Transcript The Russian HIV/AIDS Case Reporting System

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 ?
estimated high
(Eberstadt, NIC)
estimated middle
(Pokrovski)
estimated low
(UNAIDS)
registered
(FNMC AIDS)
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
Data and method
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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
system’s creation
Case record:
Urgent dispatch on the person whose blood immunoblot reaction
revealed HIV antibodies
Personal data:
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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 :
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Date
Type od a test system
# of series
Revealed protein and glicoproteid
Institution which previously revealed a
positive result of IFA test:
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Institution
Address
IFA date
Position, name and signature of a
reporter
Phone number
Date
Case record (continued):
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
codes of contingent
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
Labs: blood takings and analyses
Federal AIDS Center
Territorial
AIDS Centers
Regional AIDS Centers
Hospitals
Army, prisons,
migration services
Maternity Homes
TB, STD, drug abuse
dispensaries
Stages of epidemic in Russia
(in terms of registered HIV+ cases)
Cases\Stages
New
Cumulative
-1998
1999-2001
2002-2005
10 889
166 690
155 753
177 579
333 332
Epidemic strike
12000
April 2001
10000
IDU
8000
Total
6000
4000
2000
0
01.01.96
01.01.99
01.01.02
Preliminary conclusions:
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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:
[email protected]
Acknowledgments:
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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