1. Recommendations from the Porto meeting concerning migrant populations and HIV-prevention
More information is a must. Definitions, epidemiological investigations, risk factors etc.
”Concerted” EU-level actions are necessary. ”Ombudsman”?
Representatives of migrant populations must be involved in the work (cultural sensitivity)
Combined antiretroviral treatment must be available to all who need it.

2. HIV in Murmansk Region

3. HIV in Murmansk Region

4. Working principle
Services are provided with “low-treshold”-principle indicating that anybody is welcome to use the services free of charge and anonymously, if desired. The centre provides condoms and clean needles and syringes, and on-site HIV and HCV tests.
It works in close collaboration with the AIDS centre and narcological and rehabilitation organisations

5. Characteristics of the visits to ”Doverie”-centre in Murmansk
2005
2006
2007(8 Mo)
Visits 56
1480
1312
Males % 51 71 52
IDUs% 62 43 61
>20 Y% 23 15 13
HIV + 21
514
526
HIV+/IDU
334
413
AIDS 3 63 54
Pregn/HIV 2 37
cARV 67 78

6. HIV- and HCV-rapid tests in ”Doverie”, Murmansk
2005
2006
2007(8 Mo)
HIV-tests 14
768
638
HIV+ 26 32
HCV-tests
412
275
HCV+ 7
121 91

7. Demographic data of clients interviewed in the doorstep survey
Males
Females
Number interviewed 84 63
Average age 26 24
Average history of drug use
7.1 y
6.8 y
HIV +
39%
60%
HCV +
70%
89%
Heroin
93%
90%
New syringes available
95%
100%

8. Examples of other projects
HIV/AIDS prevention and care among drug users and in prison settings in Estonia, Latvia and Lithuania (UNODC)
”Border-cross” involving Ger, Pol, Baltics
Scaling-up treatment and care for HIV and Tb and accelerating prevention within the health system in the Baltic states (WHO/EURO)

9. How to measure the impact? Example:
Recommendation: Promote effective VTC with special emphasis on reaching the vulnerable groups.
Objective: Access to VTC should be easy and nondiscriminating and coverage should be monitored on a regular basis
Suggested criteria : How big proportion of IDU:s and CSW:s are covered? Are there agreements with law-enforcement authorities to get undisturbed function?

10. Problems/outstanding issues
Tb-expert – collaboration with the prison group
Co-lead partner – suggestion to involve the HIV-group of the Barents programme as a subgroup
Formal nomination of representatives of partners

11. Prospects for 2008 Thematic report (database)
Two meetings (Estonia April, Canada September)
New projects
Nordic-Baltic Conference on Infectious Diseases, St. Petersburg, September