An overview of HIV/AIDS in Hungary (2003)

1
An overview of HIV/AIDS in Hungary (2003)

• Z. Laczó, Zs. Szabó
• Pluss, Hungary

2
HUNGARY IN CENTRAL EUROPA

• Despite its geographical location Hungary
  still belongs to the countries with low rates of
  HIV infection

3
HIV INFECTION IN HUNGARY drug useres share
needles, gay men have unsafe sex, but the
prevalence is still very low

• 1104 HIV infected people were reported between
  1985 and the end of 2003
• 844 males
• 146 females
• 110 anonymous

4
Treatment

• Special system
• one medical center providing care
• combined antiretroviral treatment -
• HAART - free of charge
• monitoring by CD4, CD8, quantitative HIV RNA
• resistance testing
• all patients who are eligible for ART receive
  treatment

5
Medication

• Antiretroviral treatment
• 5 NRTs (Retrovir, Videx, Hivid, Epivir,
  Zerit, Combivir)
• 3 NNRTs (Viramun, Stocrin, Delavirdin)
• 5 PIs (Fortovase, Norvir, Crixivan, Viracept,
  Kaletra)

6
Epidemiology

• Predominantly homosexual transmission
• Rising heterosexual transmission during the
  recentyears
• IDU rare, imported
• Nosocomial imported from Romania
• Migrants
• HIV/AIDS are reportable diseases without personal
  data
• STD patients and HIV infected persons sexual
  partners are offrd VCT
• Post exposure prophylaxis for health care workers

7
Prevention

• Primary and secondary AIDS prevention programs in
  NGOs for youth and for persons with high risk
  behaviour
• Harm reduction program for IDUs
• needle exchange
• methadon maintenance
• New act of Parliament for HIV prevention
• Renewed National AIDS Commitee

8
Future trends

• Huge epidemic in neighbouring
• Relative high rate of heterosexual transmission
• Reshaping of the classical prevention programs
• Cooperation with the national drog prevention
  program