Testing Country Profile in 2015 - Hungary

GENERAL DATA ABOUT THE COUNTRY

Country population: 9.9 million

National GDP:  221.78 billion US dollars

EU membership: EU Member country

                                    

EPIDEMIOLOGICAL FACTSHEET

Estimated number of PLHIV: app. 6000, according to statistics, experts estimates and standard epidemiological models

Number of registered PLHIV: 2783

Key populations at risk identified in national prevention programs:

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

There is no national prevention program, it simply does not exist.

Number of patients on ARV: app. 800

Number of new infections for the latest annual reported period: 209 new infections in 2014 Q1-3

Percentage of affected populations for the latest annual reported period:

  • Heterosexual sexual exposure 20%
  • MSM sexual exposure 60%
  • Mother to child transmission - none
  • Other (not known) 20%
  • Late presenters - not captured

The source for the epidemiological data: National Center for Epidemiology

Additional comments: Data is good but there are questions about the methodology, and also we estimate the latency to be much higher than in other regions.

 

TESTING PROFILE

National policy/strategy or other recommendations from your government on HIV testing: No

Number of VCT centers in the country: 0,5 - There is one, but it does not really operate in the standard way.

Availability of anonymous/confidential HIV tests: Yes

Availability of pre- or post- testing counseling: No, counseling is very rare and often based on incorrect and outdated information.

Testing is free for anyone who wishes to get tested: Yes. It is available in the entire country. However rapid tests are usually charged for, except during campaigns.

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

Even though demedicalised testing is allowed, medical staff is unaware of this regulation

Testing in non-medical settings: Yes

Community based testing: Yes

Community-based checkpoints in the country: No

Mobile testing in the country: Yes

Number of people tested in the last annual period:  N/A

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

Regular community testing for other STDs: No

It will perhaps start with the European Testing Week 2015 campaign, depending on available financial resources.

We have huge difficulties with reaching new target populations such as heterosexual people, youth and young MSM. IDU remains a mysterious population with curiously low rates of HIV, but standard high rates of HCV

 

Reported by: Tamás Bereczky

From organisation: European AIDS Treatment Group, Civil AIDS Forum

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

Estimation of total number of people living with HIV: UNAIDS estimates from 2012: 2,600 - 4,800. Experts estimate the numbers to be somewhere between 5,000 and 8,000.

Data for 2013

  • Number of people known to be living with HIV: 2.574
  • Number of new HIV infections: 240
    • % Associated with mother to child transmission (MTCT): 1%
    • % Associated with heterosexual exposure: 10%
    • % Associated with people who inject drugs (PWID):1 case - registered as imported case (i.e. was infected via IDU abroad) since the beginning of year there has been reports from harm reduction services that they have found 6 HIV cases with rapid tests, these cases haven't been officially reported yet.
    • % Associated with gay men and other MSM: 66%
    • % Other/not known: 22,5%
    • % Late presenters:no data available, epidemiological reporting does not include cd4count at the time of diagnosis yet
    • Number of AIDS cases: 36                           
    • Gender: Male 92,5%, Female 7,5%              
    • Main route of transmission: Sexual transmission (MSM 85%)              
    • Causes of death in AIDS patients: 4

Additional information:

There is a steady increase of new diagnosis each year (30-40%) with a 10% decline in the number of HIV-tests. Between 2007-2012 the number of new diagnosis doubled. There has been a similar increase in the number of AIDS diagnosis, which has been very sharp in the recent years, rising from 23 in 2008 to 48 in 2013. So far no IDUs have been diagnosed in Hungary but harm reduction services have been under political attack (local governments are getting ready for elections) since last November.

Number of people tested in the latest year reported: Latest year reported was 2012, number of tests: 93.060 (9,5 tests/10,000 people).
Anything else to add about new diagnoses?; Was there more or less diagnoses than usual?; Any trends? Were there any new locations or clusters?: There is a steadily increasing trend in the number of new diagnoses. There is also a yearly increase of AIDS cases which is an indicator of late diagnosis. Most of the AIDS cases are new HIV cases as well.

Sources for this information:  National Centre for Epidemiology, ECDC, UNAIDS