1. Esityksen nimi / Kirsi Liitsola
Young people at high risk of getting HIV and AI
St. Petersburg, 27 – 29 November 2013
Kirsi Liitsola
06/14/2011
Esityksen nimi / Kirsi Liitsola 1 1

2. National Infectious Diseases Register
Notification
Microbiological laboratory
Treating physician
Mandatory
Based on a name and a social security number
Infectious diseases in Finland – reports
Esityksen nimi / Tekijä

3. Total number of HIV cases
In the end of 2012
the total number of HIV reported cases 3056
(56/ , calulated by using population size in 2012)
Estiameted adult prevalence <0.1% - 0.1% (UNAIDS)
In the 90s average of 80 annual infections were reported, in 2000s the figure was 150.
01/06/2011
Esityksen nimi / Tekijä
HIV situation in Finland / Marja Anttila 3

4. Esityksen nimi / Tekijä
Stage of epidemic
5 %
Percentage of the
Finnish population
who are migrant
In recent years, about
half of the HIV cases
among migrants
Consentrated epidemic in risk groups
Populations mostly affeted: MSM, IDUs, sexworkers and migrants
Stable situtation during the last 5 years
Esityksen nimi / Tekijä

5. Age and gender distribution of new HIV cases during last 5 years
Most diagnosis done among people of 25 – 44 years old
Two out of three (68 %) are males
Esityksen nimi / Tekijä

6. Main HIV transmission routes during the last 5 years
Esityksen nimi / Tekijä

7. Esityksen nimi / Tekijä
Tuberculosis
Total of 7694 TB cases, including 5267 pulmonary cases
In 2012
276 cases, incidence 4,1/100 00
Around 50 % were over 60 years of age, and most of them were born in Finland; a reactivation of a latent infection contracted decades ago
Around one fourth migrants
Esityksen nimi / Tekijä

8. Esityksen nimi / Tekijä
Hepatitis C
Total of cases,
In 2012
1167 cases, incidence 21,6/
Strongly associated with IDU – in 40 % missing transmission route, history of drug use
Esityksen nimi / Tekijä

9. HIV cases among youth and adolescent (15 – 24 y.)
UNAIDS 15 – 24 years old
Total of 387 cases, 13 % of all cases reported
Stable during last 10 years – random variation
Esityksen nimi / Tekijä

10. HIV cases among 15-24 years old during the last five years
All cases
15 – 24 y.
In the adult population around 0,1 and among gay men around 2 %.
The only population in which hiv is circulating in the Finnish population an d large transmission clusters have been found.

11. TB and HCV prevalence among 15-24 years
TB no prevalence data
in 2012, total of 25 cases among persons ages , 9 % of total cases
HCV: prevalence studies among IDUs using needle exchange services, the data can be generated
in 2012, total of 344 cases, 29 % of total cases
Esityksen nimi / Tekijä

12. Adolescent and youth at high risk of getting HIV and AI
Only very limited cases under 20 years old
Injecting drug use, MSM, sex work…
Mainly living in the capital area
Study?
Reaching by low threshold services targeted for vulnerable groups
The population size – MSM? (men y %? under 24 y.) sex workers? ( around 15 % under 25), IDUs, estimation of the number is under preparation
In practice, children less than 18 the parental consent is needed for studies
Esityksen nimi / Tekijä

13. Prevention
Health education including sexual health at secondary school, high school and vocational school
Low threshold services (testing, prevention…)for vulnerable populations: needle exchange, MSM, sex workers...
“Summer rubber” : Finnish Red Cross and a radio channel, summer festivals, free condoms and a “summer rubber” campaign song
A project raising awareness
of HIV and TB among refugees and asylum refugee