EPIDEMIOLOGICAL EVALUATION OF THE SIGNIFICANCE OF PARENTERAL AND SEXUAL TRANSMISSION OF HIV IN KYRGYZSTAN

Abstract

The aim of the study was to provide an epidemiological assessment of the significance of parenteral and sexual transmission of HIV in Kyrgyzstan. Materials and methods. For the analysis, were used the data of the Republican Center for Bloodborne viral hepatitis and HIV Control from the electronic system for tracking HIV cases. Results and discussion. A retrospective analysis of the models of transmission of HIV infection showed that in recent years, among new cases, people who became infected through sexual contact, and who are not injecting drug users, are more often registered. The registration of new HIV cases is growing. The largest number of new HIV cases was registered in 2018 (818 cases, or 12.8 per 100,000 population). A pronounced growth trend is associated with the registration of non-PWID PLHIV with an annual growth rate (Tgrowth = +9,8%). Whereas for the registration of new cases of PLHIV-PWID, there is a declining trend (Tdecrease = - 5,8% per year). Due to the fact that PWID were predominantly men, parenteral transmission prevailed over sexual transmission until 2014. But since 2015, the parenteral route of infection of men with HIV infection has decreased from 45% to 3% (2022). decreased the proportion of the parenteral route. The situation is aggravated by the fact that most of them are 18-49 years of active reproductive age. Conclusion. Prioritizing prevention programs for young people should be reconsidered, whether they belong to key populations or the general population.