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Russia’s AIDS EpidemicAmid a global pandemic, Russia is fighting a medical war on two fronts; as Russia deals with the spread of COVID-19, Russia’s AIDS epidemic is worsening. As the HIV  infection rate continues to decline in the rest of Europe, the transmission rate of HIV in Russia has been increasing by 10 to 15% yearly. This increase in transmission is comparable to the yearly increase in transmission of HIV in the United States in the 1980s at the height of the AIDS epidemic.

The AIDS Epidemic in Russia

Among other factors, the erosion of effective sexual health education and a rise in the use of opioids has led to a stark increase in the transmission of HIV/AIDS in Russia. The epidemic of AIDS in Russia has received little attention from the Russian Government and the international community, partly because of the nation’s social orthodoxy and the stigma surrounding drug use and HIV/AIDS.

The Silent Spread of HIV

A significant number of Russians infected with HIV are those who inject drugs. Roughly 2.3% (1.8 million) of Russian adults inject drugs, making Russia the nation in Eastern Europe with the highest population of those who inject drugs. Due to the stigma associated with drug use as well as the threat of harsh criminal punishment, few drug users who have been affected by HIV seek treatment. A study from the Society for the Study of Addiction found that in St. Petersburg only one in 10 Russians who inject drugs and are living with HIV currently access treatment.

A large part of the stigma surrounding AIDS in Russia comes from the return of traditionalism to the Russian government following the election of Vladamir Putin in 2012 and the strong connection between the traditionalist Russian Orthodox Church and the Russian Government. The Orthodox Church, in particular, has blocked efforts to instate sex education programs in schools and campaigns to give easier access to safe sex tools like condoms. While methadone is used worldwide to treat opioid addiction to lower the use of drug injection and therefore HIV transmission, the Russian Government has banned methadone. Any person caught supplying methadone faces up to 20 years in prison.

HIV During the COVID-19 Pandemic

Studies conducted during 2020 have shown that Russians living with HIV and AIDS have faced difficulties in accessing treatment. According to UNAIDS, 4% of Russians living with HIV reported missing medical treatment due to the pandemic and roughly 30% of respondents reported that their treatment was somehow impacted by the pandemic.

The same study found that HIV-positive Russians had a positive COVID-19 diagnosis at a rate four times higher than HIV-negative Russians. However, HIV-positive Russians were less likely to seek medical attention for COVID-19 despite the high health risks, such as a weaker immune system that can accompany HIV. More Russians are contracting HIV yearly but the stigma of living with HIV is preventing HIV-positive Russians from seeking medical treatment.

Destigmatizing HIV/AIDs in Russia

With little national attention paid to the epidemic of AIDS in Russia, the movement for change has come from individuals looking to give visibility to and destigmatize HIV/AIDS. In 2015, after television news anchor, Pavel Lobkov, announced on-air that he had been living with AIDS since 2003, Russian doctors including Lobkov’s own doctor, saw a surge in people seeking HIV tests and treatment. In a nation where AIDS is highly stigmatized, a national celebrity showing that one can live a normal life with AIDS brought comfort to many Russians living with HIV/AIDS.

More Russians living with HIV/AIDS have made efforts to shed light on Russia’s HIV epidemic and destigmatize HIV to the public as well as in the medical community. Patients in Control, a nongovernmental organization run by two HIV-positive Russians, Tatiana Vinogradova and Andrey Skvortsov, set up posters around St. Petersburg that read “People with HIV are just like you and me,” and encourage HIV-positive Russians to seek antiretroviral treatment. HIV-positive Russians like Skvortsov and Vinogradova are trying to bring national attention to a health crisis that is seldom discussed, hoping to create a national conversation and put pressure on Russian officials to take action on the worsening epidemic.

A Call for Urgent Action

HIV-positive Russians and AIDS activists like Skvortsov have argued that until the Russian Government puts forth an “urgent, full forced response” to Russia’s AIDS epidemic, the rate of transmission will continue to climb. Many Russians on the ground are making public campaigns to destigmatize and normalize living with HIV, hoping to persuade the government to take action.

In 2018 alone, AIDS took the lives of 37,000 people across Russia. As of May 2020, more than 340,000 Russians have died of AIDS. While the social atmosphere of Russia, influenced by Putin’s government and the Orthodox Church, has created a shroud of secrecy and shame surrounding the AIDS epidemic, many HIV-positive Russians hope that the intensity of the epidemic will force the Russian Government to make a concerted effort to address Russia’s AIDS epidemic.

Kieran Graulich
Photo: Flickr

Facts About Joseph Stalin
Born on Dec 18, 1878, Joseph Stalin served as the Soviet Union’s Premier and the General Secretary of the Communist Party. Here are 10 horrendous facts about Joseph Stalin.

