Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia

Background: Georgia is leading one of the world’s first hepatitis C (HCV) elimination programs alongside interventions to combat a HIV epidemic concentrated among high-risk groups. Although progress has been substantial, neither strategy accounts for the nearly 150,000 internally displaced persons r...

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Autor principal:	Joshua Elbaz
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/382bd25eabd94e2c8c722e1d80c5aada
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spelling	oai:doaj.org-article:382bd25eabd94e2c8c722e1d80c5aada2021-12-02T09:36:15ZAssessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia2214-999610.5334/aogh.2671https://doaj.org/article/382bd25eabd94e2c8c722e1d80c5aada2020-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2671https://doaj.org/toc/2214-9996Background: Georgia is leading one of the world’s first hepatitis C (HCV) elimination programs alongside interventions to combat a HIV epidemic concentrated among high-risk groups. Although progress has been substantial, neither strategy accounts for the nearly 150,000 internally displaced persons residing in collective centers (CC-IDPs) who are susceptible to deeply integrated risk environments that could promote infection. Achieving dedicated goals for HCV elimination and HIV suppression requires a clear understanding of the risks facing CC-IDPs. Objectives: This literature review aims to consolidate what is known about the socio-economic and physical/mental health status of IDPs living in collective centers in Georgia, and to assess their vulnerability to HIV and HCV in light of local and global epidemiological trends. Methods: Sources were compiled from journal publications, reports by government ministries and transnational organizations, and the Integrated Household Survey database (2009–2018; updated annually by the National Statistics Office of Georgia) through manual searches in PUBMED, Google Scholar and Search, ProQuest, and digital repositories of government offices. Findings: Reports indicate that CC-IDPs are more susceptible to poverty, poor living conditions, mental illness, disability, substance use, and in some cases infectious disease; although, the correlation is not always present and subject to variability. These factors were linked to increased transmission and acquisition of HIV/HCV in both displacement and non-displacement contexts abroad. The geographic concentration of HIV/HCV in areas with greater clusters of CC-IDPs, and shared characteristics with local high-risk groups, indicate the possibility of inordinate transmission among CC-IDPs in Georgia. Conclusions: The disproportionate prevalence of psychosocial and clinical harms among CC-IDPs testifies to the serious potential of a greater burden of HIV and hepatitis C. Going forward, targeted research is needed to inform interventions and clarify the health status of CC-IDPs in Georgia.Joshua ElbazUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Joshua Elbaz Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
description	Background: Georgia is leading one of the world’s first hepatitis C (HCV) elimination programs alongside interventions to combat a HIV epidemic concentrated among high-risk groups. Although progress has been substantial, neither strategy accounts for the nearly 150,000 internally displaced persons residing in collective centers (CC-IDPs) who are susceptible to deeply integrated risk environments that could promote infection. Achieving dedicated goals for HCV elimination and HIV suppression requires a clear understanding of the risks facing CC-IDPs. Objectives: This literature review aims to consolidate what is known about the socio-economic and physical/mental health status of IDPs living in collective centers in Georgia, and to assess their vulnerability to HIV and HCV in light of local and global epidemiological trends. Methods: Sources were compiled from journal publications, reports by government ministries and transnational organizations, and the Integrated Household Survey database (2009–2018; updated annually by the National Statistics Office of Georgia) through manual searches in PUBMED, Google Scholar and Search, ProQuest, and digital repositories of government offices. Findings: Reports indicate that CC-IDPs are more susceptible to poverty, poor living conditions, mental illness, disability, substance use, and in some cases infectious disease; although, the correlation is not always present and subject to variability. These factors were linked to increased transmission and acquisition of HIV/HCV in both displacement and non-displacement contexts abroad. The geographic concentration of HIV/HCV in areas with greater clusters of CC-IDPs, and shared characteristics with local high-risk groups, indicate the possibility of inordinate transmission among CC-IDPs in Georgia. Conclusions: The disproportionate prevalence of psychosocial and clinical harms among CC-IDPs testifies to the serious potential of a greater burden of HIV and hepatitis C. Going forward, targeted research is needed to inform interventions and clarify the health status of CC-IDPs in Georgia.
format	article
author	Joshua Elbaz
author_facet	Joshua Elbaz
author_sort	Joshua Elbaz
title	Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
title_short	Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
title_full	Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
title_fullStr	Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
title_full_unstemmed	Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia
title_sort	assessing the risk of hiv and hepatitis c among internally displaced persons in georgia
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/382bd25eabd94e2c8c722e1d80c5aada
work_keys_str_mv	AT joshuaelbaz assessingtheriskofhivandhepatitiscamonginternallydisplacedpersonsingeorgia
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Assessing the Risk of HIV and Hepatitis C among Internally Displaced Persons in Georgia

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