Description: The TB and HIV/AIDS Epidemics in the Russian Federation

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The TB and HIV/AIDS Epidemics in the Russian Federation

The Russian Federation has been confronting a major epidemiological crisis, which will have considerable human and economic costs if it is not swiftly addressed. Between 1999 and 2000, the country experienced the world's biggest increase in ne...

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Bibliographic Details
Main Authors:	Vinokur, Anatoly, Godinho, Joana, Dye, Christopher, Nagelkerke, Nico
Language:	English en_US
Published:	Washington, DC: World Bank 2013
Subjects:	ADOLESCENTS AGED AIR ALCOHOL ALCOHOLISM AUTHORITY BIRTH RATE BUDGETARY ALLOCATIONS BUDGETARY RESOURCES CITIZENS COMMUNIST CRIME DECENTRALIZATION DECREE DEPRESSION DRUG USERS ECONOMICS EMIGRATION EPIDEMICS EPIDEMIOLOGY FINANCIAL CRISIS FISCAL FISCAL DEFICIT FOREIGN DIRECT INVESTMENT FOREIGN EXCHANGE FOREIGN TRADE GIRLS GONORRHEA HEALTH CARE HEALTH FACILITIES HEALTH INSURANCE HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HIV HIV INFECTION HOMELESSNESS HOSPITALS IMMIGRATION INCOME INCOME DISTRIBUTION INFECTIOUS DISEASES INSOLVENCY INSOLVENCY SYSTEMS INSTITUTIONAL ARRANGEMENTS LABOR MARKET LIFE EXPECTANCY LIVING STANDARDS MIGRANTS MORTALITY NATIONS PATIENTS PER CAPITA EXPENDITURES PHC PHYSIOTHERAPY PRIMARY HEALTH CARE PRIMARY SCHOOLS PRIME MINISTERS PRISONS PROSTITUTION PUBLIC EXPENDITURES PUBLIC HEALTH PUBLIC HEALTH CARE PUPILS REHABILITATION REPUBLICS RESOURCE DISTRIBUTION RISK GROUPS SCREENING SEXUALLY TRANSMITTED INFECTIONS SMOKING SOCIAL CAPITAL SOCIAL POLICY STATE BUDGETS STIS SURGERY SYPHILIS TB TUBERCULOSIS UNEMPLOYMENT URBAN AREAS VICTIMS WASTE YOUNG ADULTS AUTOIMMUNE DISEASES TUBERCULOSIS PREVENTION VENEREAL DISEASES HIV INFECTIONS IMMUNOLOGIC DISEASES ACQUIRED IMMUNE DEFICIENCY SYNDROME DISEASE PREVENTION & CONTROL DISEASE TRANSMISSION DISEASE SURVEILLANCE DISEASE VECTORS PHARMACEUTICAL INDUSTRY WORLD HEALTH ORGANIZATION MORTALITY RATES DRUG RESISTANT DISEASES HEALTH EXPENDITURES SOCIOECONOMIC CONDITIONS
Online Access:	http://documents.worldbank.org/curated/en/2001/05/1490208/tb-hivaids-epidemics-russian-federation http://hdl.handle.net/10986/13965

Description
Summary:	The Russian Federation has been confronting a major epidemiological crisis, which will have considerable human and economic costs if it is not swiftly addressed. Between 1999 and 2000, the country experienced the world's biggest increase in new cases of HIV/AIDS infection. The TB epidemic is at risk of becoming uncontrollable if the country experiences a moderate epidemic of HIV/AIDS. This report represents the analysis and recommendations of a group of experts from the World Health Organization and the World Bank, and focuses on the current epidemiological situation in the Russian Federation and the existing institutional arrangements available to tackle both epidemics. It encompasses projections for the TB epidemic, the interaction with the HIV/AIDS epidemic, and the impact of a spiraling duel epidemic. The report has four sections. The first briefly describes socioeconomic conditions. The second section discusses the impact on the population of the epidemic, incidence and prevalence in the general and prison populations, diagnosis and treatment processes, and current TB management and control structures. The third section profiles the HIV/AIDS epidemic and its impact, and the role of STIs in fostering the disease. Finally, the fourth section describes a mathematical model of health improvements possible under various TB control strategies with implications for HIV/aids as well.