Modern epidemiological state of HIV infection in Tajikistan
The article presents findings of study a retrospective epidemiological analysis of the 5-year (2009-2013) dynamics of HIV infection among the population of the Republic of Tajikistan to identify trends by calculating the traditional indicators characterizing the epidemic process as a whole. The following trends were established: the greatest variability in incidence of HIV infection per 100,000 population in Dushanbe and in the Gorno Badakhshan Autonomous Oblast (GBAO) relatively to other regions of the country - 223,5 and 118,4 cases per 100000 population, ie respectively 6,3 and 3,3 times higher than the rates in Sughd, 6,0 and 3,2 times - than in Khatlon, 5,1 and 2,7 times - than in Regions of Republican Subordination (RRS). Significant decreasing in the annual growth rate of HIV infections per 100 thousand population in Dushanbe, stable growth trend values of this indicator in GBAO and RRS. In the structure of HIVtransmission, stillof stable concentration of epidemic process of injecting drug users (IDUs), dominated the parenteral way (52,3%). In general, over the last 10 years there has been a trend decrease of the share of this path is 1,5 times. Activation of sexual transmission of HIV (39,5%), especially among of childbearing age women, the steady growth (3,5 times) the number of newly diagnosed HIV-infected pregnant women in the last 5 years, entails increasing challenges maintaining sexual health partners and the birth of healthy generation, especially when one of them has HIV-positive status.