title: [HIV and AIDS in Poland in 2010].
abstract: BACKGROUND
  Since the implementation of HIV/AIDS surveillance in Poland in 1985 until the end of 2011 15,196 HIV cases among Polish citizens, 2,704 AIDS cases and 1,136 deaths of AIDS patients were registered.
  
  
  OBJECTIVE
  To analyze the epidemiological situation of newly diagnosed HIV infections and AIDS cases in Poland in 2010.
  
  
  METHODS
  The analysis of the epidemiological situation of HIV/AIDS in Poland in 2010 was based on reports of newly detected HIV /AIDS cases provided by physicians and laboratories to the provincial sanitary-epidemiological stations and the testing frequency obtained from annual survey to laboratories offering HIV test
  
  
  RESULTS
  In 2010 there were 951 (2.5 per 100,000) HIV cases diagnosed in Poland, including 28 among non-Polish citizens; the total number of AIDS cases was 171 (0.45 per 100,000) and there were 53 (0.14 per 100,000) deaths of AIDS patients. Among the newly diagnosed HIV cases an increase of the share of infections acquired through homosexual contact between men (MSM) (from 34.2% to 51.9% of cases with known transmission route) was observed as compared to 2009. Across the country HIV infection is the most frequently detected among people aged 20 to 39 years (68.8%) and among males (73.0%). Furthermore, the percentage of late diagnosed, as defined by time between HIV and AIDS diagnoses of less than 3 months, remained at the same level (9.1% of newly diagnosed HIV cases), although the number of late presenters increased by 14.5% as compared to 2009. Among non-late presenting AIDS cases 58% never received any antiretroviral treatment before they were diagnosed with AIDS.
  
  
  CONCLUSIONS
  The significant increase of HIV infections among MSM calls for intensified prevention measures in this high-risk group. Late HIV diagnosis and failure of referrals for care are two main reasons for AIDS morbidity, which should prompt educational activities and the promotion of testing as well as evaluation of the current testing and referral strategies. Our findings are limited by high rate of missing data on the probable transmission route.
authors.affiliation: Zakład Epidemiologii, Narodowego Instytutu Zdrowia Publicznego - Państwowego Zakładu Higieny w Warszawie.
authors.forename: Marta
authors.initials: M
authors.lastname: Niedźwiedzka-Stadnik
authors.forename: Magdalena
authors.initials: M
authors.lastname: Rosińska
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000328:Adult; D017677:Age Distribution; D015897:Comorbidity; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D015528:HIV Seroprevalence / Q000639:trends*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data*; D017678:Sex Distribution; D015819:Substance Abuse, Intravenous / Q000453:epidemiology*; D055815:Young Adult