logging in or signing up TUCC0202 Tarzen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 15 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: October 12, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT: HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT Prof. Vladimir Mendelevich MD, PhD Institute for Research of Problems of Mental Health Kazan State Medical University Russia Toronto, 15 August 2006 The attitude to the importance problem in Russia (HIV or IDU): The attitude to the importance problem in Russia (HIV or IDU) V.Mendelevich (2006)Russia and its drug situation : Russia and its drug situation - Population is estimated 143 million - About 6 million use narcotic drugs. 80% of them are dependent on opiates. - Out of 340 thousand officially registered HIV cases (unofficial estimates – up to 1.4 million). - 68% of new cases are in IDUs. The effectiveness of drug treatment services is estimated as 7 to 10% at most. More than 73% of narcologists are nevertheless happy with the service quality : The effectiveness of drug treatment services is estimated as 7 to 10% at most. More than 73% of narcologists are nevertheless happy with the service quality V.Mendelevich (2004) N.Ivanets, M.Vinnikova (2001)History : History 1977 1995 1998 DRAMATIC HISTORY Memorandum “Say No to Methadone Programs in the Russian Federation” (2005): Memorandum “Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05“Say No to Methadone Programs in the Russian Federation” (2005): “Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05Opposition to substitution therapy (narcologists) %: Opposition to substitution therapy (narcologists) % Attitude to substitution therapy (IDU’s) %: Attitude to substitution therapy (IDU’s) % V.Mendelevich (2006)Slide11: - Whether HIV is transmitted primarily through injections? What is the actual number of opiate dependent individuals testing positive for HIV? Whether convincing evidence exists that ST can reduce the risk of HIV transmission? Chef narcologist Nikolaj Ivanec (2006): «AIDS has left the drug scene» (?!) Chef narcologist Nikolaj Ivanec (2006)Slide13: “HIV is found only in 12% of people with opioid addiction” ?! (N.Ivanec, 2005) THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “Because the effect of drug-free therapy in Russia is between 35%-60” (T.Dmitrieva, 2006)THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “BECAUSE WE WILL AND WE CAN CURE EVERYBODY” The situation with drug addiction treatment in Russia is characterized by:: The situation with drug addiction treatment in Russia is characterized by: low effectiveness; violation of ethical standards; disregard of patients’ right to high-quality care and assistance ignorance the HIV prevention aspects We hope that reason will prevail: We hope that reason will prevailHIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT: HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT Prof. Vladimir Mendelevich MD, PhD Institute for Research of Problems of Mental Health Kazan State Medical University Russia mend@tbit.ru You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
TUCC0202 Tarzen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 15 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: October 12, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT: HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT Prof. Vladimir Mendelevich MD, PhD Institute for Research of Problems of Mental Health Kazan State Medical University Russia Toronto, 15 August 2006 The attitude to the importance problem in Russia (HIV or IDU): The attitude to the importance problem in Russia (HIV or IDU) V.Mendelevich (2006)Russia and its drug situation : Russia and its drug situation - Population is estimated 143 million - About 6 million use narcotic drugs. 80% of them are dependent on opiates. - Out of 340 thousand officially registered HIV cases (unofficial estimates – up to 1.4 million). - 68% of new cases are in IDUs. The effectiveness of drug treatment services is estimated as 7 to 10% at most. More than 73% of narcologists are nevertheless happy with the service quality : The effectiveness of drug treatment services is estimated as 7 to 10% at most. More than 73% of narcologists are nevertheless happy with the service quality V.Mendelevich (2004) N.Ivanets, M.Vinnikova (2001)History : History 1977 1995 1998 DRAMATIC HISTORY Memorandum “Say No to Methadone Programs in the Russian Federation” (2005): Memorandum “Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05“Say No to Methadone Programs in the Russian Federation” (2005): “Say No to Methadone Programs in the Russian Federation” (2005) “Medical newspaper”, 31/03/05Opposition to substitution therapy (narcologists) %: Opposition to substitution therapy (narcologists) % Attitude to substitution therapy (IDU’s) %: Attitude to substitution therapy (IDU’s) % V.Mendelevich (2006)Slide11: - Whether HIV is transmitted primarily through injections? What is the actual number of opiate dependent individuals testing positive for HIV? Whether convincing evidence exists that ST can reduce the risk of HIV transmission? Chef narcologist Nikolaj Ivanec (2006): «AIDS has left the drug scene» (?!) Chef narcologist Nikolaj Ivanec (2006)Slide13: “HIV is found only in 12% of people with opioid addiction” ?! (N.Ivanec, 2005) THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “Because the effect of drug-free therapy in Russia is between 35%-60” (T.Dmitrieva, 2006)THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL: THE SUBSTITUTION THERAPY IN RUSSIA IS ILLIGAL Why? “BECAUSE WE WILL AND WE CAN CURE EVERYBODY” The situation with drug addiction treatment in Russia is characterized by:: The situation with drug addiction treatment in Russia is characterized by: low effectiveness; violation of ethical standards; disregard of patients’ right to high-quality care and assistance ignorance the HIV prevention aspects We hope that reason will prevail: We hope that reason will prevailHIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT: HIV PREVENTION IN RUSSIA AND THE SYSTEM OF DRUG ADDICTION TREATMENT Prof. Vladimir Mendelevich MD, PhD Institute for Research of Problems of Mental Health Kazan State Medical University Russia mend@tbit.ru