THE EPIDEMIC SITUATION OF TUBERCULOSIS AND HIV INFECTION IN THE PENITENTIARY FACILITIES OF RUSSIA

Abstract

In 2013, 3.3 times fewer patients fell ill with tuberculosis in places of imprisonment than in 1999. Among the new registered tuberculosis cases in the facilities of the Federal Penitentiary Service (FPS) in 2013, there were males (93.7%), persons aged 18-44 years (88.3%); about each two patients (47.2%) were 25-34 years old. The timely detection of tuberculosis is due to the registration of its forms with a small extent in a decay phase in only 21.5% of cases (in the subjects of the Russian Federation (41.3%). The achieved positive changes in the number of tuberculosis cases in the places of imprisonment cannot be considered as a steady state. This is associated with the fact that the proportion of tuberculosis patients with HIV infection in the penitentiary facilities was on the rise (21.9% in 2013); the efficiency of treatment in the patients was substantially influenced by multidrug resistance recorded in 77.8% of the patients who died of tuberculosis. The contribution of FPS to the structure of new notified HIV infection cases annually decreased in Russia: 19.4% in 1997; 13.0% in 2013. Since 2007, the places of imprisonment had been annually registering about 10,000 people, with slight variations by years. The men imprisoned in the FPS facilities of Russia made up the majority of the new registered HIV cases (82.8% in 2013). The cause of death in patients with HIV/TB co-infection is mainly HIV infection since the latter has late stages in 82.0%.