HIV INFECTION AMONG COMMERCIAL SEX WORKERS AND INJECTING DRUG USERS IN THE CZECH REPUBLIC

MARIE BRUCKOVA National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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CHRISTIAN T. BAUTISTA National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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ROSS R. GRAHAM National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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MAREK MALY National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JANA VANDASOVA National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JIRI PRESL National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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LASZLO SUMEGH National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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GAIL D. CHAPMAN National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JEAN K. CARR National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JOSE L. SANCHEZ National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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KENNETH C. EARHART National Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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Since the first HIV case was diagnosed in the Czech Republic in 1985, there is a lack of information regarding the epidemiology of HIV infection in most high-risk groups. To determine the prevalence of, and risk factors for, HIV among female and male commercial sex workers (FCSW and MCSW, respectively) and injecting drug users (IDUs), cross-sectional studies were conducted in the cities of Cheb, Usti nad Labem, Ostrava, and Prague of the Czech Republic. A total of 1,277 subjects were enrolled, which included 585 FCSWs, 230 MCSWs, and 462 IDUs. The HIV prevalences were 0.7% (95% CI: 0.2–1.7%), 0.9% (95% CI: 0.1–3.1%), and 0.2% (95% CI: 0.005–1.2%) among FCSWs, MCSWs, and IDUs, respectively. Although low HIV prevalences were found, ongoing sentinel surveillance studies, which address modifiable behavioral and biologic risk factors among high-risk groups, are necessary to guide strategies to stem the tide of the epidemic in this country.

Author Notes

  • 1

    Bruckova M, Jedlicka J, 1995. HIV/AIDS in the Czech Republic. J Community Health 20 :183–184.

  • 2

    World Health Organization, UNAIDS, 2004. Report on the Global AIDS Epidemic, 4th Global Report, Table of Country-Specific HIV/AIDS Estimates and Data. Geneva, Switzerland, World Health Organization.

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  • 3

    United Nations Development Programme, 2004. HIV/AIDS in Eastern Europe and the Commonwealth of Independent States: Reversing the Epidemic, Facts and Policy Options. Bratislava, The Czech Republic: Remejans, Available at: http://rbec.undp.org/hiv/?english. Accessed August 21, 2006.

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  • 4

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  • 5

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    Joint United Nations Programme on HIV/AIDS (UNAIDS), 2002. Sex Work and HIV/AIDS. Technical Update. Geneva, Switzerland: UNAIDS.

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  • 7

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  • 9

    Mikl J, Sudar Z, Smith PF, Bruckova M, Jedlicka J, Kastankova V, Tryzna R, DeHovitz J, 1998. HIV infection and high risk behavior among patients attending an STD referral clinic in Prague, Czech Republic. Sex Transm Infect 74 :128–130.

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  • 11

    Centers for Disease Control and Prevention, Consultation on recent trends in STD and HIV morbidity and risk behaviors among MSM, Atlanta, GA, October 30–31, 2000.

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  • 12

    Seblova J, Polanecky V, Sejda J, Studnickova B, 2005. Trends in substance abuse by teenagers in the Czech Republic. J Emerg Med 28 :95–100.

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    UNAIDS, 2005. AIDS Epidemic Update, December 2005. Geneva, Switzerland: UNAIDS.

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