Epidemiological situation regarding HIV infection in the Sverdlovsk region, Olga Ivanovna Kravchenko, epidemiologist of the State Budgetary Health Institution “Ots AIDS and Iz”. Epidemiological situation and measures to prevent HIV infection and AIDS Data on registered cases of HIV infection in the CIS countries

According to UNAIDS, in the 30 years since the beginning of the epidemic, AIDS has claimed more than 25 million lives, more than 60 million people have been infected with HIV, and 16 million children have been left without parents. Until now, more than seven thousand people are infected with this virus every day, including one thousand children. HIV infection is one of the most pressing problems not only in our country, but throughout the world

HIV infection in Russia, the first foreigner with HIV infection has been identified, the first patient with HIV infection, a citizen of the USSR. An epidemiological investigation of this case identified 23 Russians infected with HIV. Photo archive of Academician V.V. Pokrovsky

(394.7 per 100 thousand) Number of registered cases of HIV infection in Russian citizens, of which children, including 3933 children born to HIV+ mothers - HIV-infected Russian citizens died, of which 469 HIV-infected Russian citizens died in the AIDS stage infected children, of which 230 are in the AIDS stage

Subjects of the Russian Federation with the maximum number of registered cases of HIV infection (per year) Subjects of the Russian Federation Absolute number Sverdlovsk region 52719 St. Petersburg 48199 Samara region 47366 Moscow 40454 Moscow region 39868 Irkutsk region 34106 Chelyabinsk region 25913 Orenburg region 2364 8 Kemerovo region 23339 Leningrad region 19787

Subjects of the Russian Federation with the maximum prevalence and incidence of HIV infection Prevalence of HIV infection Samara region 1226.7 Irkutsk region 1196.8 Leningrad region 1084.9 Sverdlovsk region. 976.9 St. Petersburg 963.3 Orenburg region 888.9 Tyumen region 691.9 Ulyanovsk region. 671.9 Chelyabinsk region. 631.2 Kemerovo region. 607.4 Russian Federation 368.5 Incidence of HIV infection Kemerovo region 144.9 Samara region 117.6 Irkutsk region 110.8 Sverdlovsk region 109.6 Leningrad region 107.6 Novosibirsk region 106.3 Orenburg region 96.1 Khanty-Mansiysk Autonomous Okrug 87.2 Perm Territory 77.4 Tyumen Region 70.3 Russian Federation 42.6

Incidence of HIV infection in Russia and the Sverdlovsk region Russia: cases of HIV infection, incidence rate - 394.7 per 100 thousand. Sverdlovsk region (per year): cases of HIV infection 1207.8 per 100 thousand. In the last two years in the region New cases of HIV infection are detected annually

HIV epidemic – “iceberg” Detected cases – Undetected cases

Territories with a HIV prevalence rate higher than the regional average (1228.9 per 100 thousand population) in the city 1. Kirovgrad - 2636.7 2. Severouralsk - 2469.3 3. Polevskoy - 2261.7 4. Pervouralsk - 2130 .6 5.V.Pyshma- 2100.5 6.r.p. V. Dubrovo - 2020.8.0 7. V. Tagil - 1921.4 8. Sukholozhsky district - 1918.5 9. Malysheva settlement, Izumrud - 1737.3 10. Aramil - 1730.9 11. Karpinsk - 1729.3 12. Turinsky district - 1706.1 13. Krasnoturinsk - 1661.7 14. Sysertsky district - 1657.5 15. Bogdanovichsky district - 1616.0 16. urban area Reftinsky - 1528.1 17. Zarechny - 1503.3 18. Degtyarsk - 1496.9 19. Yekaterinburg - 1479.6 20. Kachkanar - 1373.9 21. Beloyarsky district - 1332.4 22. Krasnouralsky municipal district - 1238, 4 In 22 municipalities, the prevalence rate exceeds the regional average (1-2 HIV infections per 100 people)

12 Dynamics of the incidence and prevalence of HIV infection in Yekaterinburg (rate per 100 thousand inhabitants) Yekaterinburg, 2011. – 1764 words.

Prevalence of HIV infection by districts of Yekaterinburg per city (per 100 thousand)

Structure of HIV-infected people by age in the Sverdlovsk region (%) in the city.

