Infectious diseases amidst a humanitarian crisis in Ukraine: A rising concern

Essar, Mohammad Yasir; Matiashova, Lolita; Tsagkaris, Christos; Vladychuk, Valeriia; Head, Michael G

doi:10.1016/j.amsu.2022.103950

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…COVID-19 has already led to reduced HIV surveillance and testing [66] and disrupted harm reduction programs [67,68], and poses particular health risks for PWID that may compromise immunity for those living with HIV and thus more easily facilitate transmission of HIV [69,70]. Additionally, like the impact of Russia's annexation of Crimea [71][72][73], disruption in or stoppage of HIV services and drug treatment for PWID, increased HIV prevalence in other areas of Ukraine and surrounding countries due to displacement of people living with HIV, and a consequent exacerbation of HIV-related disparities faced by PWID can be expected.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, like the impact of Russia's annexation of Crimea [71][72][73], disruption in or stoppage of HIV services and drug treatment for PWID, increased HIV prevalence in other areas of Ukraine and surrounding countries due to displacement of people living with HIV, and a consequent exacerbation of HIV-related disparities faced by PWID can be expected. Indeed, the current situation in Ukraine is already characterized by many of these conditions, while under-resourced and overwhelmed health systems in border regions remain ill-equipped to provide HIV care and treatment services to PWID and others living with HIV [69,70,[74][75][76]. The extent to which these events will shape injection drug use and sexual behavior patterns among PWID in Ukraine and affect the broader HIV and IDU epidemiologic context is not yet known.…”

Section: Discussionmentioning

confidence: 99%

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Injection Drug Use and Sexual Risk Behaviors Among People who Inject Drugs in Ukraine: A Random-Intercept Latent Transition Analysis

et al. 2023

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HIV transmission in Ukraine is driven in part by unsafe injection drug use and sexual risk behaviors among people who inject drugs. We performed a random-intercept latent transition analysis on responses to 9 binary injection drug use and sexual behavior items from 1195 people who inject drugs with negative HIV status enrolled in a clustered randomized clinical trial of a social network intervention in Odessa, Donetsk, and Nikolayev, Ukraine. We identified 5 baseline classes: "Social injection/ equipment-sharing" (11.7%), "Social injection" (25.9%), "High-risk collective preparation/splitting" (17.0%), "Collective preparation/splitting" (11.3%), and "Dealer-facilitated injection" (34.1%). After 12 months, intervention participants were more likely to transition to the "Collective preparation/splitting" class, which featured the fewest risk behaviors. Transitioning from the "Collective preparation/splitting" to the "Social injection/equipment-sharing" class was associated with HIV acquisition for control participants. Research to illuminate the stability of these patterns and how they may benefit from uniquely tailored programming to reduce unsafe behaviors is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Injection Drug Use and Sexual Risk Behaviors Among People who Inject Drugs in Ukraine: A Random-Intercept Latent Transition Analysis

et al. 2023

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“…WHO is working in connection with the Ministry of Health of Ukraine to determine gaps and needs in the country's health system, medical evacuations, and support response activities. [6][7][8][9][10][11] WHO has developed a rehabilitation strategy focusing on decompressing the acute trauma system and improving rehabilitation care by supporting the strengthening of designated inpatient rehabilitation facilities, which is providing guidance on addressing the nutritional needs of older people who are IDPs in Ukraine and those in reception points in neighboring countries, and is ensuring the supply of antiretroviral drugs for people living with human immunodeficiency virus (Fig. 4).…”

Section: World Health Organization (Who) Actions With Regard To Prior...mentioning

confidence: 99%

“…Stories, video clips for news outlets, and photos regarding Ukraine Crisis are available by deployed communication specialists through social media, including tweets. [6][7][8][9][10][11]…”

Section: External Communications Of Whomentioning

confidence: 99%

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Situation reports and impacts on public health during the war in Ukraine, 24 February to 21 June 2022: World Health Organization Emergency Reports

Yon¹,

Hadalin²

2022

Life Cycle

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Due to the Russian illegal invasion of Ukraine on February 24, 2022, evident and dramatic increases were found in the numbers of war-affected populations, the refugees, individuals relocated in Ukraine, and civilian injuries and deaths as the war is escalated. The war has delivered great pressures and demands for the Ukrainian health division. Food shortages are of great concern due to substantial damage to agricultural framework and destruction of food supply chains. The health shock caused by this war seems to have had effect beyond the borders of Ukraine. Over 5.3 million refugees from Ukraine have left their country seeking refuge in neighboring countries in Europe; therefore, the crisis has begun to apply excessive pressure on human and technical resources and health systems in these neighboring countries.

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