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  • Title: [HIV and AIDS in Poland in 2010].
    Author: Niedźwiedzka-Stadnik M, Rosińska M.
    Journal: Przegl Epidemiol; 2012; 66(2):315-23. PubMed ID: 23101224.
    Abstract:
    INTRODUCTION: Since the implementation of HIV/AIDS surveillance in Poland in 1985 until the end of 2011 15,196 HIV cases among Polish citizens, 2,704 AIDS cases and 1,136 deaths of AIDS patients were registered. OBJECTIVE: To analyze the epidemiological situation of newly diagnosed HIV infections and AIDS cases in Poland in 2010. MATERIALS AND METHODS: The analysis of the epidemiological situation of HIV/AIDS in Poland in 2010 was based on reports of newly detected HIV /AIDS cases provided by physicians and laboratories to the provincial sanitary-epidemiological stations and the testing frequency obtained from annual survey to laboratories offering HIV test RESULTS: In 2010 there were 951 (2.5 per 100,000) HIV cases diagnosed in Poland, including 28 among non-Polish citizens; the total number of AIDS cases was 171 (0.45 per 100,000) and there were 53 (0.14 per 100,000) deaths of AIDS patients. Among the newly diagnosed HIV cases an increase of the share of infections acquired through homosexual contact between men (MSM) (from 34.2% to 51.9% of cases with known transmission route) was observed as compared to 2009. Across the country HIV infection is the most frequently detected among people aged 20 to 39 years (68.8%) and among males (73.0%). Furthermore, the percentage of late diagnosed, as defined by time between HIV and AIDS diagnoses of less than 3 months, remained at the same level (9.1% of newly diagnosed HIV cases), although the number of late presenters increased by 14.5% as compared to 2009. Among non-late presenting AIDS cases 58% never received any antiretroviral treatment before they were diagnosed with AIDS. CONCLUSIONS: The significant increase of HIV infections among MSM calls for intensified prevention measures in this high-risk group. Late HIV diagnosis and failure of referrals for care are two main reasons for AIDS morbidity, which should prompt educational activities and the promotion of testing as well as evaluation of the current testing and referral strategies. Our findings are limited by high rate of missing data on the probable transmission route.
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