Total number of children born, of which 628 children were HIV(+) (7.1%) Dynamics of births of children from HIV-infected mothers in the Sverdlovsk region

Over the past 5 years, there has been a 3-fold increase in deaths in the AIDS stage. The Sverdlovsk region ranks 1st in mortality among the regions of the Ural Federal District. The Verdlovsk region ranks 1st in mortality among the regions of the Urals Federal District. Over the entire period, 7563 HIV-infected people died, of which in Art. AIDS 2480 people (33%); in 2011 - 536 people (48%), in 2010 – 573 people (47%), in 2009 people. (44%), in 2008 people. (38%), in 2007 – 278 people. (31%) In the structure of deaths in 2011: AIDS ranks 1st – 536 deaths. (48%) 2nd place – liver diseases - 97 words. (8.6%) 3rd place – drug overdose – 69 words. (6.1%) 4th place – accidents – 58 words. (5.2%) 5th place – tuberculosis – 57 cases. (5.1%) suicide - 18 cases (1.6%), for the entire period - 274 cases. suicide (3.6%)

Taking into account the above, it can be stated that the situation with HIV/AIDS in the region is emergency, and the forecast is extremely unfavorable: the cumulative number of HIV-infected people will increase annually; all transmission routes will be implemented; the number of HIV-infected people at the stage of clinical progression will increase, incl. in the AIDS stage, as well as the number of deaths; the intensity of the epidemic as a whole will increase not only due to “risk groups” for infection and spread of HIV infection, but also due to the main socially prosperous population; The problem of children born to HIV-infected mothers will grow.

Branches of OC AIDS - city. Pervouralsk, village Dinas, Ogneuporshchikov St., 38 tel. (34392) (for patients of the Western District) - Irbit, Malgina St., 26, infectious disease hospital 2, tel. (34355) (for patients of the Eastern District) - N- Tagil, Dzhambula st., 45, tel. (3435) (for patients of the state health care facility) - Serov, st. L. Tolstoy, 15. tel. (34315) (for patients of the Northern District) - K-Uralsky, st. Ryabova, 20, tel. registration (3439) (for patients of the Southern District)

Protection from discrimination Constitution of the Russian Federation Labor Code Federal Law of March 30, 1995 38-FZ “On preventing the spread in the Russian Federation of the disease caused by the human immunodeficiency virus (HIV infection) Criminal Code

Constitution of the Russian Federation (Chapter 2) Article 19 - the rights and freedoms of man and citizen are guaranteed by the state regardless of gender, race, nationality, language, origin, property and official status, place of residence, attitude to religion, beliefs, membership of public associations, as well as other circumstances. Any form of restriction of the rights of citizens on the basis of social, racial, national, linguistic or religious affiliation is prohibited. Men and women are guaranteed equal rights and equal opportunities to realize them.

Federal Law of March 30, 1995 N 38-FZ "On preventing the spread in the Russian Federation of the disease caused by the human immunodeficiency virus (HIV infection)" Article 5. Guarantees of respect for the rights and freedoms of HIV-infected persons HIV-infected citizens of the Russian Federation have on its territory with all rights and freedoms and bear responsibilities in accordance with the Constitution of the Russian Federation, the legislation of the Russian Federation and the legislation of the constituent entities of the Russian Federation.

Article 14. The rights of HIV-infected people when providing medical care to HIV-infected people are provided on a general basis with all types of medical care according to clinical indications, while they enjoy all the rights provided for by the legislation of the Russian Federation on the protection of the health of citizens.

Article 17. Prohibition on restricting the rights of HIV-infected people. Dismissal from work, refusal to hire, refusal to admit to educational institutions and institutions providing medical care, as well as restriction of other rights and legitimate interests of HIV-infected people based on the presence of HIV are not allowed. HIV infection, as well as restriction of housing and other rights and legitimate interests of family members of HIV-infected people, unless otherwise provided by this Federal Law.

Discrimination, that is, violation of the rights, freedoms and legitimate interests of a person and citizen depending on his gender, race, nationality, language, origin, property and official status, place of residence, attitude to religion, beliefs, membership in public associations or any social groups - is punishable by a fine in the amount of up to two hundred thousand rubles, or in the amount of the wages or other income of the convicted person for a period of up to eighteen months, or by compulsory labor for a term of up to one hundred and eighty hours, or by corrective labor for a term of up to one year, or by imprisonment for a period of up to one year. up to two years. Article 136 of the Criminal Code of the Russian Federation. Violation of equality of rights and freedoms of man and citizen

The same act, committed by a person using his official position, is punishable by a fine in the amount of one hundred thousand to three hundred thousand rubles or in the amount of the wages or other income of the convicted person for a period of one to two years, or by deprivation of the right to hold certain positions or engage in certain activities. activities for a term of up to five years, or compulsory labor for a term of one hundred twenty to two hundred and forty hours, or correctional labor for a term of one to two years, or imprisonment for a term of up to five years.

