Monitoring of tuberculosis and HIV-infection in Russian Federation

Abstract

Monitoring of the epidemic situation with socially significant infectious diseases is still imperfect. Forms of federal state statistical surveillance need to be refined. Socially disadvantaged contingents come to places of deprivation of liberty, most of them in the first days of their stay in a remand centre, HIV and tuberculosis are registered, which indicates an inadequate examination of groups of high social risk in medical organizations of the system of the Ministry of Health of Russia. The negative impact of imprisonment is greater for women than for men, and they are more likely to develop tuberculosis and HIV-infection than at large. One of the reasons is the high HIV-infection of women before entering the SIZO. In Russia, there are no social reasons for the increase in the incidence of tuberculosis in the short term. But after the year 2020, the incidence of tuberculosis may begin to grow due to the development of the HIV epidemic. It is necessary to radically change the legislative and regulatory framework, the organization of medical care for the population, aimed at countering the further spread of HIV-infection.