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The TB and HIV/AIDS Epidemics in the Russian Federation

Author

Listed:
  • Anatoly Vinokur
  • Joana Godinho
  • Christopher Dye
  • Nico Nagelkerke

Abstract

The Russian Federation has been confronting a major epidemiological crisis, which will have considerable human and economic costs if it is not swiftly addressed. Between 1999 and 2000, the country experienced the world's biggest increase in new cases of HIV/AIDS infection. The TB epidemic is at risk of becoming uncontrollable if the country experiences a moderate epidemic of HIV/AIDS. This report represents the analysis and recommendations of a group of experts from the World Health Organization and the World Bank, and focuses on the current epidemiological situation in the Russian Federation and the existing institutional arrangements available to tackle both epidemics. It encompasses projections for the TB epidemic, the interaction with the HIV/AIDS epidemic, and the impact of a spiraling duel epidemic. The report has four sections. The first briefly describes socioeconomic conditions. The second section discusses the impact on the population of the epidemic, incidence and prevalence in the general and prison populations, diagnosis and treatment processes, and current TB management and control structures. The third section profiles the HIV/AIDS epidemic and its impact, and the role of STIs in fostering the disease. Finally, the fourth section describes a mathematical model of health improvements possible under various TB control strategies with implications for HIV/aids as well.

Suggested Citation

  • Anatoly Vinokur & Joana Godinho & Christopher Dye & Nico Nagelkerke, 2001. "The TB and HIV/AIDS Epidemics in the Russian Federation," World Bank Publications - Books, The World Bank Group, number 13965, December.
    • Handle: RePEc:wbk:wbpubs:13965
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    References listed on IDEAS

    as
    1. Klugman, Jeni & Braithwaite, Jeanine, 1998. "Poverty in Russia during the Transition: An Overview," The World Bank Research Observer, World Bank, vol. 13(1), pages 37-58, February.
    2. Sheiman, Igor, 1995. "New methods of financing and managing health care in the Russian Federation," Health Policy, Elsevier, vol. 32(1-3), pages 167-180.
    3. Sawert, Holger & Kongsin, Sukhontha & Payanandan, Vallop & Akarasewi, Pasakorn & Nunn, Paul P. & Raviglione, Mario C., 1997. "Costs and benefits of improving tuberculosis control: The case of Thailand," Social Science & Medicine, Elsevier, vol. 44(12), pages 1805-1816, June.
    4. Rutkowski, Michael [editor], 1999. "Russia's social protection malaise : key reform priorities as a response to the present crisis," Social Protection Discussion Papers and Notes 20125, The World Bank.
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    Cited by:

    1. Tara Das, 2009. "The information and financial power of the World Bank," Progress in Development Studies, , vol. 9(3), pages 209-224, July.
    2. World Bank, 2003. "Averting AIDS Crises in Eastern Europe and Central Asia : A Regional Support Strategy," World Bank Publications - Books, The World Bank Group, number 15114, December.
    3. World Bank, 2002. "Child Welfare Outcomes During the 1990s : The Case of Russia, Volume 2. Main Report," World Bank Publications - Reports 15325, The World Bank Group.
    4. Joana Godinho & Thomas Novotny & Hiwote Tadesse & Anatoly Vinokur, 2004. "HIV/AIDS and Tuberculosis in Central Asia," World Bank Publications - Books, The World Bank Group, number 15061, December.

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