City Center for the Prophylaxis and Control of AIDS, Medical and Stomatological University, Moscow, Russia
Retrospective analysis of the epidemic of HIV infection in Moscow allowed to mark out two periods: the first — from 1987 to 1993 and the second one — from 1994 to 2000. The characteristic feature of the first period of the epidemic was the sexual transmission of the agent mainly among homosexuals; the most affected group were persons aged 20 — 39 years and the number of AIDS patient decreased with a simultaneous growth in lethality. During the second stage of the HIV infection epidemic changes in the prevailing transmission routes of the agent occurred: injection drug addicts took the leading role. Changes in the ratio of HIV-infected men and women took place along with active involvement of persons aged 13 — 18 years into the epidemic process. The established changes in the epidemiological situation require corrections in the strategy and tactics of epidemic control and prophylactic measures.
Zh. Mikrobiol. (Mosñow), 2002, No. 6, P. 39—43