ЭВОЛЮЦИЯ ЭПИДЕМИИ ВИЧ-ИНФЕКЦИИ В САНКТ-ПЕТЕРБУРГЕ - СНИЖЕНИЕ ЗАБОЛЕВАЕМОСТИ, СТАРЕНИЕ И УТЯЖЕЛЕНИЕ БОЛЕЗНИ

Significant changes in the development of HIV epidemic have been taking place in Saint Petersburg over the last five years. The essence of the changes is defined by a trend to a decrease in HIV incidence in the general population associated with more advanced forms of HIV infection in newly registered cases. The epidemic mainly involves people born in late 1970s - early 1980s, who at their time formed HIV risk groups. In this generation, injection drug use was the prevailing route of HIV spread, and about ten thousand people died of HIV infection. HIV is still most often acquired by people of the same age group. The cryptic population of people with HIV produces patients with the most advanced forms of HIV infection, because they have acquired HIV several years ago. Gradually, HIV risk group is being replenished with a younger generation having other attitudes and being more informed in HIV issues. The task of all services involved in HIV medicine and case management is to prevent the massive transfer of HIV from the older to the younger generation.