Labor Code Article 85 Personal data of an employee is information necessary for the employer in connection with labor relations and relating to a specific employee. Requesting, processing and use of other information about a person that could characterize him not only as an employee, but also as a person is not allowed. The employer does not have the right to request information about the employee’s health status, with the exception of information that relates to the employee’s performance of his functions.

Fundamentals of the legislation of the Russian Federation on protecting the health of citizens. Article 61. Medical confidentiality Information about the fact of seeking medical help, the state of health of a citizen, the diagnosis of his disease and other information obtained during his examination and treatment constitute a medical secret. The citizen must be confirmed with a guarantee of confidentiality of the information transmitted to him.

Disclosure of information constituting medical confidentiality by persons to whom it became known during training in the performance of professional, official and other duties is not permitted, except in individual cases. Fundamentals of the legislation of the Russian Federation on protecting the health of citizens.

Persons to whom information constituting medical confidentiality was transferred in accordance with the procedure established by law, along with medical and pharmaceutical workers, taking into account the damage caused to the citizen, bear disciplinary, administrative or criminal liability for the disclosure of medical confidentiality in accordance with the legislation of the Russian Federation and the republics within the Russian Federation.

Article of the Code of Administrative Offenses Violation of the procedure established by law for the collection, storage, use or dissemination of information about citizens (personal data) - entails a warning or the imposition of an administrative fine

Article 137 of the Criminal Code of the Russian Federation. Violation of privacy 1. Illegal collection or dissemination of information about the private life of a person, constituting his personal or family secret, without his consent, or dissemination of this information in a public speech, publicly displayed work or the media - is punishable by a fine of up to two hundred thousand rubles. or in the amount of wages or other income of the convicted person for a period of up to eighteen months, or by compulsory work for a period of one hundred twenty to one hundred and eighty hours, or by correctional labor for a period of up to one year, or by arrest for a period of up to four months.

2. The same acts committed by a person using his official position are punishable by a fine in the amount of one hundred thousand to three hundred thousand rubles, or in the amount of the wages or other income of the convicted person for a period of one to two years, or by deprivation of the right to hold certain positions. or engage in certain activities for a period of two to five years, or arrest for a period of four to six months Article 137 of the Criminal Code of the Russian Federation. Violation of privacy

THANK YOU FOR YOUR ATTENTION! GBUZ SO Sverdlovsk Regional Center for the Prevention and Control of AIDS and Infectious Diseases Yekaterinburg, Yasnaya St., 46 Prevention Department (343) Helpline: (343)

In the Sverdlovsk region, the HIV epidemic situation continues to remain tense. As of December 31, 2011, 53,259 cases of HIV infection were registered in the region, the prevalence rate was 1,207.7 per 100 thousand population, exceeding the Russian average by 2.0 times. During the current period of 2011, 5,350 cases of HIV infection were registered, the rate was 121.3 per 100 thousand population. In terms of the absolute cumulative number of HIV-infected people, the Sverdlovsk region ranks 1st, and in terms of the cumulative prevalence rate it ranks 4th among the regions of the Russian Federation.

Cases of HIV infection are registered throughout the Sverdlovsk region. Exceeding the regional average prevalence of HIV infection is observed in 22 municipalities. An extremely high level of HIV infection among the population (more than 1%) is observed in 22 municipalities: Kirovgrad municipality - 2623.3, Severouralsk municipality - 2439.6, Polevskoy municipality - 2202.2, Pervouralsk municipality - 2104.2, V-Pyshma municipality - 2057.9, V-Dubrovo municipality - 2000.0, V-Tagil municipality - 1892.8, Sukhoi Log municipality - 1884.6, Malyshevsky municipality - 1703.3, Aramilsky municipality - 1701.7, Karpinsk municipality - 1697, 4, Turinsky GO - 1675.6, Sysertsky GO - 1628.4, Krasnoturinsk GO - 1609.7, Bogdanovich GO - 1590.0, Reftinsky GO - 1516.8, Zarechny GO - 1486.8, Degtyarsk GO - 1484.2 , Ekaterinburg municipal district - 1459.5, Kachkanarsky municipal district - 1369.4, Beloyarsky municipal district - 1321.1, Krasnouralsk municipal district - 1224.2.

In November 2011, 57,311 citizens of the Russian Federation were examined for the presence of antibodies to HIV infection. The detection rate per 100 thousand surveyed residents of the Sverdlovsk region was 867.1.

