Republic of SerbiaMunicipality of Arilje, Pablic health Department

HIV/AIDS epidemiological situation in former Yugoslav country

Ljubica Bogosavljević

Base data about Region of the Former Yugoslavia

South East Europe and Western BalkanYugoslavia desintegrated in ninetieth in a tragic way, with a large tribulation and humanitarian disasterOn the terrain of Yugoslavia are formed newly, self contained

states:- Slovenia- Croatia- Bosnia and Herzegovina- The Former Yugoslav Republic Macedonia- Montenegro- Serbia (including Kosovo and Metohia with undetermined

issues) Total number of inhabitans 23 million

The former Yugoslav States, ISO Code, number of inhabitants in thousands

SloveniaSI2 400

CaroatiaHR 4 555

Bosnia and HerzegovinaBA 3 900

MontenegroME650

SerbiaRS7 500 + 2400

TFYR MacedoniaMK

2 038

Epidemiological HIV/AIDS data

Epidemic in the region began in 1985Epidemics are relatively smallHIV infection - only Serbia having reported altogether 2300 HIV cases since epidemic beganAll others country reported total 100 to 700 HIV infectionsAIDS - Serbia reported 1500 AIDS cases, HR about 300, SI 146 and all others about 100 or lessHIV/AIDS deaths - Serbia 936, Croatia 156, all others under 100

HIV, AIDS, deaths , total number reported in period 1985 – 2008, Ex YU

Ex YU country

HIV infection AIDS cases HIV/AIDS deaths

Serbia 2287 1432 936

Croatia 732 289 156

Slovenia 390 146 83

Bosnia and Herzegovina

156 98 65

TFYR Macedonia

120 94 59

Montenegro 92 46 31

HIV infection, newly diagnosed, reported 1999 - 2008, Ex YU counties

Serbia

Croatia

Slovenia

BosniaMacedonia

Montenegro

HIV infection, newly reported per million population, 1999 – 2008, Ex YU countries

HIV infections, newly reported cases (per million population) in 2008, Ex YU

Slovenia41(20.5)

Croatia50 (10.9)

Bosnia and Herzegovina

8 (2.0) Serbia87 (11.6)

Montenegro5 (7.6)

TFYR Macedonia9 (4.4)

AIDS cases, newly diagnosed, reported in period 1999 – 2008, Ex YU

AIDS cases per million population, period 1999 – 2008, Ex YU

SerbiaSlovenia

MacedoniaCroatia

MontenegroBosnia

HIV/AIDS deaths, reported in period 1999-2008,Ex YU countries

Slovenia

MontenegroBosnia and Herzegovina

Macedonia

Ex YU – low HIV prevalence countries

Increasing number of newly HIV cases is constantly registeredStagnation or decreasing number of AIDS and AIDS mortality HIV prevalence is under 0. 1% for all countriesIn spite of low prevalence rate, the true epidemiological HIV/AIDS picture is still not clear in that RegionReasons: possible low level of infection among population, butthere is relatively weak national surveillance system in most Ex YU countries, lacking specific data in the most risk groups.

HIV infection, newly diagnosed, by sex, (%) reported in 2008, Ex YU

Transmission mode of HIVChanged in the course of period in many country In the beginning IDU was dominant In Serbia IDU decrease from 72% in 1991 to 14% in 2008.In all countries increase sexual transmission HC in Bosnia, Montenegro, Macedonia, SerbiaMSM is predominant in Slovenia, dominant in Hroatia, SerbiaIn all countries, excepting Slovenia persist a large number of HIV infection which transmission mode is unknown: 26% in Serbia, 19% in Macedonia, 16% in Bosnia,5% in Croatia, 7% in Montenegro.MTCT is on low level, 1 - 3% in almost all countries, excepting Slovenia

HIV infection, newly diagnosed by transmission group, (%) reported in 1999. and 2008.

Instead of conclusion

Ex YU region remains a low level epidemic region,

Increasing of 25% in newly HIV diagnosed within last decade

HIV infection is spread among people at most risk: homo/bisexuals and their partners, MSM, IDU, CSW, Roma people, prisoners, refuges, displace people.

Some specific groups are observed in everyone country: sailors and touristy workers in Montenegro and Croatia, peacekeepers in Bosnia and Macedonia, Roma people in Serbia

All country adopts and implementing National strategy for HIV/AIDS

Centre for VCCT are set up in all countries

There is low rate of voluntary testing for HIV, among lowest in Europe

In spite of low prevalence rate epidemiological situation in this region is potentially unsafe due to unfavorable socio economic conditions, countries location on drug trafficing routes, migration of people,a frequent risk behavior, weak surveillance epidemical system.