10 Horrendous Facts About Joseph Stalin

  1. As the Communist Party’s General Secretary, Stalin conducted so-called purges throughout the 1930s during which his administration imprisoned, exiled or executed political enemies and ethnic minorities. The time between 1936 and 1938 was the Great Purge and Stalin had approximately 750,000 people executed and sent millions to forced labor camps. In a forest by Toksovo, a small town near St. Petersburg, human rights workers discovered a mass grave of more than 30,000 victims in 2002.
  2. The First Plan, implemented in 1928, had a motive to modernize the Soviet Union’s industry. Stalin introduced the concept of collectivization by taking control of farmers’ lands. As a result, many farmers had to move towards cities for work. Stalin created state-run farms in the usurped lands and introduced time-specific quotas for the remaining farmers. These farmers could not eat the food they produced unless they reached the quotas they had to send to the cities. Subsequently, between 7 and 8 million people died on these rural lands from starvation and severe working conditions.
  3. Stalin designed and nurtured a famine throughout Ukraine between 1932 and 1933 that resulted in the death of approximately 7 million people. The Communist Party specifically targeted Ukraine for its efforts in gaining independence from Soviet rule. Stalin enforced quotas on Ukrainian farms to agricultural products to the Soviet Union. These quotas continued to increase until there was not enough food to sustain Ukrainian populations. When Ukrainian Communists appealed to the Soviet administration, Stalin used military force to purge the Ukrainian Communist Party and subsequently sealed Ukraine’s borders to prevent the shipment of food into the country. Additionally, Soviet forces confiscated all food sources from private Ukrainian residences.
  4. In 1919, Vladimir Lenin established the first Soviet forced labor camps. However, these camps, called the Gulags, did not reach full notoriety until the early 1930s under Stalin’s rule. Prisoners at the Gulags had to work at least 14 hours of demanding physical labor every day. These tasks included felling trees and digging frozen Soviet lands with rudimentary tools or mining coal and copper by hand. Prisoners received food based on how much work they completed in a day, however, even a full ration was insignificant. This labor force comprised of robbers, rapists, murderers, thieves and political enemies. Yet the majority of the prisoners were those the Soviets arrested for petty theft, lateness or unexcused absences from work.
  5. During Stalin’s early reign, the communist regime promoted the elimination of religion by confiscating church property, belittling religious beliefs and believers as well as promoting the indoctrination of atheism in schools. The Soviets exected the majority of the Russian Orthodox Church clergy and followers or sent them to the Gulags. The communist regime almost completely blocked the practice of Judaism instigated the systematic suppression of Islam until 1941.
  6. One of Stalin’s most heavily used tactics of oppression was censorship. Stalin cultivated a personality cult of artists that the state forced to create work that glorified the dictator. Those who read literature, viewed paintings and listened to music that the Soviet administration did not approve would have to go to the Gulags. Many artists committed suicide or attempted to flee the country in response.
  7. The Communist Party strictly controlled Education in the Soviet Union and based it on indoctrination. The government dictated which subjects schools could teach and test on. Teachers would teach History classes using materials that Stalin appointed, like the book A Short History of the USSR.
  8. Children received encouragement to join youth organizations outside of schools. Three tiers of these organizations existed: for 8 to 10-year-olds, there were the Octobrists; for 10 to 16-year-olds, the Pioneers; and for 19 to 23-year-olds, the Komsomol. Such organizations taught children how to be good communists. Stalin’s motive behind these youth clubs was to indoctrinate Soviet children into unquestioning obedience to the Communist Party. Further, when Nazi Germany invaded the Soviet Union, children as young as those in the Pioneers tier received arms to defend the State.
  9. Stalin’s rule of the Soviet Union deported over 1.5 million people. The majority of these people were Muslim. Reasons for deportation included resisting Soviet rule, ethnicity, religion and collusion with Germany’s occupational forces. The Soviets had deportees rounded up in cattle cars and taken to resettlement locations like Siberia or Uzbekistan where almost two-fifths of resettled populations died.
  10. Following World War II, Stalin began a press campaign of attacks on Jewish culture and Zionism. In 1948, the Jewish Antifascist Committee, an organization promoting Soviet policies, Stalin’s forces had it disbanded and its chairman assassinated.

As seen by the aforementioned 10 facts about Joseph Stalin, the Communist Party of the Soviet Union created immense suffering and strife under Stalin’s reign. Scholars and historians assert that between 20 and 60 million people died as a result of Joseph Stalin’s dictatorship.

Bhavya Girotra
Photo: Flickr