Report from the Steering Committee meeting of the Barents HIV/AIDS Programme Outi Karvonen 8.4.2010 06/06/2018 Outi Karvonaen

Meeting in Ivalo, Finland, 10-11 March Participants from Murmansk, Republic of Komi, St. Petersburg, Norway, Sweden and Finland (including Lapland Province administration and University of Lapland) Epidemiological situation of HIV Some increase in Murmansk Region and Norway Russian Federation, preliminary number of cases in 2009 – 57 911; final figure expected 59-60 thousand Cumulative number 529 353 by 1 Jan 2010 Main transmission route in 2009 – IDU (62%) Majority of cases among men – 67% HIV+TB co-infection – 16 813 by the end of 2008 06/06/2018 Outi Karvonaen

HIV situation in Russian Barents Regions Cases in 2008 Cases in 2009 “Prevalence” per 100,000 population 1.1.2010 Archangelsk Region 68 71 26.4. Murmansk Region 421 446 347.9 Republic of Karelia 123 89 95.6 Republic of Komi 140 115 123.4 Nenets Autonomous District 7 3 42.9 Source: Northwest District AIDS Centre, St. Petersburg 06/06/2018 Outi Karvonaen

Reported no. of HIV-infection per 100 000 inhabitants in the EPI-NORTH cooperation area, 2008 Source: http://www.epinorth.org/ and Northwest District AIDS Centre, St. Petersburg 06/06/2018 Outi Karvonaen

Co-infections of HIV and TB in St. Petersburg 2000-2009 (A Co-infections of HIV and TB in St. Petersburg 2000-2009 (A. Panteleev, Tuberculosis hospital 2) 06/06/2018 Outi Karvonaen

HIV+TB cases in Russian Barents regions Murmansk Region – 18 cases of TB among HIV+ in 2009, cumulative number – 97 Republic of Komi – 6 cases of HIV+TB co-infection in 2009 (20 in 2008, 11 in 2007) Republic of Karelia – 8 cases HIV+TB in 2009 (totally 16) Archangelsk Region? Nenets Autonomous district? (In Finland one HIV+TB case in 2009, 6 in 2008) 06/06/2018 Outi Karvonaen

Ivalo, Presentation on LTSCs in Murmansk and Kantalahti 2613 visits to Murmansk centre Doverie in 2009, and 695 to Kantalahti centre Nadezhda 881 visitors had HIV test in Murmansk in 2009 – 36 cases of HIV detected Client survey: heroine most popular, 37% sometimes share syringes, 40% not always use condom with occasional partner 06/06/2018 Outi Karvonaen

Ivalo, presentation of University of Lapland Survey among 2514 students in professional lyceums and colleges in Murmansk Region (2006) Age 14-22 33,7% had tried drugs 40% of those who had tried, continued to use drugs Interview of teachers and parents Do not consider drugs as a big problem at schools, think that alcohol and tobacco are more serious problems 06/06/2018 Outi Karvonaen

Projects under the Barents HIV/AIDS Programme Ongoing projects – 12 5 Finnish-Russian, 6 Norwegian-Russian and 1 NCM Under consideration – 4 Completed projects - 19 A book on the history of collaboration? 06/06/2018 Outi Karvonaen

Future of the Barents HIV/AIDS Programme Coordination financed on project-base by the Ministry for Foreign Affairs, Finland Current project is for 2008-2010 New application for 2011: evaluation of the work, suggestion to JWGHS about future activities JWGHS co-operation programme will be completed in the end of 2011, new programme for 2012-2015 06/06/2018 Outi Karvonaen