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Requested Library Item

Library ID 117 added 12/7/10
Title The HIV/AIDS Epidemic in Ukraine: Its Potential Social and Economic Impact
Author(s) Tony Barnett, Alan Whiteside, Lev Khodakevich, Yuri Kruglov, Valentyna Steshenko.
Document Date 11/1/2000
Document Type
Country/Region Ukraine 

Present and immediately foreseeable medical knowledge suggest that HIV infection cannot be avoided
by vaccination and that an affordable cure for the resulting syndrome, AIDS, is a long way off. There
is a strong possibility that Ukraine is confronted by an HIV epidemic which will spread into the general
population and the most common mode of transmission will be through heterosexual intercourse. The
epidemic in the Ukraine is currently concentrated among intravenous drug users. It is estimated that
between 60 000 and 180 000 people may currently be infected. In present economic and social
circumstances there are many features of Ukrainian society that may add to the probability of the
epidemic becoming widespread in the general population. It is possible that this process may have
already commenced. The result will be numerous additional deaths and illness over the short (5 year)
(19 000-23 000 deaths), medium (10-15 year) (61 000 - 111 000), and longer terms (>20 year) (in
excess of 40 000 - 160 000).
The research reported here was undertaken in 1997-8 and describes the potential medium to long term
social and economic impact of an HIV/AIDS epidemic in Ukraine. Using the concepts of risk
environment, susceptibility and vulnerability, it reports the problems which might be expected to develop
in relation to care of excess orphans, the elderly, vulnerable households and regions as well as among
those working in the “third sector”. This is the social sector upon which exponents of the importance of
developing sound “civil society” in “transitional economies” place heavy emphasis.

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