All social and age groups of the population are involved in the epidemic process of HIV infection. The largest proportion of HIV-infected people are of young, working age. Thus, 4517 (84.4%) HIV-infected people identified in 2011 were people aged 18-39 years. Of particular concern is the fact of an increase in cases of HIV infection among socially adapted groups - workers (28.1%), employees (6.1%), students (1.6%).

The leading route of HIV transmission in the Sverdlovsk region remains intravenous drug use. The share of this route of HIV transmission in the structure of established risk factors for infection in 2011 was 50.6% (in 2010 - 45.7%), among men - 66.9%. Along with this, the sexual route of transmission of HIV infection does not lose its relevance (46.7%), especially among women (67.8%).

With the involvement of women in the epidemiological process of HIV infection, the implementation of a vertical route of transmission of the virus from an HIV-infected mother to a child is possible. In 2011, 2,313 cases of HIV infection were registered among women (43.2% of all registered cases), and 84.4% of them (1,953 people) were women of childbearing age from 18 to 39 years.

In total, in the region during the period of registration of HIV infection, 8861 children were born from HIV-infected mothers, including 1126 children in 2011. During the entire observation period, 628 children were diagnosed with HIV infection. In 2011, 88.7% of HIV-infected pregnant women received a full course of chemoprophylaxis, 92.3% of women received chemoprophylaxis during childbirth, and 98.3% of newborns received chemoprophylaxis.

As of December 31, 2011, 10,405 patients, including 391 children, needed antiretroviral therapy. 9,611 people (92.4%) are receiving antiretroviral drugs, including 385 children.

In 2011, studies were performed to determine the immune status of 59,157 (78.4% of the annual plan) and to determine the viral load of 57,340 (98.5% of the annual plan).

In December 2011, specialists from the State Healthcare Institution “Sverdlovsk Regional Center for the Prevention and Control of AIDS and Infectious Diseases” and its branches provided outpatient, polyclinic and advisory care to patients: 9,190 visits were made to doctors of various profiles, including 2,149 to pediatricians. To specialists 2587 visits were made to those providing psycho-social assistance.

During the registration period as of December 31, 2011, 7,548 HIV-infected people died for various reasons, including 2,525 people (33.4%) from AIDS (including tuberculosis at the AIDS stage), 1,021 (13.5%) from drug overdose ), from tuberculosis 642 (8.5%).

At KDO No. 1 I work as a nurse in the treatment room. One of the main responsibilities of the treatment room nurse is to collect blood according to directions prescribed by the Center’s doctors and deliver it to the Center’s laboratory.

According to the doctors’ prescriptions, the following are carried out in the treatment room: subcutaneous, intramuscular, intravenous injections.

In my work, I am guided by the principle that all patients are potentially infected!

If an emergency occurs and the patient’s HIV status is unknown, then it is necessary:

1. Clarify whether he is registered;

2. Conduct pre-test counseling;

3. Test your blood for antibodies to HIV using a rapid test;

4. If the rapid test result is negative, assess the patient’s risk level based on medical history (injecting drug use, frequent change of sexual partners, presence of HBV, HCV, etc.);

5. Continue blood testing using the classical method (ELISA, IB);

6. Conduct post-test counseling.

My actions in an emergency:

If the integrity of the skin on your hands is damaged, you must:

1. Immediately remove gloves;

2. Wash the damaged area with running water;

3. Carefully squeeze the blood out of the wound;

4. Wash the damaged area again with soap;

5. Treat with 70% alcohol;

6. Treat with 5% alcohol tincture of iodine;

7. Put on new gloves and continue working.

If blood or other body fluids come into contact with intact skin:

1. Treat with 70% alcohol;

2. Wash with soap and water;

3. Re-treat with 70% alcohol

If blood or other biological fluids come into contact with mucous membranes, you must:

1. Oral cavity– rinse with plenty of water, rinse with a 70% solution of ethyl alcohol or a 0.05% solution of potassium permanganate;

2. Nasal cavity– immediately rinse with water, then rinse with a 0.01% solution of potassium permanganate

3. Conjunctivae of the eyes– immediately rinse with water, then rinse with a 0.01% solution of potassium permanganate.

The fact of an accident is recorded in a log of emergency situations and injuries to medical personnel.

The work of the treatment room is organized in accordance with the current directive and methodological documents: OST 42-21-2-85;

SanPiN 2.1.3.2630-10; SanPiN 3.1.958-99; SanPiN 2.1.17.728.99

The treatment room has all the necessary equipment and equipment, in accordance with SanPiN 2.1.3.2630-10.

