RESUMO
The paper sums up molecular epidemiological data on all variants of human immunodeficiency virus type 1 (HIV-1) isolated in the Perm region in August 1988-March 1998. A total of 24 foci (40 cases) of HIV infection were detected; 20 of these were imported from other regions (Russian Federation, Ukraine, Belarus, Bulgaria, Poland, Uzbekistan, Yugoslavia). In August 1988-September 1996 viruses of 3 env subtypes (B, D, and G) were isolated in the region, and the virus was mainly sexually transmitted. All cases of HIV infection recorded in September 1996-March 1998 were detected in intravenous drug users and subjects who had sexual intercourse with HIV-infected drug users. The same 3 variants of HIV-1 with genotypes gagAenvA, gagBenvB, and gagAenvB were isolated in the Perm region during this period as in other regions of Russia.
Assuntos
Infecções por HIV/epidemiologia , HIV-1/genética , Feminino , Variação Genética , Genoma Viral , Infecções por HIV/transmissão , Infecções por HIV/virologia , HIV-1/isolamento & purificação , Humanos , Masculino , Sibéria/epidemiologiaRESUMO
The necessity of monitoring the spread of drug addiction in the system of epidemiological surveillance on HIV infection and parenteral virus hepatitides is shown. The results of the epidemiological diagnostics of registered drug addiction are presented. The criteria for the assessment of the epidemiological effectiveness of epidemiological surveillance on drug addiction are determined. As revealed in this study, during the period of 1991-1998 morbidity in drug addiction rose 57-fold in Perm Province, while the number of HIV-infected persons increased 75-fold. Pronounced direct relationship between the number of drug addicts, as well as persons belonging to groups of high risk of developing drug addiction, and the dynamics of morbidity in HIV infection and parenteral virus hepatitides B and C was established.