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About EuroHIV
EuroHIV has co-ordinated the surveillance
of HIV/AIDS in the WHO European Region (53
countries) since 1984. Its mission is
to understand, improve and share European HIV/AIDS surveillance
data in order to better inform disease prevention, control and
care. Its objectives include making international
comparisons, assessing trends, characterising affected populations
and predicting
disease burden and evaluating surveillance methods.
Ensuring a European-wide
coverage of HIV/AIDS surveillance is crucial to provide a broad
epidemiological picture, particularly at a time
when severe epidemics are occurring in eastern Europe at the
border of the European Union.1,2
Defining common, standardised and
flexible surveillance strategies entails close
consensual collaboration with national coordinators.
For example, in 1997 a consensus decision was reached to co-ordinate
HIV reporting at European level3 to supplement AIDS case reporting.
Pooling
and comparing data between countries allow earlier detection
and confirmation of trends. For example, this has
highlighted
the recent increase in the number of new diagnoses of HIV
infections both in persons infected by heterosexual transmission,
in particular
in those originating from sub-Saharan Africa and in homo/bisexual
men, indicating that these trends are not isolated phenomena
but
are occurring widely across western Europe.1,4
Supporting national
efforts to improve surveillance represents a community
added-value. For example, the decision to implement
HIV reporting at European level has provided a valuable incentive
in countries facing difficulties in implementing national
systems.5
Making data freely and widely available is a key
objective. EuroHIV publishes free half-yearly
reports. As a designated
collaborating centre, EuroHIV supplies data to WHO and to UNAIDS;
EuroHIV data are also supplied to the newly created European Centre
for Disease Prevention and Control (ECDC).
References
1 Hamers
FF, Downs AM. The changing face of the HIV epidemic in western
Europe: What are the implications for public
health policies? Lancet
2004;364: 83-94.
2 Hamers
FF, Downs AM. HIV in central and eastern Europe.
Lancet 2003;361:1035–44. Published online Feb 18, 2003.
3 Hamers
FF, for the group of experts and national coordinators of HIV/AIDS
surveillance from the countries of WHO European Region.
Recommendations
for HIV surveillance in Europe. Eurosurveillance
1998; 3: 51.
4 EuroHIV,
HIV/AIDS Surveillance in Europe. End-year report 2003. Saint-Maurice:
Institut de veille sanitaire, 2004. No. 70.
5 Hamers FF, Infuso A, Alix J, Downs AM. Current situation
and regional perspective of HIV/AIDS surveillance in Europe.
J Acquir
Immune Defic Syndr Hum Retrovirol 2003;32 Suppl:S39-48.
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