European Population Conference,21 – 24 June 2006, Liverpool, United KingdomSession 303: HIV/AIDS
Chairman: James Brown
Speakers:
Boris Denisov
Sabine Groos, Ulrich Mueller, Walter Krause
Alessandro Valentini, Piero Manfredi, Linda Porciani
Xiushi Yang, Guomei Xia
The RussianHIV/AIDS CaseReporting System
Boris Denisov
Laboratory of Population Economics and Demography,
Department of Economics,
Moscow University,
Moscow, Russia
Why ?
Data and method
Гарант (Garant) national data base
СПИД (AIDS) full text search string
Forty eight relevant documents for analysis
Twenty six issues of Federal AIDS Centerbulletins
Consultations with persons, involved in thesystem’s creation
Case record:Urgent dispatch on the person whose blood immunoblot reactionrevealed HIV antibodies
Personal data:
Address (where report goes)
Name (in Russian format: threeentries)
Sex
Date of birth
Citizenship
Place of residence in the USSR
Mail address
Address of job or learning
Code of contingent
Result of immunoblot reaction :
Date
Type od a test system
# of series
Revealed protein and glicoproteid
Institution which previously revealed apositive result of IFA test:
Institution
Address
IFA date
Position, name and signature of areporter
Phone number
Date
Case record (continued): codes of contingent
100 USSR citizen, including
101 Person having sexual contactswith PLWHA
102 Drug addict
103 Homo and bisexual (man)
104 Person with STD
105 Promiscuous person
106 Person being abroad for morethan one month
108 Donor
109 Pregnant
110 Recipient of a blood product
111 Military servant
112 Prisoner
113 Tested due to clinical reasons
114 Tested anonymously
115 Having contacts with PLWHA
200 Foreign citizen, including
201 Person having sexual contactswith PLWHA
202 Drug addict
203 Homo and bisexual (man)
204 Person with STD
205 Promiscuous person
207 Entering the USSR for morethan three months
209 Pregnant
210 Recipient of a blood product
211 Military servant
212 Prisoner
213 Tested due to clinical reasons
214 Tested anonymously
215 Having contacts with PLWHA
A case reporting scheme
Federal AIDS Center
Labs: blood takings and analyses
Regional AIDS Centers
Territorial
AIDS Centers
Hospitals
TB, STD, drug abuse
dispensaries
Maternity Homes
Army, prisons,
migration services
Stages of epidemic in Russia(in terms of registered HIV+ cases)
Cases\Stages
-1998
1999-2001
2002-2005
New
10 889
166 690
155 753
Cumulative
177 579
333 332
Epidemic strike
28 months
Preliminary conclusions:
The system had been able to register theexplosion
It is pretty well designed and works
Thus the undercount is unlikely, and
The coverage is as full as possible
i.e., a big national epidemic is welldocumented from the very beginning
Contact:
denisov@demography.ru
Acknowledgments:
M. I. Narkevich, A. A. Monisov, retired foundersof the system for providing consultations
V. V. Pokrovski, N. N. Ladnaia, Y. V. Sokolova ofFederal AIDS center for providing data
W. Gold (Liverpool University), S. Solnick (FordFoundation, Moscow) for financial support ofthe trip to (and from) Liverpool