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Box 5-2
Reducing HIV/AIDS Problems in Russia

For more than 15 years, USAID provided financing and expertise for selected aspects of the large Russian-led effort to help control the level of HIV-infected patients. During the 1990s, the emphasis was on raising awareness of the problem, particularly among the Russian youth, and on training medical professionals to provide advisory services to vulnerable populations. More recently, emphasis continued to be on counseling services targeted on the most vulnerable populations, with special attention to infected prisoners and injection drug users.

SOURCE: USAID Moscow, February 2012.

Ministry of Health (now the Russian Ministry of Health and Social Services). The two governments have worked together in this field ever since.

In the 1990s, the U.S. Agency for International Development (USAID) initiated an important component of the overall HIV/AIDS effort focused on raising public awareness of the problems and advocating measures for combating the disease. (See Box 5-2.) This activity is now a component of the global effort of USAID to address HIV/AIDS issues in selected countries worldwide.

The investment by USAID in this effort has been several million dollars per year for more than a decade. However, this level of investment has been small in comparison with the Russian investments in the overall effort. Also, international programs such as UNAIDS and programs of other governments have long supported significant efforts in Russia, and coordination with activities of others has been an essential dimension of the joint efforts of Russia and the United States.

At the request of the Russian government, USAID is terminating its overall program based in Russia. Thus, continuation of a significant U.S.-Russia bilateral effort to address HIV/AIDS in Russia is uncertain. Perhaps some aspects of USAID’s global efforts will continue in Russia under the leadership of Russian counterparts.

3.   Responding to outbreaks of infectious diseases across international borders and containing their spread. For many years, the U.S. Centers for Disease Control and Prevention (CDC) has teamed with a number of Russian institutions in responding to outbreaks of diseases in Russia and other areas that have had the potential for spreading across international borders. Particularly important training programs for Russian epidemiologists have been held, usually in Atlanta, Georgia. In 2012, CDC and the Federal Service for Surveillance on Consumer

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