Informal documents that present knowledge acquired through that Bank's operational experience. They contain material that is practical rather than theoretical and include state-of-the-art reports and how-to-do-it monographs. They can also concern matters that cut across sectoral lines, such as the environment and science and technology. This series was superseded by the World Bank Working Papers series in 2003 and the World Bank Studies series in 2010.
(Washington, DC: World Bank, 2001-05) Vinokur, Anatoly; Godinho, Joana; Dye, Christopher; Nagelkerke, Nico
The Russian Federation has been
confronting a major epidemiological crisis, which will have
considerable human and economic costs if it is not swiftly
addressed. Between 1999 and 2000, the country experienced
the world's biggest increase in new cases of HIV/AIDS
infection. The TB epidemic is at risk of becoming
uncontrollable if the country experiences a moderate
epidemic of HIV/AIDS. This report represents the analysis
and recommendations of a group of experts from the World
Health Organization and the World Bank, and focuses on the
current epidemiological situation in the Russian Federation
and the existing institutional arrangements available to
tackle both epidemics. It encompasses projections for the TB
epidemic, the interaction with the HIV/AIDS epidemic, and
the impact of a spiraling duel epidemic. The report has four
sections. The first briefly describes socioeconomic
conditions. The second section discusses the impact on the
population of the epidemic, incidence and prevalence in the
general and prison populations, diagnosis and treatment
processes, and current TB management and control structures.
The third section profiles the HIV/AIDS epidemic and its
impact, and the role of STIs in fostering the disease.
Finally, the fourth section describes a mathematical model
of health improvements possible under various TB control
strategies with implications for HIV/aids as well.