The treatment room nurse has a fairly wide range of responsibilities, which consists not only of carrying out the orders of the Center’s doctors.

My functional responsibilities as a treatment room nurse include:

Preparing the office for work (wet cleaning of the office, preparing disinfectants for disinfecting surfaces and used rags, diluting disinfectants for disinfecting class “B” waste; for PSO reusable instruments);

Clear and competent completion of all working documentation of the office: logs for registering blood draws; log of registration of current cleaning of the office, general cleaning of the office (once a week); logbook for recording and monitoring the operation of open and closed bactericidal installations; Journal of registration of divorced des. funds; refrigerator temperature control log; a logbook for recording azoniram samples produced; log of Mantoux samples; vaccination registration log.

During work

I strictly observe all the rules of asepsis and antiseptics, carry out all manipulations in accordance with sanitary and epidemiological rules, and strictly follow the approved instructions;

I monitor the availability of consumables needed for work, the completeness of the first aid kit and first aid kits for emergency conditions;

I control the expiration dates of medications in first aid kits:

1) first aid kit for providing emergency assistance to health workers in an emergency.

2) emergency care for Anaphylactic shock.

3) emergency care for Convulsive syndrome.

4) emergency care for hypertensive crisis.

5) emergency care for acute coronary syndrome.

6) emergency care for bronchial asthma.

Monitor the availability and expiration date of sterile material needed for the operation of the treatment room.

In 2011, blood was drawn in the treatment room (times):

3. Hepatitis B-2436

4. Hepatitis C-2157

6. Toxoplasmosis-1042

7. Immunogram-5736

8. General blood test-3445

9. Biochemistry-4345

10. HIV-3436 RNA PCR

11. HIV-432 DNA PCR

12. HCV-105 RNA PCR

13. HBV-93 RNA PCR

14. Mantoux-1514 reaction sample

The work of a treatment room nurse with patients, and especially HIV-infected patients, requires a certain firmness, integrity, special skills in blood sampling technology, psychological stability when communicating with such patients, and the ability to prevent a conflict situation.

In the course of my main activity, I, as a nurse in the treatment room, have to answer patients’ questions, give any explanations, i.e. everything that belongs to matters of my competence.

I am guided by the knowledge that I received from literature, when attending trainings, seminars, and lectures held at the Center.

During conversations with patients, I focus on reducing the harm from drug use, alcohol abuse, and the harm of smoking, I give recommendations on safe sexual relationships, maintaining a healthy lifestyle, including nutrition, rest, and feasible exercise and sports. I promote regular visits to doctors at the Center. In the Sverdlovsk region, the HIV epidemic situation continues to remain tense. As of December 25, 2013, 65,899 cases of HIV infection were registered in the region, the prevalence rate was 1,494.4 per 100 thousand population, exceeding the Russian average by 2.0 times. In 2013, 6,667 cases of HIV infection were registered, the rate was 151.2 per 100 thousand population. In terms of the absolute cumulative number of HIV-infected people, the Sverdlovsk region ranks 1st, and in terms of the cumulative prevalence rate it ranks 3rd among the regions of the Russian Federation.

Cases of HIV infection are registered throughout the Sverdlovsk region. An excess of the regional average prevalence of HIV infection is observed in 21 municipalities. An extremely high level of HIV infection among the population (more than 2%) is observed in 9 municipalities: Severouralsky GO - 2748.5, Kirovgrad GO - 2713.3, Polevskoy GO - 2578.9, V-Pyshma GO - 2369.4, Pervouralsk GO – 2347.3, V-Tagil municipality – 2264.3, Sukhoi Log municipality – 2212.7, Verkhnee Dubrovo municipality – 2166.6, Karpinsk municipality – 2076.4.

In November 2013, 75,717 citizens of the Russian Federation were examined for the presence of antibodies to HIV infection. The detection rate per 100 thousand examined residents of the Sverdlovsk region was 680.1.

All social and age groups of the population are involved in the epidemic process of HIV infection. The largest proportion of HIV-infected people are of young, working age. Thus, 5486 (82.3%) HIV-infected people identified in 2013 were people aged 18-39 years. Of particular concern is the fact of an increase in cases of HIV infection among socially adapted groups - workers (30.2%), office workers (6.4%).

The leading route of HIV transmission in the Sverdlovsk region remains intravenous drug use. The share of this route of HIV transmission in the structure of established risk factors for infection in 2013 was 47.7% (in 2012 - 46.3%), among men - 62.3%. Along with this, the sexual route of transmission of HIV infection does not lose its relevance (50.3%), especially among women (71.2%).

