1. HIV/AIDS Expert Group Activities to implement the strategy
Outi Karvonen
Moscow
18/01/2019
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2. Reported no. of HIV-infection per 100 000 inhabitants in the EPI-NORTH cooperation area, 2008
Source: and Northwest District AIDS Centre, St. Petersburg

3. Co-infections of HIV and TB in St. Petersburg 2000-2009 (A
Co-infections of HIV and TB in St. Petersburg (A. Panteleev, Tuberculosis hospital 2)

4. Presentation name / Author
Goal 2: Prevention of HIV/AIDS and related diseases in the ND-area has improved
Examples of activities
1. Prevention of HIV among drug users
Development of working principles and practice in Low Threshold Service Health Centres (LTSC) for injecting drug users
Based on this model LTSCs established in Latvia, Estonia, Murmansk, Kandalaksha, and negotiations going on elsewhere (Leningrad region)
ENCAP project strengthening collaboration between the Baltic states
18/01/2019
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Goal 2 cont.
2. Prevention of HIV/TB co-infections and MDR TB
Low threshold service centres – important role in reaching the right population
Collaboration between LTSCs, AIDS centres and tuberculosis services established in practical and administrative level
TB/HIV collaboration in Murmansk is a good example, new activities as a project proposal
Project proposal with the Leningrad Region (collaboration with Finland and Estonia)
Promoting testing for and treatment of communicable diseases among vulnerable groups in the Kaliningrad Region (Russia). NCM
18/01/2019
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Project proposals waiting for financing decision, related to the Goal 2
Development of low threshold services in the Leningrad Region ( ). Coordination: THL, Finland
HIV prevention among reproductive aged women in Karelia (Russia), Coordination: THL, Finland
Strengthening of municipal anti-drug networking in the Murmansk Region, , THL, Finland
HIV/TB collaboration in Murmansk, , FILHA, Finland
Continuation of: “Controlling the spread of HIV/AIDS in the Barents and Northern Dimension Partnership Programme Regions. Phase II”. Coordination: EG ITA
18/01/2019
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7. Project initiatives related to the Goal 2
Empowering Public Health System and Civil Society to Fight Tuberculosis Epidemic among Vulnerable Groups (TUBIDU). Aims at prevention of IDU- and HIV-related TB epidemic. Coordinated by the Estonian member of the EG. Will be applied from the EU Health Programme in March. Collaboration between the HIV/AIDS and Prison EGs.
Initiative by the Polish vice-chair of the EG to develop a big project to implement the tasks of the Goal 2. Collaboration between the HIV/AIDS and Prison EGs
Tuberculosis (+HIV) programme planned under the Finnish chairmanship of the Barents JWGHS. Prison and HIV EGs
18/01/2019
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Goal 3: Social and health care for HIV infected individuals in the ND area is integrated
HIV work is closely linked with social care in prevention, treatment and care
Project examples with special emphasis on social support:
“Psychological and social support to HIV-infected women in Leningrad Oblast”,
“Further development of low threshold services in Murmansk and Kantalahti”
18/01/2019
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Other priority areas
Prevention of HIV among MSM
European MSM Internet survey on knowledge, attitudes and behaviour as to HIV and STI (project supported by EU). Coordinated by the German member of the EG.
Policy issues: Enhancing voluntary testing and counselling and link to “secondary surveillance” according to WHO criteria. Harmonisation of Post exposure prevention guidelines
New incidence surveillance – value for epidemiological research?
18/01/2019
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Long-term priorities
Regional collaboration, (learning from each other)
Prevention of HIV among drug users
Prevention of HIV/TB dual infections
Enhancing cross- border activities
Prevention of HIV among men who have sex with men
Close collaboration with social welfare
Promoting harm reduction among IDU:s
Prevention of mother-to-child transmissions
18/01/2019
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Next steps
Expert Group meeting in March in Saariselkä, Finland
Autumn EG meeting possibly in Kaliningrad
New projects to be launched
New project proposals to be developed
Logical Framework workshop on TB and HIV collaboration in June
18/01/2019
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