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Russia Doesn’t Want Anyone to Know About Its HIV Epidemic

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Более подробную информацию об использовании файлов cookies можно найти здесь , наши правила обработки персональных данных — здесь. Продолжая пользоваться сайтом, вы подтверждаете, что были проинформированы об использовании файлов cookies сайтом НИУ ВШЭ и согласны с нашими правилами обработки персональных данных. Вы можете отключить файлы cookies в настройках Вашего браузера. Карта зданий Проложить маршрут. Приемная комиссия для иностранных граждан. О поступлении в Лицей. Иностранным абитуриентам. О поступлении в аспирантуру. О поступлении на программы ДПО. Профилактика Covid Нашли опечатку? Спасибо за участие! Сервис предназначен только для отправки сообщений об орфографических и пунктуационных ошибках. I went to the clinic, located in the industrial area of the city, far away from the center. My trip took over an hour: two buses, a metro, and a long walk down a thin, slippery trail. The HIV clinic—a tall concrete building, towering over the landscape, was cold and grey—a departure from the glamorous image the city otherwise tries to project. That day, it was full of people averting their eyes—HIV patients who had come to collect their medicine. The only bright thing were posters and flyers with slogans like 'AIDS is not an accident! In , the number of HIV cases detected in Russia bypassed 1 million. According to the latest government data, , new cases were detected in alone. But given that only about 20 percent of the total population is tested, epidemiologists estimate that the real number of people infected is closer to 1. In a country with a population of million people, this is enough to declare an epidemic, according to the World Health Organization. Image: Daria Sukharchuk. Doing so would mean admitting, to the whole world, its own failure to treat the disease. My experience in Moscow, although not pleasant, was brief and reassuring. The Russian law would protect me because I was lucky to live in the capital, where things like drug shortages, or lack of medical personnel are much less likely to happen than in a poorer regions. But the reality is harsher outside the capital. The rapid spread of the virus, and the lack of funding in the public health system means that there is no capacity to treat everybody who is infected. About , people currently live with HIV, because 1 million has been registered since , but , have died. Only 32 percent receive medication , compared to the 90 percent needed to eradicate the epidemic, according to the UNAIDS. It takes about two years for new drugs approved by the FDA to be licensed in Russia, and as the result, many drugs used currently are outdated—like Stavudine known for its many side-effects and taken out of WHO recommendations in , which was widely used until the beginning of this year. Lack of financing, which in some regions, like Altai southern Siberia can lead to critical shortages of drugs. Out of 85 regions, 20 only have the supplies for a month. Shortages mean that more patients will have to take drugs like Stavudine—or nothing. Some of them still manage to cope with the shortages. Irina, 30, is from Volzhsky , an industrial city in the south of Russia. When I spoke to her in March, she had not received any medication from her local hospital since the beginning of She used to go to the hospital to ask about her drugs every week, taking time off work, and writing complaints to the health ministry, but to no avail. This could change. Elena Orlova-Morozova, the head clinician of Moscow District AIDS Prevention Centre, estimates that with the funding increases in , and the Federal Antitrust Agency pushing down the prices of some drugs, it is possible to cover 40 percent of the infected population in to She hopes that the current shortages are a temporary failure of the system which will be overcome soon. While government support has been sparse, Russia could have made headway on its fight against AIDS with foreign aid money, but continues to refuse help. Центр AIDS. Centre , an NGO advocating for the rights of the people living with HIV, said that officially declaring an HIV epidemic would allow the country to receive aid from international organizations, and to negotiate lower prices for drugs. Vadim Pokrovsky, the head of Federal AIDS Centre, told me the very approach of the Russian government is problematic since it expects that the health ministry alone can cure the epidemic. The main source of infection in Russia, however, is intravenous drug use. Drug addicts are harder to treat for HIV, as they often have trouble following a schedule, taking pills every day and turning up for regular checkups at the hospital. The side-effects of the medication can also overlap with their withdrawal symptoms—one more reason to drop the therapy. Many of them avert hospitals trying to avoid stigma and bad treatment in hospitals. Russia also has a zero-tolerance policy towards drugs, which means that police can arrest anyone in possession of drugs, in any quantity. That makes it risky for patients to get treatment. Image: FAR. Some countries have tackled this problem with opioid replacement therapy, in which a drug called methadone is used to combat heroin addiction. But Russia banned this in after the Federal Drug Control has declared it a dangerous substance. The other argument is that replacement therapy 'can create a mass of people so dependent on drugs that they can be used in actions against the government or its representatives. The health ministry stands alongside the drug police and opposes methadone. Epidemiologists, such as Dr. Pokrovsky, and UNAIDS ambassador for Eastern Europe Michel Kazatchkine, have urged Russian government to change its decision, but it is unlikely that any change will come this way given the conservative turn in Russian politics.. Today, the only link between the drug addicts and the doctors are scarce outreach and needle exchange programs. They have to inform their patients who might be getting information from one of the numerous HIV denialist communities , which are very active on the Russian internet. These communities mostly include people who share anti-scientific, conspiratorial views, calling HIV a scam, and encouraging their members to spread this 'knowledge', and eventually stop people from taking anti-retroviral drugs. Many of the HIV deniers do not have the disease themselves—but some do, and they are in the biggest danger. These deniers often endanger the lives of their children, in case they stop giving them HIV drugs. Out of them, 13 are children denied treatment by their parents. While these groups remain on the fringes of society, the Russian government sometimes acts like the bigger denier of all. It can spend millions on vanity projects such as World Cup stadiums, while leaving hundreds of thousands of people die of a treatable disease. В старых версиях браузеров сайт может отображаться некорректно. Для оптимальной работы с сайтом рекомендуем воспользоваться современным браузером. Расширенный поиск по сайту. Высшая школа экономики. RU EN. Расширенный поиск новостей Предложить новость. Главный корпус , г. Москва, Покровский бульвар, д. Мясницкая, д. В статье упомянуты.

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