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Access and coverage of needle and syringe programmes (NSP) in Central and Eastern Europe and Central Asia.

https://arctichealth.org/en/permalink/ahliterature84779
Source
Addiction. 2007 Aug;102(8):1244-50
Publication Type
Article
Date
Aug-2007
Author
Aceijas Carmen
Hickman Matthew
Donoghoe Martin C
Burrows Dave
Stuikyte Raminta
Author Affiliation
Centre for Research on Drugs and Health Behaviour (CRDHB), London School of Hygiene and Tropical Medicine (LSHTM), Department of Public Health and Policy, London, UK.
Source
Addiction. 2007 Aug;102(8):1244-50
Date
Aug-2007
Language
English
Publication Type
Article
Keywords
Asia, Central - epidemiology
Demography
Europe, Eastern - epidemiology
Female
HIV Infections - prevention & control
Health Services Accessibility - standards - statistics & numerical data
Hepatitis C - prevention & control
Humans
Male
Needle-Exchange Programs - economics - organization & administration - supply & distribution
Abstract
OBJECTIVE: To estimate access, activity and coverage of needle and syringe programmes (NSP) in Central and Eastern Europe and Central Asia. METHODS: Two data sets ('regional' and 'high-coverage sites') were used to estimate NSP provision (availability/number of sites), NSP utilization (syringes distributed/year), needle and syringe distribution (needles/syringes distributed/IDU/year), IDU reached (number/percentage of IDU contacted/year), regular reach (five or more contacts/month) and syringe coverage (percentage of injections/IDU/year administrable with new injecting equipment). RESULTS: Regional data set: results from 213 sites in 25 countries suggested that Czech Republic, Poland, Russia and Ukraine had > 10 NSP during 2001/2. Czech Republic, Kazakhstan, Latvia, Russia, Slovakia and Ukraine had >or= 10,000 IDU in contact with NSP. Ten countries reached >or= 10% of the estimated IDU population. The 25 countries distributed approximately 17 million syringes/needles. Eight countries distributed > 0.5 million syringes/year. Syringe coverage (assuming 400 injections/IDU/year) was 15% in Macedonia. Overall syringe coverage was 1.2% and when assuming 700 injections/IDU/year it decreased to 0.7%. Syringe coverage for the IDU population in contact with NSP was 60% in Croatia, Macedonia, Moldova and Tajikistan. Overall syringe coverage for the population in contact with NSP was 9.8%. High-coverage data set: Soligorsk, Pskov and Sumy's NSP reached 92.3%, 92.2% and 73.3% of their estimated IDU population, respectively (regular reach: 0.2%, 1.8% and 22.7%). The distribution levels were 47.2, 51.7 and 94.2 syringes/IDU/year, respectively. CONCLUSION: The evidence suggests suboptimal levels of NSP implementation, programme activity and coverage. This paper provides a baseline for development of indicators that could be used to monitor NSP. Strategies to increase coverage that may go beyond NSP are urgently required, as is research into understanding how NSP can contribute to better syringe coverage among IDU.
Notes
Comment In: Addiction. 2007 Aug;102(8):1179-8017624968
PubMed ID
17565564 View in PubMed
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AIDS--dramatic surge in ex-Soviet Union, no respite worldwide, new data show.

https://arctichealth.org/en/permalink/ahliterature195656
Source
Bull World Health Organ. 2001;79(1):78
Publication Type
Article
Date
2001
Author
R. Dobson
Source
Bull World Health Organ. 2001;79(1):78
Date
2001
Language
English
Publication Type
Article
Keywords
Acquired Immunodeficiency Syndrome - epidemiology - mortality
Adolescent
Adult
Child
Child, Preschool
Europe, Eastern - epidemiology
Female
Humans
Infant
Infant, Newborn
Russia - epidemiology
Notes
Comment In: Bull World Health Organ. 2001;79(3):26911285679
PubMed ID
11217673 View in PubMed
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Alcohol and health: what is good for the French may not be for the Russians.

https://arctichealth.org/en/permalink/ahliterature201592
Source
J Epidemiol Community Health. 1998 Dec;52(12):766-7
Publication Type
Article
Date
Dec-1998
Author
W. Zatonski
Source
J Epidemiol Community Health. 1998 Dec;52(12):766-7
Date
Dec-1998
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking - mortality - trends
Cohort Studies
Europe, Eastern - epidemiology
Female
Finland - epidemiology
France - epidemiology
Humans
Liver Cirrhosis - mortality
Male
Middle Aged
Myocardial Infarction - mortality
Notes
Comment On: J Epidemiol Community Health. 1998 Dec;52(12):772-410396517
PubMed ID
10396514 View in PubMed
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Communicable diseases in the CCEE/NIS.

