Poland

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POLAND Estimated number of PLWH: 27 000 people

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NEED IN ART

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Number of registered cases of HIV-infection: 15196 , including children under 18 – n/a. 5

Initiation of ART in country: 1996 .

Number of PLWH needing ART but not receiving treatment: 5 890 (estimated data) . Number of PLWH for whom procurement of ARV medicines is 5 planned in 2012: 800-1000 new patients .

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Sources of ART funding in 2011: national budget . 4,2

Number of PLWH receiving ART by years (2004-2011) : 6000

4897 5000

Discontinued treatment: 373 people (7%) from the total 5 number of 5606 PLWH, who initiated ART (as of 01.01.2011) . Main reason of discontinuation of ART: in 17% cases due to 5 death .

4329

4000 3000

DISCONTINUATION OF ART

5606

2707

3072

3382

3822

2000

2000

Treatment is under regulations of: Recommendations for HIV 6 treatment, 2010 , which are reviewed yearly by the AIDS Scientific community.

1000 0 2004

2005

2006

2007

2008

2009

2010

2011

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Immunologic indications for ATR initiation, CD4 cells/mm3 : CD4≤350.

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Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 97%, children (< 15) - 3% by sex: men – 73%, women – 27%

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Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.

ESTIMATED DATA

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Refusal of Stavudin(d4T)-containing regimens : yes. 3

Estimated number of PLWH needing ART: 14°000 .

ART IN CHILDREN (<15)

Estimated ART coverage (access) percentage of PLWH: in 2009 4 4 - 32% , 2010 – 34% .

Estimated number of children needing ART: <100 . Estimated ART coverage (access) of children (< 18) in 2010 – 3 28-54% .

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5

Receive ART: 130 children (under 18 years old) (2,3% among 5606 PLWH, who receive ART). Need ART but not receiving: 0. Treatment is under regulations of: n/a

TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +13%; 2011 - +14%. Continue to receive ART 12 months after initiation: 94% (cohort: n/a).

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As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010.

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National AIDS Centre, cumulative number from the start of case registration, as of 31.12.2011, http://aids.gov.pl/index_ru.php 3

ART coverage (access to ART of PLWH, who have indication for treatment): 86,3% (5 606) PLWH among 6 496 who need 5 ART .

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/ 20111130_UA_Report_en.pdf. 4 5 6

Source: UNAIDS / WHO, http://aidsinfo.unaids.org Information was provided by ECUO FP in Poland, as of 31.12.2011

ZALECENIA PTN AIDS DOTYCZĄCE ZASAD OPIEKI NAD OSOBAMI ZAKAŻONYMI HIV, 2010 http://www.ptnaids.info/wydawnictwo/Projekt%20rekomendacji%20PTN%20AIDS%202010%2 0wersja%20robocza%20(25.05.2010).pdf


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