Testing Country Profile in 2015 - Croatia

GENERAL DATA ABOUT THE COUNTRY

Country population: 4,225,316 – Estimate for 2014 by the Croatian Bureau of Statistics

National GDP: 57.760 billion USD

EU membership: EU Member country

 

EPIDEMIOLOGICAL FACTSHEET

Estimated number of PLHIV: No recent estimates have been published. It is planned to create new estimates during 2015 with ECDC tool

Number of registered PLHIV: 1,208 including 2014, according to the Croatian Institute of Public Health (Deaths not excluded)

Key populations at risk identified in national prevention programs:

  • Youth
  • Prisoners
  • Migrants
  • Sex workers
  • Intravenous drug users
  • Men who have sex with men
  • Heterosexuals at high risk

Number of patients on ARV: 804 in 2014, according to the Reference Centre of HIV/AIDS at the University Hospital of Infectious Diseases in Zagreb

Number of new infections for the latest annual reported period: 92 new infections in 2014

Percentage of affected populations for the latest annual reported period:

  • Heterosexual sexual exposure 12%
  • MSM sexual exposure 87%
  • People who inject drugs 0
  • Mother to child transmission 1%
  • Other (not known) 0

The source for the epidemiological data: Croatian Institute of Public Health

 

TESTING PROFILE

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

Number of VCT centers in the country: 10

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: Yes.

Testing can legally be performed by: Medical staff only

Testing in non-medical settings: Yes

Community based testing: Yes

Community-based checkpoints in the country: Yes

Mobile testing in the country: No

Number of people tested in the last annual period: 5056 tested in 2014
There were 2876 in community setting (double counting not excluded; blood donors and testing in other health setting is not included) according to the Croatian Public Health Institute

Number of targeted testing to key populations (if available): N/A

Regular community testing for other STDs: Sometimes

------------------------------

Reported by: Zoran Dominković

From organisation: Iskorak

Brief report regarding new HIV cases in NeLP countries in 2013 - Croatia

Total number of registered HIV infection from the first case registered - 1102

Estimation of total number of people living with HIV: There are various estimates, some published report say 3 times the total diagnosed number (around 3.000). However recently, some experts say lower, e.g. survey among MSM has shown that 50% of HIV positive were not earlier aware of their infection.

Data for 2013:

  • Number of people known to be living with HIV: 930 (1106 have been diagnosed since 1985 and 176 who have died)
  • Number of new HIV infections: 71 (data from 2012)
    • % Associated with mother to child transmission (MTCT): 0%
    • % Associated with heterosexual exposure: 9,8%
    • % Associated with people who inject drugs (PWID): 1,4%
    • % Associated with gay men and other MSM: 87,3%
    • % Other/not known: 1,4%
    • % Late presenters:Not publicly available (can be obtained)
    • Main route of transmission: sexual transmission (87%)
    • Cases of death in AIDS patients: 8

Additional information:

  • All persons infected by sexual transmission are older than 20 years;
  • 56% of new HIV infections are in MSM population.
  • Number of people tested in the latest year reported (2012):2.824

Anything else to add about new diagnoses?; Was there more or less diagnoses than usual?; Any trends? Were there any new locations or clusters?: Most of the new infections are from MSM. This new trend has means that the proportion of MSM in total HIV cases in Croatia is increasing every year: 2008: 46%; 2009: 48%; 2010: 51%; 2011: 52%; 2012: 54.8% 2013: 56.1%. There is a steady growth every year. The number of total people living with HIV is growing about 10% every year.

Sources for this information:  Croatian Public Health Institute: Epidemiology of HIV and AIDS in Croatia. Reports for year 2012 and 2013 (some data is not available in 2013 report).