With the involvement of women in the epidemiological process of HIV infection, the implementation of a vertical route of transmission of the virus from an HIV-infected mother to a child is possible. In 2013, 2,692 cases of HIV infection were registered among women (40.4% of all registered cases), and 82.6% of them (2,225 people) were women of childbearing age from 18 to 39 years.

In total, in the region during the period of registration of HIV infection, 11,593 children were born from HIV-infected mothers, including 1,411 children in 2013. During the entire observation period, 750 children were diagnosed with HIV infection (6.4%). In 2013, 88.3% of HIV-infected pregnant women received a full course of chemoprophylaxis; 92.4% of women received chemoprophylaxis during childbirth, and 99.3% of newborns received chemoprophylaxis.

As of December 31, 2013, 16,874 patients, including 509 children, needed antiretroviral therapy. 16,452 people (97.4%) are receiving antiretroviral drugs, including 505 children.

In 2013, studies were carried out to determine the immune status of 89315 (109.7% of the annual plan) and to determine the viral load of 88101 (106.1% of the annual plan).

In December 2013, specialists from the Sverdlovsk Regional Center for the Prevention and Control of AIDS and Infectious Diseases and its branches provided outpatient, polyclinic and advisory care to patients: 8,879 visits to doctors of various profiles were made, including 1,427 to pediatricians. To specialists 1561 visits were made to those providing psycho-social assistance.

During the registration period as of December 31, 2013, 11,554 HIV-infected people died for various reasons, including from AIDS (including tuberculosis at the AIDS stage) - 4,309 people (37.3%), from drug overdose - 1,259 (10.9 %), from tuberculosis - 830 (7.2%).

In order to limit the spread of HIV infection in the Sverdlovsk region, a set of organizational, therapeutic, diagnostic and preventive measures is being carried out.

In 2011, I listened to and participated in seminars held at the AIDS and IZ Center on the following topics:

- “Sanitary and epidemiological requirements for organizations engaged in medical activities.” SanPiN 2.1.3.2630-10;

- “Hygienic requirements for the placement, design, equipment and operation of maternity hospitals and other medical hospitals.” SanPiN 2.1.3.2576-10;

- “Prevention of brucellosis.” SanPiN 3.1.7.2613-10;

- “Prevention of salmonellosis.” SanPiN 3.1.7.2616-10;

- “Principles of medical ethics and deontology in the healthcare system of the Sverdlovsk region.” Order No. 305-P dated March 17, 2008;

Rules for the management of medical waste at the stages of their collection, storage and disposal.” SanPiN 2.1.7.728-99;

- “Requirements for organizing work with aerosols of microorganisms of pathogenicity groups 1-2.” SanPiN 1.3.1285-03. Changes and additions.

- “Cholera. Features and events";

- “Tuberculosis as a combined disease with HIV infection. Features of the anti-epidemic regime when working with tuberculosis patients";

- “Opportunistic infections. Damage to the skin due to HIV infection";

- “Necessary measures of nursing staff carried out in an “emergency situation”;

- “Coding procedure for testing for HIV infection”;

- “Confidentiality and ethical behavior in the work of a nurse.”

The primary professional duty of a nurse is the continuous improvement of special knowledge and skills, increasing one’s cultural level.

In my work I am guided by and strictly observe orders, guidelines, sanitary rules and regulations, and instructions. I know and can apply first aid in practice in case of emergency conditions, in an emergency situation. I try to perfectly master all the skills that are necessary to provide quality medical care. I constantly improve my qualifications and am certified to confirm my qualification category on the basis and in the manner prescribed by current legislation.

I constantly attend trainings, lectures, classes, technical. studies conducted at the Center.

The report was compiled by: Khusniyarova N.M.

The report was checked by:

Head of the department: Ryamova E.P.

Chief nurse of the Center for AIDS and IZ: Reneva E.A.

Senior nurse of KDO No. 1 Kruglova G.A.

REVIEW

For a report on the work of the nurse in the treatment room Nailya Marzavievna Khusniyarova

Report from nurse N.M. Khusniyarova composed, correctly, competently.

The report clearly and completely reflects all aspects of the work of both the nurse in the treatment room and the entire Center for the Prevention and Control of AIDS and Illnesses.

The report was compiled to confirm the highest qualification category.

“Moscow architecture” - Merged in strict harmony. In 1892, Tretyakov donated the gallery to Moscow. Spasskaya Tower. Petrovsky entrance palace. The palace is decorated with carvings, peaked roofs and towers. The attraction of the Faceted Chamber is its painting. There are 20 towers in the Moscow Kremlin. From the north are the tents of the State Historical Museum.

