На вістрі уваги світової преси: Проблеми з АРТ та замісною

На вістрі уваги світової преси: Проблеми з АРТ та замісною терапією на
сході України і в Криму
News Highlights: Problems with ARV Treatment and Substitution Therapy in
Eastern Ukraine and Crimea
Kiev ‘punishes’ civilians in Donetsk with
travel permits and drugs blockade
At Donetsk’s drug addiction treatment facility,
doctors received their last shipment of medicines from Ukraine in September. Earlier this
month, the remaining 52 patients prescribed buprenorphine had their medications stopped,
and while there are dwindling supplies of methadone remaining, doses will be scaled down
starting this week, and will run out completely on 1 March. There are 155 patients remaining in
the clinic on methadone, and 380 across the region. The doctors at the clinic have worked six
months without payment, receiving one small subsidy from the new Donetsk rebel authorities.
One nurse has left after her house was destroyed, but the majority of clinic workers have
stayed, despite the lack of salary. Now they have to explain to the patients that their treatment
will end. “The International Committee of the Red Cross just needs an official memo to take it
across but we can’t get the documents signed,” confirms Pavlo Skala of the HIV Alliance in Kiev.
By Shaun Walker, The Guardian
Drug Addicts Are Dying in Crimea Because They Can't Get Therapy
"It seems like all the time I hear about someone else who has died," Igor, a Crimean OST patient
and activist who organized the video appeal, told VICE News. He had just learned that another
former OST patient, also named Andrei, died last week of an overdose in Simferopol. Eight
patients he knows have died, Igor said. Of the 800 drug users who had previously received OST
in Crimea, at least 80 have died since the programs were shut down, mainly from suicide and
overdose, according to United Nations AIDS envoy Michel Kazatchkine. As well as Russia
shutting down the program in Crimea, the conflict has also meant that the Ukrainian
government has stopped distributing OST drugs in the rebel-held east of the country. By Alec
Luhn, Vice News.
ООН: наркоманы Крыма умирают без заместительной
терапии
Десятки бывших пациентов погибли, лишившись доступа к заместительным препаратам в
Крыму, - преимущественно в результате суицида или передозировки, заявил в среду
спецпосланник ООН по ВИЧ/СПИДу в Восточной Европе и Центральной Азии Мишель
Казачкин. Данные ООН о гибели наркозависимых в Крыму Би-би-си подтвердила
украинская организация, оказывающая помощь наркозависимым переселенцам из Крыма
и Донбасса. В министерстве здравоохранения России это отрицают. Как заявил пресссекретарь ведомства Олег Салагай, всего с марта до конца 2014 года на территории
полуострова умерли семь пациентов заместительной терапии - по его словам, не в
результате отравления наркотиками или самоубийства. Русская служба BBC.
HIV in der Schwarzmeerregion: Der
verborgene Kampf
Zu denen, die die HIV-Ausbreitung im Osten der
Ukraine miterleben, gehören die Mitarbeiter der
Organisation „HIV/Aids Alliance Ukraine“. Seit mehr als 14 Jahren ist die Organisation bei der
Aids-Bekämpfung in der Ukraine tätig. Aber wegen des Krieges ist unklar, wie es mit ihren
Projekten in Lugansk und Donezk weitergeht – ausgerechnet zu einem Zeitpunkt, zu dem dort
immer mehr Drogenabhängige Ausgabestellen für saubere Spritzen aufsuchen.
Drogenabhängige in den Kriegsgebieten werden aber von den prorussischen Rebellen vollends
ins gesellschaftliche Abseits gedrängt. Nichtregierungsorganisationen berichten davon, dass die
Rebellen Drogenabhängige regelrecht rekrutieren, um Gräben für die Soldaten auszuheben.
Gleichzeitig fliehen immer mehr Abhängige nach Charkiw und Kiew, um sich dort mit
Ersatzdrogen wie Methadon einzudecken. By Michael Bird, Tagesspiegel
War in Ukraine threatens to worsen HIV crisis.
The methadone and other OST supplies have already been paid for by the
Global Fund to Fight AIDS, Tuberculosis, and Malaria, which distributed money
to civil organizations like Alliance Ukraine. All Kiev needs to do is sign off on
their delivery, but Skala feared that could take “weeks or months."
That might be too late for the roughly 150 methadone patients at Donetsk’s drug addiction
treatment facility who face termination of their treatment within one week. According to Yulia
Drozd, the center’s deputy director, 60 percent of these individuals are HIV-positive and many
have Hepatitis C or tuberculosis. By Michael Pizzi, Al Jazeera America
Marginalised Groups Struggle to Access
Healthcare in Conflict-Torn East Ukraine
The International HIV/AIDS Alliance Ukraine which runs
many OST centres as well as other harm reduction programmes, has said that stocks of antiretroviral
drugs, OST and other life-saving treatments will have run out by February. More than 300 OST patients
in Donetsk and Luhansk have lost access to treatment since the conflict began, while a further 550
patients on methadone will run out of drugs soon if emergency supplies cannot be delivered. By Pavol
Stracansky, Inter Press Service News Agency.
Eastern Ukraine Running Out of Meds
for HIV, TB and Opiate Substitution
In a press release, the International HIV/AIDS Alliance in Ukraine (Alliance Ukraine) says that
Eastern Ukraine has the highest prevalence rates of HIV and TB in the country. "One in five new
infections are registered in Donetsk and Luhansk oblasts (regions) which are home to nearly a
quarter of Ukrainians living with HIV." Andrey Klepikov, executive director of Alliance Ukraine,
asserts in the press release that "unless centralized supplies of vital medicines are sanctioned
by the Government of Ukraine through international humanitarian organisations within the
next one or two weeks, we are facing a humanitarian catastrophe in the East." By Julie Davids,
The Body Pro
At least 80 people have died in Crimea since Russian law
banned opioid substitutes, says UN special envoy
Some 800 people had been caused “intense and unnecessary suffering,”
with “severe withdrawal symptoms,” Michel Kazatchkine told journalists in
a telephone briefing from Geneva on 20 January. More than 40% of the 806 people who had
been enrolled in substitution treatment programmes in Crimea had tested positive for HIV, he
said, and “the vast majority, if not all” had returned to injecting illicit drugs. This practice is the
primary driver of the high prevalence of HIV infection in Ukraine and Russia By Richard Hurley,
British Medical Journal