ESTONIA 1
Estimated number of PLWH: 9 900 people .
NEED IN ART
2
Number of registered cases of HIV-infection: 8 034 , including 3 children under 14 – 123 .
Number of PLWH needing ART but not receiving treatment: n/a.
Initiation of ART in country: n/a.
Number of PLWH for whom procurement of ARV medicines is 8 planned in 2012: 700 new patients .
9
Sources of ART funding in 2011: national budget .
DISCONTINUATION OF ART
5,7,9
Number of PLWH receiving ART by years (2004 - 2011)
:
Discontinued treatment: n/a
2500
2156 2000
Main reason of discontinuation of ART: n/a
1793
1500
1000 1000
Treatment is under regulations of: Guidelines for the use of ARV medicines in adults and adolescents, 2011 (recommendations of 10 DHHS USA) .
1263
720 460
500
100
10
Immunologic indications for ATR initiation, CD4 cells/ mm3 : CD4 <350.
250
0 2004
2005
2006
2007
2008
2009
2010
2011
10
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes. 10
4
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – n/a %, children (< 15) - n/a %. by sex: men – n/a %, women – n/a %.
Refusal of Stavudin(d4T)-containing regimens : yes.
ART IN CHILDREN (<15) Estimated number of children needing ART: n/a
ESTIMATED DATA 6
Estimated ART coverage (access) of children (<15) in 2010 – n/a
Estimated number of PLWH needing ART: 3 000 . Estimated ART coverage (access) percentage of PLWH: in 2009 – 6 7 <50% , 2010 – n/a .
9
Receive ART: 22 children (under 5 years old) . Need ART but not receiving: n/a Treatment is under regulations of: Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection, 2011 (recommendations of DHHS USA), http://aidsinfo.nih.gov/ContentFiles/PediatricGuidelines.pdf.
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +42%; 2011 +20%.
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
State Healthcare Department, URL: http://www.terviseamet.ee/nakkushaigused/nakkushaigustesse-haigestumine/hiv-jaaids.html, cumulative number from the start of case registration, as of 01.12.2011. 3
Continue to receive ART 12 months after initiation: n/a. ART coverage (access to ART of PLWH, who have indication for treatment): n/a
State Healthcare Department, URL: http://www.terviseamet.ee/nakkushaigused/nakkushaigustesse-haigestumine/hiv-ja-aids.html, cumulative number from the start of case registration, as of 01.10.2011. 4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/201111 30_UA_Report_en.pdf 5
HIV Epidemic in Estonia: Analysis of Strategic Information, WHO, 2011, http://www.unaids.org/en/dataanalysis/monitoringcountryprogress/progressreports/2012countries/ ce_EE_Narrative_Report[1].pdf 6
Modelling Estonia’s concentrated HIV epidemic. A case study. Copenhagen: WHO Regional Office for Europe, 2009. URL: http://ee.euro.who.int/E93235.pdf. 7
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
8
Minutes of the commission on procurement and planning of ARV medicines meeting under auspices of the Ministry of Social Affairs, as of 17.11.2011, as on 01.09.2011. 9
Information is provided by ECUO FP in Estonia, as of 01.12.2011 Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents, http://www.aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf. 10