Russia: Hate, discrimination lead to 'catastrophic' rise of HIV in Russia, experts say

Sylvia Urban of the umbrella group German AIDS Service Organization described the massive spread of HIV in Russia as "catastrophic." According to Russian government data, more than 100,000 people contracted the virus in Russia in 2016. During the same period in Germany, which has half as many residents, the Robert Koch Institute in Berlin registered just over 3,400 new infections.

Urban said improvements in global HIV prevention programs as well as testing for those infected have greatly reduced the spread of the virus and helped bring down the number of new HIV infections worldwide by a third since 2000. But she added that the global trend does not apply to eastern Europe. 

In Russia, where "risk groups" are harassed and discriminated against, Urban said issues of sexuality in general and homosexuality, in particular, are taboo. Funding for the fight against HIV has also been dramatically cut in the country and non-governmental organizations that receive funds from abroad have also faced state persecution.

Urban said that experience in Germany has shown the important role that NGOs play in disease prevention.

"The enormous success of HIV prevention in Germany illustrates just how effective structures that encourage interaction between government and civil society can be," she said. 

Vadim Pokrovskiy, head of the Russian Federal AIDS Center, said Russians can only dream of such interaction between government and private organizations.

"We could learn a lot from Germany," he said, adding that drug use is the main was the virus is transmitted in Russia.

Since the majority of drug users in Russia are heterosexual males, their partners are also at risk. Pokrovskiy said it is "very easy" for a Russian woman between the ages of 25 and 30 to come across infected males. According to his statistics, roughly 3% to 4% of all Russian men between the ages of 40 and 50 are HIV positive. One in five drug users is infected as is one in 10 homosexual men.

"Homophobia and a negative view of drug addicts, as well as the obscure legal status of prostitutes, have all led to the fact that Russia uses less than half of all of the methods that have been scientifically proven to prevent the spread of HIV around the world," Pokrovskiys said.

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