Eвропейската алтернатива на Турция е неизбежна и
един ден тя ще бъде неотделима част от Европа като политическо, икономическо и културно пространство !

Орхан Памук

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понеделник, 1 декември 2008 г.

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Turkey (pop. 74 175 000)


From 1985 to 2006, Turkish authorities had reported a cumulative total of 2544 HIV cases. They also reported that 623 of the infected individuals had developed AIDS, of whom 140 had died. Among the reported cumulative HIV cases with a known mode of transmission, approximately 75% were infected through heterosexual contact, 12% through MSM and 7% through injecting drug use. In recent years, of cases with known mode of transmission, 70-80% were acquired through heterosexual contact and in 2006, 28% of reported infections were in women. For the year 2006, the authorities reported 290 new HIV cases, 31 new AIDS cases and 2 deaths among AIDS cases.To date, the country has had low, stable rates of HIV/AIDS incidence and prevalence.

Sex work is common, and condom use has been shown to be low. Nonetheless, HIV prevalence among SWs has remained low. Of the 3276 female SWs, mostly non-Turks, who were tested for HIV in an Istanbul test centre in 2003, 0.5% tested positive; in 2002 the prevalence had been 0.7%). The present epidemiological stage of HIV in the country and the low level of injecting drug use, make it reasonable to assume that commercial sex work is the main driver of the epidemic. The SWs from eastern European countries, often operating as illegal SWs, and their mainly Turkish clients are considered to be the major contributors. From 1996 to 2000, almost 44 000 foreign SWs were taken into custody, and from 1996 to 2002, 23 500 were deported for being involved in illegal sex work.

Registered SWs undergo mandatory medical examination twice a week for STIs and regularly for HIV, impetigo, leprosy, tuberculosis and other diseases as recommended by Ministry of Health. Medical examination, screening and treatment of registered SWs are carried out by municipalities and financed from the funds collected from the owners of brothels.

In Turkey, 1100 facilities provide HIV testing; testing is not free of charge. According to national HIV testing policies, partner notification was not mandatory, nor was there a systematic testing of any particular individuals/groups. The number of people tested for HIV in 2006 was approximately 1 900 000. The number of HIV tests performed increased from just over 1.88 mio tests in 2005 to more than 2.43 mio tests in 2006. HIV cases were identified in all provinces, though they were mainly limited to the urban centres, with roughly half of them in Istanbul province alone.

Stigmatization and discrimination are widespread in Turkey, making vulnerable groups hard to reach and targeted prevention difficult to implement. Furthermore, MSM face severe stigmatization and very little data among this group is available. A study from 2006, revealed that 92% of the MSM practiced anal sex and only 37% declared using condoms regularly. Among IDUs, 43% were found to share needles and 60% did not use condoms during sexual intercourse. Substitution therapy for IDUs is currently not available in Turkey.

787 HIV/AIDS patients were reported to have received medical care for their condition during 2006. In 2004, 250 patients received HAART in Turkey, while at the end of 2006, 685 people were on HAART offered at 25 facilities. Of the patients on HAART about 75% were males, 84% were reported as heterosexually transmitted, 11% MSM and 2% IDUs. In 2006, of all PLHIV tested for coinfections, 7% were hepatitis B coinfected , 7% were coinfected with hepatitis C and 25% TB co-infected.

By the end of 2006, the cumulative number of HIV cases infected through mother-to-child transmission was 45. In 2006, two new cases of MTCT were recorded.

Updated 19 June 2008

References:

European Centre for Epidemiological Monitoring of AIDS (EuroHIV). HIV/AIDS surveillance in Europe. End-year report 2006. Saint-Maurice: Institut de Veille Sanitaire, 2007. No. 75.

The European Union’s Technical Assistance Programme for Turkey. Operations Research on Key Sexually Transmitted infections (STI) and Human Immunodeficiency Virus (HIV) in Turkey. Draft version, June 2006.

The European Union’s Technical Assistance Programme for Turkey. Operations Research on Key Sexually Transmitted infections (STI) and Human Immunodeficiency Virus (HIV) in Turkey. April 2007

The Ministry of Health in Turkey. UNGASS country progress report. Reporting period: January 2006 – December 2007. January 2008.

WHO Regional Office for Europe. Sexually transmitted infections/HIV/AIDS programme. WHO/Europe survey on HIV/AIDS and antiretroviral therapy 2006. WHO: Copenhagen; 2007

The European HIV Prevalence Database: (webpage)

DSÖ Türkiye İrtibat Ofisi - WHO Turkey Liaison Office

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