* HIV infections up by 8 percent across Europe in past year
* More testing and better treatment coverage recommended
* Russia alone recorded 76,000 new HIV cases in 2012
By Kate Kelland
LONDON, Nov 27 Some 131,000 people were newly
infected with HIV in Europe and nearby countries in 2012, an 8
percent rise from a year earlier and a worrying reversal of a
recent downward trend in AIDS cases in the West.
A report published by the World Health Organisation's (WHO)
European office and the European Centre for Disease Prevention
and Control (ECDC) showed a steady increase in new HIV cases
over the last year, but by far the majority of cases were in
Eastern Europe and Central Asia.
"The high and increasing number of AIDS cases in the East is
indicative of late HIV diagnosis, low treatment coverage and
delayed initiation of life-saving HIV treatment," the ECDC/WHO
Some 76,000 new HIV infections were reported in Russia
alone, accounting for more than half the region's cases.
While reported AIDS cases had been declining steadily in
western Europe - dropping 48 percent between 2006 and 2012 - in
the east of the WHO's European Region, which includes many Asian
former Soviet republics, the number of people newly diagnosed
with AIDS increased by 113 percent.
Experts said this increase was closely linked to a lack of
prevention measures for people at high risk of contracting the
human immunodeficiency virus (HIV) that causes AIDS.
These include clean needles and syringes for drug users,
free condoms and easy access to HIV testing for sex workers and
gay men, and early access to treatment with AIDS drugs - known
as antiretroviral therapy (ART) - for those who test positive.
"Our data show that nearly every second person tested
positive for HIV (in the region) - that's 49 percent - is
diagnosed late in the course of their infection, which means
they need antiretroviral therapy right away because their immune
system is already starting to fail," said the ECDC's director
Worldwide, more than 35 million people have HIV - the vast
majority of them in sub-Saharan Africa where access to
prevention, testing and drugs is often limited by low funds.
Cocktails and combinations of AIDS drugs can keep the virus
in check for many years, allowing those who are diagnosed and
treated early to live full and long lives.
Yet even in the relatively wealthy WHO European Region, only
one in three people with HIV is getting the ART treatment they
need, Wednesday's report said.
Michel Kazatchkine, the United Nation's HIV/AIDS Special
Envoy in Eastern Europe, told Reuters in an interview this month
that HIV epidemics are becoming more concentrated in
marginalised groups such as sex workers, drug users and gay men,
and could defy global attempts to combat AIDS if no progress is
made in turning them around.
Sprenger said that to start to do that more effectively "we
need to make HIV testing more available across Europe to ensure
earlier diagnosis and more effective treatment and care".
Zsuzsanna Jakab, the WHO's regional director for Europe,
said providing AIDS drugs earlier for those infected with HIV
would allow them to live longer and healthier lives, and help
reduce the risk that they transmit HIV to others.
"While we are not at the end of the HIV epidemic in Europe,
our goal of halting and reversing the spread of HIV by 2015 is
still achievable in many countries," she said.
(Editing by Robin Pomeroy)