Last year, the Russian Ministry of Health bought almost a third of tests for monitoring the treatment of the human immunodeficiency virus than required. Only 59% of patients were enough tests for immune status, RBC said with reference to calculations of the Analyzed State Committee for the Expert Group, Zdravresurs.
In total, the Ministry of Health was injected on the purchase of test systems for HIV monitoring for 2023 2.88 billion rubles, which is 3% less than in 2022. To ensure all 892.2 thousand consisting of patients with HIV infection, 4.07 billion rubles are required, experts surveyed by RBC calculated. For this amount, tests for the viral load and immune status can be carried out twice a year.
Tests for the viral load were enough for about 80% of the patients, calculated in the "health resource". Perhaps the tests for the immune status, the lack of which is estimated at 41%, were actually carried out less often, once a year, experts suggested.
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Tests are carried out in HIV-positive patients for the selection of therapy, so the greatest costs are the first year after the detection of the infection, the director of the AIDS Center Assistance Fund Maxim Gubka told reporters. According to him, in the first year, tests are necessary every two to three months - with the exception of resistance test, the indications for which are determined individually.
The allocated funds are not enough to provide diagnostics of patients with HIV, RBC an infectious disease specialist, academician of the Russian Academy of Sciences Vadim Pokrovsky said. Over the past ten years, the number of HIV patients has risen catastrophically, the expert said. According to him, the Ministry of Health provided the World Health Organization with statistics, according to which Russians from 2015 to 2022 registered more than 600 thousand new cases of HIV infection.
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In 2023, the disease was diagnosed in another 50 thousand people, and the same amount is expected in 2024, Pokrovsky said. Mortality from HIV in 2023 increased by 5%compared to the previous year, the infectious disease specialist said.
The study of the United Nations in HIV/AIDS (Yunads) has shown that in Eastern Europe, along with several other regions of the planet, the incidence of HIV is growing. The reason is also non-compliance with human rights: drug addicts, LGBTs, sex workers do not receive the necessary treatment. Access to healthcare is also limited because the costs of medicine are being reduced, Yunaids experts said.
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