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HIV/AIDS Surveillance in the European Union and European Economic Area (EU/EEA)

13 ноября, 2016


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HIV infection is of major public health importance in the EU/EEA, with no clear signs of overall decrease.

  • During the past decade (2005-2014) there have been important epidemiological changes in HIV diagnoses in the EU/EEA:
  • Sex between men accounted for the majority of cases diagnosed in 2014 (42%) and is increasing
  • Heterosexual cases declined, driven by a decline among those from countries with generalised HIV epidemics
  • Still, 37% of HIV diagnoses in 2014 were among people originating from outside the reporting country
  • HIV cases attributed to injecting drug use declined over the last decade, despite the increase in two countries due to localised outbreaks

Nearly half (47%) of persons diagnosed had a CD4 cell count of <350/mm3 at diagnosis.

Evidence-based HIV prevention interventions tailored to the local epidemiological context and targeted at those most at risk should be sustained and scaled-up.

  • Programmes for men who have sex with men should be a cornerstone of HIV prevention in all EU/EEA countries
  • Given the high proportion of HIV cases among migrants in many EU/EEA countries, and evidence of post-migration HIV-acquisition, migrant-sensitive prevention services are crucial
  • Keeping harm reduction levels high will continue to prevent HIV among people who inject drugs
  • Expansion of HIV counselling and testing will ensure early diagnosis and access to treatment; this will reduce the number of late presenters and improve treatment outcomes.
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