Abstract
An analysis is presented of the evolution of HIV epidemic associated with comorbidity patterns specific for its different stages. At the stage of rapid HIV spread, HIV infection was mainly associated with drug addiction. Then large groups of HIV patients featuring multiple morbidity started to form. The main comorbid variants of HIV infection considered in the paper include HIV and co-infections including viral hepatitis and tuberculosis; HIV and malignancies; HIV and neurological diseases; HIV and drug and alcohol abuse; and HIV and mental disorders. Currently, HIV epidemic is associated with a high mortality rate despite of HAART. This warrants the development of novel approaches to the organization of medical and social care provision to HIV patients, expanding the scope of therapeutic drugs supply to treat comorbid conditions at outpatient facilities, and training other medical specialists, besides infectiologists, to engage them in treatment of HIV patients.
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