HIV among people who inject drugs in Hungary

Andras Ortutay; VAnna Gyarmathy; Zsuzsa Marjanek; Karoly Nagy; Jozsef Racz; Istvan Barcs

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HIV among people who inject drugs in Hungary

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Background:Before 2014(the year of closure of the two largest needle exchange programs in Hungary,which halved the number of available syringes in the country despite increased injecting risk practices)no HIV was reportedly acquired in Hungary among people who inject drugs(PWIDs)who were not also men who had sex with other men(MSM).In 2014,one and in 2015 two non-MSM PWIDs were newly diagnosed with HIV who supposedly became infected in Hungary,and both incident HIV cases in 2015 were diagnosed in the AIDS stage.In addition,two new(albeit supposedly imported)non-MSM PWID cases were also registered in the first three quarters of 2016,one of which subsequently was diagnosed with and then died of AIDS.At the same time,the prevalence of HCV doubled among PWIDs(from 24%to 49%in Hungary and from 34%to 61%in Budapest).Case presentation:The case that we discuss in this paper is a male PWID,who was diagnosed with HIV and AIDS in May of 2015 and then died of AIDS the next month.His HIV infection status was detected with delay,and then appeared in the official statistics as an incident PWID HIV case and an incident PWID AIDS case,but not as an incident PWID AIDS death.No contact tracing followed,even though it would have been relatively easy considering the circumstances.To our knowledge,no HIV post-exposure protocol exists in hospitals,in case of HIV exposure due to an eventual needle-stick injury.Conclusions:Our paper draws attention to recently published HIV and AIDS surveillance data,and shows the failure of the system.While sounding the alarm based on three newly detected PWID HIV cases in the past 2 years may be premature,there are definitely serious problems in the HIV detection and tracing system among PWIDs in Hungary.

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《贫困所致传染病（英文）》 |2017年第001期|P.1289-1293|共5页
作者
Andras Ortutay; VAnna Gyarmathy; Zsuzsa Marjanek; Karoly Nagy; Jozsef Racz; Istvan Barcs;
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作者单位

Anaesthesiology and Intensive Care Unit Javorszky Idon Hospital Vác Hungary;

Johns Hopkins Bloomberg School of Public Health Baltimore MD USA;

Anaesthesiology and Intensive Care Unit Javorszky Idon Hospital Vác Hungary;

Faculty of General Medicine Institute of Medical Microbiology Semmelweis University Budapest Hungary;

Institute of Psychology Eotvos Lorand University Budapest HungaryFaculty of Health Sciences Department of Addictology Semmelweis University Budapest Hungary;

Faculty of Health Sciences Department of Epidemiology Semmelweis University Budapest Hungary;

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原文格式 PDF
正文语种 chi
中图分类传染病;
关键词
People who inject drugs; HIV/AIDS; Surveillance;

HIV among people who inject drugs in Hungary

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