Program Supplement [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

Confirmation of this apparent trend toward declining HIV
prevalence is of highest priority, and prevention efforts need to
be re-doubled.
Corresponding author: Kububa, Perpetua, Ministry of Health,
P.O. Box CY 1122, Causeway, Harare, Zimbabwe,
Tel: [phone], Fax: [phone],
Email: [email protected]
LBPEC90351
The main targets in STD control interventions for HIV
prevention in NGOs activities in Nizhny Novgorod, Russia
Berezhnova, Irina, Krivatkin, Sergey, Seveleva, Svetlana
(Russian Federation)
Background: The HIV is the most important STD in terms of
morbidity, mortality and costs to the health system. The last
decade is characterized by a considerable increase in
morbidity of HIV in RF. It was found that STDs may facilitate
sexual HIV transmission by increasing susceptibility to HIV.
Purpose: to determine the extend of HIV and Syphilis problem
in order to design and implement prevention program.
The study objectives: to assess the epi situation on HIV and
Syphilis in RF and NNovgorod for 1990- 2001; to determine
the time trends for HIV and Syphilis; to determine relations
between HIVand Syphilis epidemics; to analyze age and sex
structure of Syphilis incidence among adult and children
population; to identify the most vulnerable and target groups;
to find out the main directions for prevention activity.
Methods: The stat data from the Ministry of Health of RF were
collected and analyzed.
Results: correlation coeff between GenSyphRate and HIV rate
in Moscow and RF for 1990 - 2001 was found equal to -1. The
GSR was increasing from 4.5 to 302 per loo.ooo while the Ped
Syph Rate was increasing from o to 12.6 per loo.ooo of child
population in 1997. The most vulnerable group identified
among child population was girls of 13-14 y.o.
Conclusions: the HIV prevalence rate is growing and appears
to shift with the declining GSRin 1996. There is evidence
Syphilis promotes the infectiousness of HIV. A more detailed
focus is required in studies of Syphilis/HIV interactions. An
increasing an access and offering good quality STI service
coordinated with HIVcontrol system, narcological
service,education system, NGO or set up as special programes
for hard to reach populations (children, CSW, MSM, IDU)
provide unique opportunities, reinforce prevention messages.
The main difficulties we could face with are the lack of
resources, bad organize reported system, no adopted program
for particular community, lack relationship between NGOs and
government

[LBPEC9036]
Racial disparities in prevalence and incidence of HIV infection
among young men who have sex with men:
The Baltimore Young Men's Survey
SiakisFrangiscos, Hylton, John, Solomon, Liza, Flynn,
Colin, MacKellar, Duncan, Valleroy, Linda, Celentano, David
(United States)
Background: To estimate HIV incidence and ascertain
racial/ethnic differences in the burden of HIV infections among
young men who have sex with men (MSM).
Methods: The Young Men's Survey was a cross-sectional,
venue-based, sample survey conducted in two phases in
Baltimore, Maryland, U.S.A. MSM between the ages of 15 and
22 years were enrolled in the study during Phase I (1996-1998).
In Phase II (1998-2000) MSM 23 to 29 years old were recruited
using the same sampling protocol. Results are presented in the
aggregate. HIV incidence was ascertained using the Serologic
Testing Algorithm for Recent HIV Seroconversion (STARHS)
assay.
Results: Among the 843 participants who gave a lifetime
history of a sexual encounter with a man, there were 102 who
were HIV infected (12.1%). HIV prevalence by race/ethnicity
was 2.9% among whites, 27.1% among African-Americans,
io.o% among Hispanics, and 11.3% among mixed/other
race/ethnicity. Of the 102 HIV positive specimens, 12 were
STARHS positive and the overall HIV incidence was estimated
to be 4.15 % per year (95% Cl: 1.76, 8.56). HIV incidence was
estimated as 0.6% per year (95%CI: 0.0, 4.2) among whites,
11.o% per year (95% Cl: 4.1, 24.1) among African-Americans,
0% per year (95%CI: 0.0, 35.1) among Hispanics, and 10.4%
per year (95%CI: 0.6, 16.1) among mixed/other race/ethnicity.
Conclusions: HIV incidence and prevalence were both high in
this young homosexual and bisexual population. AfricanAmerican young MSM, in particular, demonstrate very high
levels of new HIV infections as well as a heavy burden of
prevalent infection. Prevention and education programs need
to be further developed and tailored to young MSM,
specifically targeting African-American MSM and promoting
culturally appropriate messages.
Corresponding author: Sifakis, Frangiscos, 3507 North Charles
St., Apt # 302, Baltimore 21218, Maryland, United States,
Tel: [phone], Fax: [phone],
Email: [email protected]
[LBPEC90371
What can data on Sexually Transmitted Infections (STI) from
Western Pacific countries tell us about the HIV Epidemic
in the region?
Nguyen Thi Thanh, Thuy1, Poumerol, Gilles2, Sullivan,
Elizabeth3 (IPhilippines; 2Switzerland; 3Australia)
Background: Surveillance of sexually transmitted infections
(STI) is integral to second generation HIV surveillance. This
review examines the use of STI data in explaining the HIV
epidemic and informing prevention strategies.
Methods: STI database was developed based on annual
updates from Western Pacific countries (WPC). Prevalence data
analysed were from cross-sectional surveys during the period
2000-2001. Laboratory techniques used included RPR and
TPHA tests for syphilis and PCR for detecting chlamydia,
gonorrhoea and trichomonas.
Results: Although most WPC are of low HIV prevalence, high
STI prevalence was recorded. This indicated the presence of

Corresponding author: Berezhnova, Irina, Ispolkoma st, 6-84,
603003, Nizhny Novgorod, Russian Federation,
Tel: [phone], Fax: [phone],
Email: dr [email protected]

Program Supplement