“Intestinal infection” - Nutritional errors leading to the occurrence of diseases of the gastrointestinal tract. Dysentery stick. Gastrointestinal infections. Digestive hygiene. Helminthic infestations. Vibrio cholerae. Salmonella. Fever and headache often occur. Basic nutrition rules. One of the most common manifestations of helminthic infestation is allergies.

“Moscow Kremlin 2nd grade” - Choose a geometric figure (or figures) that matches your answer. Eagle rider bear. 4. What does the word “circus” mean in Latin? The world around us, grade 2. 9. Indicate the second name of St. Basil's Cathedral. Read the question carefully. 8. On which tower are the Chimes located? Cathedral Square Theater Square Red Square.

“HIV virus” - Knowing the routes of transmission and measures to prevent the disease, you can maintain your health. The causative agent of AIDS is the HIV virus, which disrupts the human immune system. Systematic disinfection of instruments (hairdressing, manicure and pedicure). Ways of transmission of the virus: sexually; through blood; from infected mother to child.

“Moscow Kremlin” - And over the small river It became great and famous. The Archangel Cathedral is of particular importance for the Kremlin-fortress. There is a fighting platform along the top of the wall. There are 18 combat towers along the perimeter of the Kremlin walls. Who will knock off Ivan the Bell-Ringer's golden hat? THE KREMLIN WALLS were built five hundred years ago. Belted with a ribbon of arable land, You are all colorful in the gardens!

“Perinatal infection” - The source of infection is domestic animals, mainly cats. Caused predominantly by HSV-2 type. The fetus is infected intranatally with genital herpes in the mother, less often - transplacentally. Morphological signs of HSV. Toxoplasmosis. Mainly in the cortex and meninges there are multiple foci of necrosis with calcification of endophthalmitis.

The problem of the spread of HIV infection continues to be relevant for the global community. The scale of its spread has become global and poses a real threat to the socio-economic development of most countries of the world. HIV infection remains one of the serious medical and social problems that requires effective measures, both from government agencies, from the healthcare system, and from public organizations and the civil community.
Epidemic infection , caused by the human immunodeficiency virus, has assumed serious proportions in Russia. According to Rospotrebnadzor, as of March 1, 2011, 529,110 cases of HIV infection were registered in Russia, of which 5,195 were in children under the age of 15, including 3,618 children born to HIV-infected mothers.
Since the beginning of the epidemic, more than 89 thousand people with HIV infection, including 21 thousand people due to HIV infection.
In our region as of 03/01/2011. total number of identified There were more than 10 thousand HIV-infected Russian citizens, and 8,297 people living with HIV/AIDS, which is 0.3% of the region’s population . The level of HIV infection among the population increased from 131.41 per 100 thousand population in 2001 to 317.12 in 2010. 640 new cases were registered last year HIV infection , including 330 cases of illness caused by HIV virus and 310 cases of asymptomatic infectious status, caused by HIV . In the past year, sexual transmission continued to predominate, the proportion of which increased from 79.5% in 2009 to 83.6%. 14.5% of people identified in 2010 became infected through intravenous drug use (2008 - 18.4%, 2009 - 18.5%). By age composition among those identified in 2010 HIV-infected of persons, the share of adolescents 15-18 years old was 1.5%, persons 20-29 years old - 38%, 30-39 years old - 38.6%.
187 live children were born from HIV-infected mothers, including two twins. Three children born in 2010 were diagnosed with HIV infection.
As part of the priority national project “Health,” patients have the opportunity to receive expensive treatment with antiretroviral drugs and, as a result, improve their quality of life and its duration. During 2010, treatment was prescribed to another 352 patients, including 4 children. During the year, 1,798 patients received antiretroviral therapy HIV infection . However, 229 people stopped treatment last year for various reasons, of which 127 patients died.
Treatment helps to stop and significantly slow down the progression of the disease, but cure HIV infection not yet possible. Therefore, despite fatal cases, there is a constant accumulation of the number of people living with HIV AIDS . This process does not stop and will increase. A reservoir has already formed in our region HIV infection at the expense of drug users (Balakovo, Volsk) Despite the preventive measures taken, these territories still remain disadvantaged in terms of HIV infection , both in the number of new cases and in the increase in the incidence of the population.
Currently, the rise in incidence is associated with the intensification of sexual transmission and the ongoing implementation of the intravenous route of infection through the use of narcotic drugs. Identification of patients HIV infection already in the later stages of the disease may indirectly indicate that the real number HIV-infected significantly higher than the officially recorded incidence rate. And yet, risk groups remain people who use drugs, commercial sex workers and people who have multiple sexual partners, patients with sexually transmitted diseases, and tuberculosis.
Since 2006, more than 700 people with a positive laboratory test result have been identified and live in the region. HIV , but many of them do not know that they are infected, because... did not come to the doctor for the results of the examination. Thus, a person who does not care about his health can harm not only himself, but also the people close to him or acquaintances, because will not comply with certain restrictions associated with this infection.
The most important task in the fight against HIV infection is to preserve the health of young people, organize large-scale preventive and information work with adolescents and young people. It must be remembered that HIV infection , this is a “behavioural disease”.
Measures to prevent HIV infection are quite possible for most young people who care about their health, namely:
. never use drugs;
. do not have intimate contacts with an unfamiliar partner, especially without protective equipment and while under the influence of alcohol or drugs. If such contacts have occurred, it is necessary to undergo laboratory testing for HIV infection and consult a doctor;
. refuse to frequently change sexual partners. If you have one but faithful partner, no AIDS you are not in danger!
These simple rules will help you maintain your health and the health of those close to you.

