Testing Country Profile in 2015 - Czech Republic

GENERAL DATA ABOUT THE COUNTRY

Country population: 10.4 million

National GDP:  205.5 billion US dollars; 14,944.52 US dollars per capita

EU membership: EU Member country

                                    

EPIDEMIOLOGICAL FACTSHEET

Estimated number of PLHIV: Between 3000 and 4000, according to the ECDC and the National lab for HIV

Number of registered PLHIV: 2475 till 30th June 2015

Key populations at risk identified in national prevention programs:

  • Men who have sex with men
  • Intravenous drug users
  • Sex workers
  • Migrants
  • Youth

Number of patients on ARV: 60%.

Number of new infections for the latest annual reported period: 232 new infections in 2014

Percentage of affected populations for the latest annual reported period:

  • Heterosexual sexual exposure  18 %
  • MSM sexual exposure 71 %
  • People who inject drugs 7% (but almost half of them had also homosexual relationship)
  • Mother to child transmission 1 case (less than half percent)
  • Other (not known) 4%
  • Late presenters not known, but approx. 10-15 %

The source for the epidemiological data: National reference HIV lab

 

TESTING PROFILE

National policy/strategy or other recommendations from your government on HIV testing: Yes

Number of VCT centers in the country: 10-12, slight increase

Availability of anonymous/confidential HIV tests: Yes

Availability of pre- or post- testing counseling: Yes

Testing is free for anyone who wishes to get tested: No, some VCTs ask for payment. Free testing is available only in certain regions.

Testing can legally be performed by: Medical staff, and non-medical staff with appropriate training in community settings

Testing in non-medical settings: Yes

Community based testing: Yes

Community-based checkpoints in the country: Yes

Mobile testing in the country: Yes

Number of people tested in the last annual period:  All together 1,310,000 tests/year, most of them for blood/tissue donors while HIV Testing on demand 14 000 in 2014

Number of targeted testing to key populations (if available): MSM - 1000 Lighhouse, estimation 2000 tests in the country

Regular community testing for other STDs: Sometimes

We recommend in the Lighthouse rapid anonymous syphilis tests for all MSM. The main problem is that these tests (incl. HCV) are not usually available outside health insurance (not anonymous, but confidential) and to cover them from projects is difficult (there is not national strategy).

The testing in the Lighthouse is not typical check-point, we do not use rapid HIV tests and we are open for all public. More similar to AIDS Hilfe Wien than to checkpoints in AMS, CPN or BCN.

 

Reported by: Ivo Prochazka

From organisation: Czech AIDS Help Society

Brief report regarding new HIV cases in NeLP countries in 2014 - Czech Republic

Total number of registered HIV infections from the first case registered – 2,354 (as of December 2014).

Estimation of total number of people living with HIV: National Reference Laboratory estimates there are twice as many PLHIV in the Czech Republic than those already diagnosed (figure based on HIV prevalence Spectrum model); a high number of undiagnosed cases points to poor HIV prevention.

Data for 2014

  • Number of people known to be living with HIV: 2,038
  • Number of new HIV infections in 2014: 232
    • % Associated with mother to child transmission (MTCT): 0,4%
    • % Associated with heterosexual exposure: 19%
    • % Associated with people who inject drugs (PWID): 3,9%
    • % Associated with gay men and other MSM: 72,4% (162 cases)
    • % Other/not known: 4,3%
    • % Late presenters: 12,5 % (symptomatic non –AIDS and AIDS)
    • Gender: Male 209 = 90,1%; Female 23 =10,2%
    • Main route of transmission: Sexual transmission (MSM)
    • Cases of death in AIDS patients: 13 (late diagnoses and rejection of ART)
  • Number of people tested (2014): 11 346 (excl. clinical testing and mandatory screening tests of pregnant women and of donated blood)

Over the last 13 years the Czech Republic records significant increase in number of new HIV cases – in 2002 there were 50 recorded cases, in 2014 already 232. The Czech Republic has one of the highest percentages of new cases among MSM in Europe; most cases are recorded in the capital city of Prague (53%). Sexual exposure remains the most frequent mode of transmission (91% of all cases). 25% of all new cases were foreigners with permanent residency in the Czech Republic (Slovakia, Ukraine, Poland, Russia and Vietnam).  

Sources for this information:  information provided by Czech AIDS Help Association based on National Reference Laboratory for AIDS 2014 data.

Czech AIDS Help Association is a non-governmental organization providing services to PLHIV and running HIV prevention and awareness campaigns in the Czech Republic since 1989 (www.aids-pomoc.cz).

Brief report regarding new HIV cases in NeLP countries in 2013 - Czech Republic

Total number of registered HIV infection from the first case registered –   2221

Estimation of total number of people living with HIV: medical experts estimate three times more than the above mentioned number. People working in NGO's dealing with HIV issues estimate five to ten more than the above mentioned number

Data for 2013

  • Number of people known to be living with HIV: 2122
  • Number of new HIV infections: 235
    • % Associated with mother to child transmission (MTCT): N/A
    • % Associated with heterosexual exposure: 18,7%
    • % Associated with people who inject drugs (PWID): 2,6%
    • % Associated with gay men and other MSM: 74,9% (176 cases)
    • % Other/not known: 2,1%
    • % Late presenters: 18%
    • Gender: Male 211=89,8%; Female 24 =10,2%
    • Main route of transmission: Sexual transmission (MSM)
    • Cases of death in AIDS patients: 9 (late diagnoses and rejection of ART)
  • Number of people tested (2013): 7034

Anything else to add about new diagnoses?; Was there more or less diagnoses than usual?; Any trends? Were there any new locations or clusters?: 2013 is considered the worst year in the number of newly diagnosed people since 1985 in the Czech Republic. That is when the National Reference Laboratory for AIDS in Prague started its activity. The trend is undoubtedly increasing, with the highest increase in the capital city Prague. In other regions there is a rise of around 30%. The highest number of newly diagnosed among men having sex with men

Sources for this information:  National Reference Laboratory for AIDS in Prague  All statistical data is processed by MiroslavHlavaty- Managing Director of  Red Ribbon,o.s. and further distributed.