The HIV situation in Yekaterinburg is really critical, but this does not give the right to call it "the capital of AIDS", first of all, and secondly, the HIV situation in Moscow and the region is much worse, but they just prefer it keep silent, as in other regions.
Because Purulent. I already answered his words on Twitter. Because when something unfair concerns Yekaterinburg, I react very quickly. I wrote that Purulent called Yekaterinburg the capital of AIDS, and Yekaterinburg politely kept silent about it. Understood why he is Purulent. That's all. This is not my level, not my scale, not at the same stage of development.
We differ from those territories where the situation with HIV is much more serious than ours in only one thing: we are not afraid to talk about it out loud. You see, this is our problem. Not the trouble of Yekaterinburg, but the trouble of the country. All the cities through which drugs went in the 90s in a continuous stream, everywhere these problems. The worst situation in my memory was in the Upper Tura. When one family arrived from Nikolaev, a husband and wife, HIV-infected, and they kept a brothel for several years, taught a lot of people to inject drugs, and a huge number of young people became infected with AIDS. There was a capital from the capitals.
This is not a reason for gloating, not a reason for mocking. This is a misfortune, this is our tragedy, not of Yekaterinburg, but of the country. Somehow we try to fight, we suffer. When a person is invited to visit, and he allows himself such things - of course, it hurts everyone.
But one thing must be understood - that this is not an epidemic in Yekaterinburg, it is an epidemic in the country. It's just that in Yekaterinburg there is always a very powerful detectability, very strong doctors, we have it just put on stream, professionally, we have a constant detectability, intolerance to drug addiction. And this is not the case throughout the country. This is Yekaterinburg. If there is such a level of detectability throughout the country, then the picture will look completely different, do you understand?
On the HIV epidemic in Yekaterinburg (Yevgeny Roizman, Mayor of Yekaterinburg)
An HIV epidemic has been officially declared in Yekaterinburg. Every fiftieth resident of the city is infected with an infection, indicate the local health department.
E. Roizman - We have had such a situation since the late 90s. I've always talked about this. And when we raised a war against drug traffickers - we had drug trafficking on every corner - when we created a rehabilitation center, we had up to 300 people at a time, since we took everyone to an HIV center (we have a center to fight HIV, we have AIDS, real), - it turned out that 40% of heroin addicts, guys, they are HIV-infected. Girls, heroin addicts not only are practically all infected themselves, they are all prostitutes.
And all these syringe distributions ... for some moment something stopped, that is, there was no such spread, although it went sexually. But then, when desomorphine addiction began, when they were selling codeine-containing drugs, they absolutely understood ... Imagine, all the country's pharmacies sold a huge amount of codeine-containing drugs, and at the same time, everyone from the Ministry of Health to pharmacies knew that they were selling to drug addicts in the absolute majority - it was very difficult to stop.
But you need to understand that everyone who was injected with desomorphine then, in common parlance with a "crocodile" - there was a completely different incidence of HIV, there all were polls "infected", because the use of desomorphine, this crocodile - they all got out of the common bowl. That is, they may have had their own syringes, but they are always the same, from a common bowl. And in the end, there is one more nuance: from the first injection it generally knocks out the immune system. And it was a widespread drug addiction. The brothels were packed. That is, HIV in general reached a different level then, starting in 2006, and continued until the 10th, even, probably, until the 11th year. And all this wave swept over.
But one thing must be understood - that this is not an epidemic in Yekaterinburg, it is an epidemic in the country. It's just that in Yekaterinburg there is always a very powerful detectability, very strong doctors, we have it just put on stream, professionally, we have a constant detectability, intolerance to drug addiction. And this is not the case throughout the country. This is Yekaterinburg. If there is such a level of detection throughout the country, then the picture will look altogether different, do you understand?already?
E. Roizman - But the worst thing is that it has moved to the everyday level. Not only has it moved to the everyday level, there most of it is infection through sexual contact and various other ways. And the situation is really like that. But we must understand that this is the problem of Yekaterinburg, but the problem of the country, we are just not afraid to speak about it aloud.
V. Kostina - Tell me, how is all this being solved in terms of medical care? /p>
E. Roizman - Listen, it is not being solved in any way. Thank God, our city is very serious in this regard. A number of serious medical schools, doctors are good at a good level. We have a high detection rate. We have had an HIV and AIDS center for many years. But they are based on detectability and on therapy. For prevention - it should be something else already, because all these methods have been exhausted. What can we do now? We can deploy express testing everywhere, which we do. As the head of the city, I was the first to publicly pass express tests, and I showed that it was not scary within 40 seconds, anonymously. And now we will persuade and encourage all citizens to find out their HIV status today. When you know your HIV status, at least you are not a source of potential danger to your loved ones. So far so.
Plus, of course, anti-drug propaganda, it is no longer prevention, but anti-drug propaganda. Well, against the sexual tract - well, everything, just know, enter the status ... That's it, I, perhaps, said everything.
V.Kostina - And how are you with funding?
E. Roizman - The same as throughout the country, that is, in no way. That is very difficult. It is clear that there is some funding, but it is very difficult, like everyone else.
Maybe because the situation with the spread of AIDS in Yekaterinburg is monstrous, and for good reason the process should already be called an epidemic?
According to official (!) data in Yekaterinburg, 1.827% of the population are infected with AIDS. It's just a ... sorry, a lot. This compares to Central and South Africa, with the number of cases increasing.