The total number of Russians infected with HIV registered in the Russian Federation as of November 1, 2015 was 986,657 people. According to the Rospotrebnadzor monitoring form “Information on activities for the prevention of HIV infection, hepatitis B and C, identification and treatment of HIV patients,” in the Russian Federation as of November 1, 2015, 205,538 HIV-infected people died for various reasons, incl. 20,612 in 2015 (16.6% more than the same period in 2014). The Federal Center for AIDS Prevention and Control received personalized data on the deaths of HIV-positive individuals with a significant delay, so a smaller number of deaths were registered.

According to the Rospotrebnadzor monitoring form as of November 1, 2015, 602,837 HIV-infected Russians were undergoing dispensary observation in 2015, of which 220,366 patients received antiretroviral therapy.

Over the 10 months of 2015, territorial centers for the prevention and control of AIDS reported 73,777 new cases of HIV infection among citizens of the Russian Federation (according to preliminary data), excluding those identified anonymously and foreign citizens, which is 12% more than in the same period period 2014. The incidence rate in 2015 was 50.4 per 100 thousand population. In 2015, the leading morbidity rates in the Russian Federation were: Kemerovo region (registered 195.6 new cases of HIV infection per 100 thousand population), Sverdlovsk region (152.2), Novosibirsk region (124.8), Tomsk region (122.5 ) regions, Altai Territory (111.8), Chelyabinsk (109.2), Samara (94.8) regions, Perm Territory (89.0), Orenburg Region (85.4), Khanty-Mansi Autonomous Okrug (84. 4).

Cases of HIV infection have been registered in all regions of the Russian Federation. A high incidence of HIV infection (more than 0.5% of the entire population) in 2015 was registered in 26 regions, where 41.5% of the country’s population lived.

The prevalence of HIV infection as of November 1, 2015 was 534.0 per 100 thousand population of Russia. The most affected subjects of the Russian Federation (according to preliminary data) include: Sverdlovsk (registered 1511.0 living with HIV per 100 thousand population), Irkutsk (1503.7), Kemerovo (1448.2), Samara (1373.5), Orenburg (1128.2), Leningrad (1116.3) regions, Khanty-Mansiysk Autonomous Okrug (1094.9), Tyumen (1093.9), Chelyabinsk (943.7) regions, St. Petersburg (941.3 ).

In the Russian Federation in 2015, men still predominated among HIV-infected people (63.0%), most of them became infected through drug use. By November 1, 2015, more than 364 thousand women infected with HIV were registered in Russia, who were mainly infected through sexual contact with men.

Among HIV-positive people newly identified in 2015 with established risk factors for infection, 53.6% were infected through drug use with unsterile equipment, 42.8% through heterosexual contact, 1.5% through homosexual contact, 2.1% were children infected from mothers during pregnancy, childbirth and breastfeeding.

Thus, in the country in 2015, the HIV epidemic situation continued to worsen. The incidence of HIV infection remained high, the total number of patients and the number of deaths of HIV-infected people increased, and the spread of the epidemic from vulnerable groups to the general population intensified.

The certificate was prepared by the Federal Scientific and Methodological Center for the Prevention and Control of AIDS of the Central Scientific Research Institute of Epidemiology of Rospotrebnadzor on the basis of data provided by territorial centers for the prevention and control of AIDS.