TUBERCULOSIS EPIDEMIC SITUATION AMONG HIV POSITIVE PEOPLE IN THE RUSSIAN FEDERATION

Abstract

Goal: to investigate the impact of HIV infection on the development of tuberculosis epidemic in Russia.

Materials. The data from federal statistic surveillance forms no. 8 on active tuberculosis cases, no. 33 on tuberculosis cases and no. 61 on HIV positive cases have been investigated. The number of those died is presented as per the data of Rosstat.

Results. Progressing epidemic of HIV infection starts playing the unfavorable critical role in the development of tuberculosis epidemiological process. Tuberculosis prevalence goes down not only due to cure of tuberculosis, but mostly due to lethal outcomes in tuberculosis cases from various causes, first of all HIV infection. In 2015 the mortality rate due to HIV infection surpassed tuberculosis mortality.

By 2020 25% or more of new tuberculosis patients will be HIV positive; tuberculosis will the cause of death in up to 60% of lethal HIV cases; among died tuberculosis patients HIV will be the cause of death by 1.5 times more often compared to tuberculosis.

Taking into account this unfavorable situation it is necessary to change certain aspects related to HIV and TB care, first of all, prevention of tuberculosis is to be improved among the patients of AIDS centers; high quality diagnostics and directly observed treatment of tuberculosis are to be provided among HIV patients at all stages of dispensary follow-up. Additionally it is necessary to improve regulations aimed to prevent tuberculosis transmission in HIV patients in the Russian Federation, to monitor tuberculosis incidence in the HIV infected as well as mortality in case of TB/HIV co-infection.