[The dynamics of the course of HIV infection in patients with concomitant sexually transmitted disease morbidity and viral hepatitides detected in Saint Petersburg in 1997-1998]. / Dinamika techeniia VICh-infektsii u patsientov s soputstvuiushchimi ZPPP i virusnymi gepatitami, vyiavlennye v Sankt-Peterburge v 1997--1998 gg.

During the recent 2 years growth in the number of cases of HIV infection, exceeding 1.2-fold the number of cases detected during the preceding 9 years, was registered in St. Petersburg. In the structure of patients with detected HIV infection injecting drug users prevailed. Among 124 patients with detected HIV infection 28.2% and 46.8% had, respectively, concomitant sexually transmitted diseases (STD) and virus hepatitides (VH). Due to preventive and antiepidemic measures the STD and VH morbidity decreased in all groups of HIV-infected patients under study.

[HIV infection in Saint Petersburg: the changing face of the epidemic]. / VICh-infektsiia v Sankt-Peterburge: meniaiushcheesia litso épidemii.

The specific features of the epidemiological situation in St. Petersburg at the first stage (1987-1995) and the second stage (1986-1999) of the development of HIV infection are described. During this period morbidity in HIV infection, starting from the insignificant rate of growth, sharply increased. For the first time injecting drug users were noted to come out to the foreground in the structure of the contingent of persons affected by HIV infection (57.5% and 72.6% in 1998 and 1999 respectively). Such change on the epidemic situation requires corrections in the strategy and tactics of preventive measures and medical assistance. To control HIV infection among drug users, only the combination of medical assistance given by narcologists with the realization of all elements of the program "Harm Reduction" can be effective.