1. Expert Group on HIV/STI
Report

2. Meeting in Tallinn 3.-4.4 2008 Approval of thematic report
Evaluation of country reports
Evaluation of projects (ongoing and planned)
Development of indicators
Site visit to Narva

3. Registered new HIV cases per million inhabitants in selected European countries in 2006
(Data source:

4. Reported cases of HIV-infection among injecting drug users Nordic countries1990-2007

5. Trends in newly diagnosed HIV infections by mode of transmission and year of diagnosis

6. Thematic report/Priority topics for projects:
Regional collaboration
Integration of social and health care for HIV-infected individuals
Prevention of HIV among drug users
Enhancing cross-border bilateral activities
Promoting harm reduction policies among drug users

7. Thematic report/Priority topics for projects/2:
Prevention of HIV/TB dual infections
Prevention of HIV among MSM
Prevention of MTCT
Enhancing implementation of common best practices

8. Other areas to be covered:
Surveillance and analysis of risk factors
HIV prevention in prisons
Prevention of social exclusion of people living with HIV
Integration of social and health care for people living with HIV
Laboratory collaboration

9. Example of a successful project following the priorities
Development of low-treshold services for injecting drug users to prevent the spread of HIV in Murmansk and adoption and implementation of the principles and experience to Leningrad oblast

10. Дозорные исследования
Реализация международных проектов по профилактике ВИЧ/СПИДа в Мурманской области
Дозорные исследования
Норвегия
Финляндия
Швеция … …
2004 … …

11. Legacy for LTCS
Properly implemented non-discriminating LTCS is challenging but could demonstrate the heritage of promoting social well-being and solidarity in the society

12. Project status in the end of 2007
Ongoing projects - 21
Projects involving Russia - 18
Projects involving Norway – 12
Projects involving Finland – 6
Projects involving Sweden – 1
Projects involving Estonia, Latvia and Lithuania – 3
Projects involving France - 1

13. Project status 2
Project proposals – 15
Completed projects - 4

14. Financing
ITA and coordination financed through a project in by the Ministry for Foreign Affairs, Finland
Chairmanship financed by the Ministry of Social Affairs and Health at least through 2008
Additional possibilities offered by the Finnish financing in the project pipeline

15. Indicators/Important targets
Epidemiological situation
Changes in risk behaviour
Impact of interventions
Coverage in risk groups

16. Suggestions for indicators in the NDPHS HIV
Annually reported HIV cases by transmission category
Annual newly reported AIDS cases
Annual deaths among HIV-infected
Annual reported HIV-cases in years old and years old
Annual HIV and TB cases in correctional facilities

17. Suggestions for indicators in the NDPHS HIV/2
Percentage of estimated HIVpositive incident TB cases that received treatment for HIV and TB
Percent of HIV-positive pregnant women who received antiretrovirals to reduce the risk of mother-to-child transmission
Percent of adults and children with advanced HIV infection receiving ART

18. Regional differences (Data sources: Statistics Estonia,
National HIV Reference Laboratory)

19. TB Incidence and TB+HIV cases by Year, Estonia, 1989–2007
(Data source: National TB Registry)

20. Observations from Narva
Extremely high prevalence (7% of young adult population, 15-39) and incidence
Strong link with injecting drug use
Little understanding of the role of CSW
Little information about the situation and developments in Ivangorod
Strong interest in developing collaboration accross the border

21. Observations from Narva/2
What is needed:
Common meeting between the health authorities (and other stakeholders?) in both cities. More permanent structures in the future?
Support to projects dealing with CSW vs HIV
Support to projects implementing low-treshold services on both sides of the border