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Main arrow Archive of previous Issues arrow 2 2013 (30) arrow Use of matrix analysis to evaluate epidemiological situation with hiv-tb co-infection in constituent entities of Russia
Use of matrix analysis to evaluate epidemiological situation with hiv-tb co-infection in constituent entities of Russia Print
Thursday, 18 April 2013

Summary. Pulmonary tuberculosis and HIV infection are currently widespread in all regions of Russia with uneven incidence of tuberculosis and HIV-infection that is subject to significant fluctuations.

Objective: to review epidemiological situation with HIV-TB co-infection in Russian regions with the use of matrix analysis to determine inputs each infection contributes to the epidemiological process.

Methods: indicators of pulmonary tuberculosis and HIV-infection for 2010 have been used. To develop the matrix 81 regions of Russia have been rated according to their rates of HIV prevalence. Groups with highest and lowest incidence of pulmonary tuberculosis and HIV-infection have been compared.

Results: high prevalence of pulmonary tuberculosis in all regions of Russia is the main prerequisite for HIV-TB co-infection nowadays. Against the background of a widespread prevalence of HIV infection a sharp rise in HIV-TB co-infection in regions with high incidence of HIV infection becomes a matter of a great concern.

The Russian tuberculosis facilities are urged to introduce a closed treatment regiment with isolation of tuberculosis patients with sputum smear-positive pulmonary tuberculosis. Matrix analysis helps to evaluate relations between the two infections in the Russian regions and choose priorities for developing organizational measures to control HIV-TB co-infection.

Conclusions: While the incidence of pulmonary tuberculosis in all regions of Russia in 2010 was over 35 per 100,000 population, the incidence of HIV infection only in 36 regions of Russia (43.4% of the total) exceeded 25 per 100,000 population. 23 regions of Russia with HIV incidence over 44 per 100,000 population are challenged with an exponential growth of HIV-TB cases. Implementation of a package of organizational measures implies close cooperation between TB and HIV control programs at all levels.

Keywords. Pulmonary tuberculosis; HIV-infection; HIV-TB co-infection; matrix analysis.


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