Formation history and problems of the system of resistance to human immunodeficiency virus infection in the Armed forces of the Russian Federation

Abstract

Infection rates of human immunodeficiency virus in Army forces have a clear structure divided into stages. Each stage characterized by objective socio-economic, political, epidemical prerequisites, which reflected conditions of epidemic developing, activeness of mechanisms and transmission factor, structure and possibilities of a protective system against infection in country and army. There are three stages of epidemic development. The first stage - infiltration (invasion), 1987 - 1995 years. The common feature this period of developing and functioning counteraction system against infection, produced by human immunodeficiency virus, and acquired immune deficiency syndrome in our country is «recognition by the state of the growing threat of the epidemic spread of infection caused by the human immunodeficiency virus in the absence of a real epidemic and limited material resources». The second period - epidemical infection spreading, produced by human immunodeficiency virus, 1995-2003 years. Significant efforts of counteraction system against infection, produced by human immunodeficiency, and acquired immune deficiency syndrome in the army was concentrated on improving diagnostic and approximation of the possibilities of military-medical expertise to the places where patients are identified. The third period - generalized - in the last2004 year to current period. Stabilization indicators identifying soldiers, infected by human immunodeficiency, archived as a result of barrier preventive measures (examination at the stage of conscription to the Armed Forces) are not accompanied by methodological and regulatory changes that have occurred in civilian health care, which contributes to negative trends in the later detection of the disease. So, the current system of medical help for soldiers, infected by human immunodeficiency, does not provide medical help enough, regulated by the governing documents of the Department of Health of the Russian Federation and state medical standards.