS Center Labs: blood takings and analyses Regional AIDS Centers Territorial AIDS Centers Hospitals TB, STD, drug abuse dispensaries Maternity Homes Army, prisons, migration services
Stages of epidemic in Russia (in terms of registered HIV+ cases) Cases\Stages New Cumulative
Epidemic strike 28 months
Preliminary conclusions: The system had been able to register the explosion It is pretty well designed and works Thus the undercount is unlikely, and The coverage is as full as possible i.e., a big national epidemic is well documented from the very beginning
Contact:
Acknowledgments: M. I. Narkevich, A. A. Monisov, retired founders of the system for providing consultations V. V. Pokrovski, N. N. Ladnaia, Y. V. Sokolova of Federal AIDS center for providing data W. Gold (Liverpool University), S. Solnick (Ford Foundation, Moscow) for financial support of the trip to (and from) Liverpool