https://arctichealth.org/en/permalink/ahliterature36503
Source
World Health Stat Q. 1993;46(3):177-87
Publication Type
Article
Date
1993
Author
C. Roure
G. Oblapenko
Author Affiliation
WHO Regional Office for Europe, Copenhagen.
Source
World Health Stat Q. 1993;46(3):177-87
Date
1993
Language
English
Publication Type
Article
Keywords
Adult
Child
Communicable disease control - trends
Communicable Diseases - epidemiology
Diphtheria - epidemiology
Disease Outbreaks
Europe, Eastern - epidemiology
Humans
Immunization - trends
Infant
Laboratories - supply & distribution
Population Surveillance
Russia - epidemiology
World Health Organization
Abstract
The European Region is passing through a period of rapid transition with the most dramatic changes in the CCEE and NIS. The provision of adequate vaccine supplies has become a priority for many Member States in their efforts to sustain immunization activities. The Regional Office has therefore launched a special programme on vaccines for CCEE/NIS. New operational targets for the Expanded Programme on Immunization (EPI) in Europe in the 1990s were established by the European Advisory Group in 1993. These operational targets highlight the steps countries need to follow to achieve the European target 5. Immunization coverage generally remains high and stable in the Region. In 1990-1992 pockets of non-immunized individuals in different countries led to out-breaks of disease. Currently, the low coverage with DPT(DT vaccines in many provinces of the Russian Federation is one of the reasons for the epidemic of diphtheria that has affected the country since 1990. Despite the difficulties experienced by many CCEE and NIS, progress has been observed. Morbidity from poliomyelitis declined during 1990-1993. There remain only a few hot spots with endemic transmission of wild poliovirus: the Balkans, trans-Caucasus and central Asia. The diphtheria situation deteriorated in 1990, becoming increasingly dramatic in 1992 and 1993. Almost all cases have been reported from the Russian Federation and the Ukraine. Increasing diphtheria morbidity has been observed in Belarus, Kazakhstan and Uzbekistan.
PubMed ID
8017075 View in PubMed
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Coronary heart disease mortality in Russia and Eastern Europe.

https://arctichealth.org/en/permalink/ahliterature182977
Source
Am J Public Health. 2003 Nov;93(11):1793; author reply 1793-4
Publication Type
Article
Date
Nov-2003
Author
Paul Landsbergis
Jurate Klumbiene
Source
Am J Public Health. 2003 Nov;93(11):1793; author reply 1793-4
Date
Nov-2003
Language
English
Publication Type
Article
Keywords
Coronary Disease - mortality
Europe, Eastern - epidemiology
Humans
Mortality - trends
Public Health - trends
Risk factors
Russia - epidemiology
Social Change
Social Support
Notes
Cites: BMJ. 1996 Feb 17;312(7028):421-58601115
Cites: JAMA. 1998 Mar 11;279(10):793-8009508159
Cites: Scand J Public Health Suppl. 2002;59:12-912227960
Cites: World Health Stat Q. 1988;41(3-4):155-783232406
Cites: Am J Public Health. 2003 May;93(5):768-7012721140
Cites: Am J Public Health. 1982 May;72(5):431-407065330
Cites: Int J Health Serv. 1987;17(3):515-93623779
Comment On: Am J Public Health. 2003 May;93(5):768-7012721140
PubMed ID
14600037 View in PubMed
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Diabetes in Europe-psychosocial risk factors?

https://arctichealth.org/en/permalink/ahliterature47771
Source
Diabet Med. 2001 Jan;18(1):1-2
Publication Type
Article
Date
Jan-2001
Author
H. Keen
Source
Diabet Med. 2001 Jan;18(1):1-2
Date
Jan-2001
Language
English
Publication Type
Article
Keywords
Death Certificates
Diabetes Mellitus - epidemiology - mortality - psychology
Europe - epidemiology
Europe, Eastern - epidemiology
Humans
Risk factors
Social Conditions
Ukraine - epidemiology
Notes
Comment On: Diabet Med. 2001 Jan;18(1):3-911168334
PubMed ID
11168333 View in PubMed
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[Does restricted housing space protect against allergy? Hypotheses on low frequency of allergies in Eastern Europe]

https://arctichealth.org/en/permalink/ahliterature35122
Source
Lakartidningen. 1995 Oct 18;92(42):3908-12
Publication Type
Article
Date
Oct-18-1995

Eastern Europe and Russia face world's fastest growing HIV epidemic.

https://arctichealth.org/en/permalink/ahliterature181349
Source
BMJ. 2004 Feb 28;328(7438):486
Publication Type
Article
Date
Feb-28-2004
Author
Fiona Fleck
Source
BMJ. 2004 Feb 28;328(7438):486
Date
Feb-28-2004
Language
English
Publication Type
Article
Keywords
Disease Outbreaks
Europe, Eastern - epidemiology
HIV Infections - epidemiology
Humans
Russia - epidemiology
PubMed ID
14988180 View in PubMed
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50 records – page 1 of 5.