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The number of HIV cases in Russia was 12% higher in the first six months of 2012 than in the same period last year, government health experts say.
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Official data shows that in the first 10 months, 703,781 Russians had the virus, of whom 90,396 died.
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In nearly 60% of new cases, drug injection using dirty needles was the cause of infection.
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Meanwhile, worldwide, the number of new infections in adults has stayed broadly stable for the past four years.
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The executive director of the UN's HIV/Aids agency, Michel Sidibe, told BBC News last week that Russia was among a number of countries still failing to use the right strategies in tackling the virus.
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About 200 Russians now contract HIV/Aids every day, Vadim Pokrovsky, head of Russia's federal centre for the fight against the virus, said on Wednesday.
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Speaking to Russia's Ria-Novosti news agency, he warned that unless preventative action was taken, the number of cases would approximately double every five years.
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The data released by his centre shows that in the first 10 months of 2012, a total of 4,398 children were infected with HIV by their mothers, of whom 529 died.
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Russia has one of the worst heroin problems in the world, exacerbated by its proximity to Afghan smuggling routes and the lack of effective anti-drug action, such as the provision of clean needles.
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Nearly 39% of new cases of HIV in 2012 were transmitted during heterosexual sex while sex between men accounted for just under 1% of new infections.
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New HIV infections in Russia
- 59.4% caused by dirty needles among drug users
- 38.9% caused by sex between men and women
- 0.9% caused by sex between men
- other cases include children infected by mothers
- Figures from first 10 months of 2010, supplied by Russian federal anti-HIV/Aids centre
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