SUNY Downstate Medical Center (SUNY-DMC) proposes to renew its current AITRP by continuing to focus on the rapidly expanding injection drug use mediated HIV epidemic in Eastern Europe and Central Asia. The NYS International Training and Research Program (NYS-ITRP) was initiated as a Fogarty funded AIDS International Training and Research Program (AITRP) in 1993 to focus on Central Europe. It has since expanded to include 3 Baltic States: Armenia, Georgia, and Russia. This program represents a unique merging of an academic medical center, a school of public health and a state department of health, which combined with other training assets in New York State, allows us to respond to the continuing challenges of preventing new infections in the region. During the past 16 years, the combined AITRP has provided support for 76 long-term trainees, 3 of whom are still in training. They have been remarkably productive publishing over 650 articles and providing strong academic and public health leadership regionally and internationally. With this application we propose to expand our activities to Kazakhstan and Ukraine two countries with large IDU driven epidemics where we have identified strong local partners. We will continue to provide ongoing training to Russia, Georgia and Estonia and expand our training programs to include nurse training as well as enhance the development of regional public health training. The program's aims are: a. To build human resources capacity in our collaborating countries by providing long-term training in the US and ultimately in-country in population-based, biomedical and implementation research; b. To foster collaborative, interdisciplinary in-country research networks among our trainees and those supported by other programs; c. To utilize academic resources in New York State as well as the Fogarty network to ensure that the most productive assets are utilized for training efforts; d. To build in-country research capacity and productivity via a continuous mentoring process; e. To assist in the transition of in-country assets Into regional centers of excellence. In meeting its aims the NYS-ITRP's overall goal is to train a new generation of investigators capable of working in multidisciplinary environments capable of producing the research necessary to guide national priorities for successful treatment, prevention and care.

Public Health Relevance

HIV rates are rising rapidly in Eastern Europe and Central Asia primarily driven by injection drug use. A number of social, economic and historical factors place this region at high risk for a continued increase in new infections in both drug users and their sexual partners. The training supported by this proposal will assist in developing critically needed control measures in the region.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
International Research Training Grants (D43)
Project #
5D43TW000233-17
Application #
8085907
Study Section
Special Emphasis Panel (ZRG1-ICP2-B (52))
Program Officer
Mcdermott, Jeanne
Project Start
1993-06-01
Project End
2015-04-30
Budget Start
2011-05-01
Budget End
2012-04-30
Support Year
17
Fiscal Year
2011
Total Cost
$629,552
Indirect Cost
Name
Suny Downstate Medical Center
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
040796328
City
Brooklyn
State
NY
Country
United States
Zip Code
11203
Makarenko, Iuliia; Ompad, D C; Sazonova, Y et al. (2017) Trends in Injection Risk Behaviors among People Who Inject Drugs and the Impact of Harm Reduction Programs in Ukraine, 2007-2013. J Urban Health 94:104-114
Czerwinski, Michal; Grabarczyk, Piotr; Stepien, Malgorzata et al. (2017) What weighs more-low compliance with self-deferral or minor medical procedures? Explaining the high rate of hepatitis C virus window-period donations in Poland. Transfusion 57:1998-2006
Neduzhko, Oleksandr; Postnov, Oleksandr; Perehinets, Ihor et al. (2017) Factors Associated with Delayed Enrollment in HIV Medical Care among HIV-Positive Individuals in Odessa Region, Ukraine. J Int Assoc Provid AIDS Care 16:168-173
Makarenko, Iuliia; Mazhnaya, Alyona; Marcus, Ruthanne et al. (2017) Willingness to pay for opioid agonist treatment among opioid dependent people who inject drugs in Ukraine. Int J Drug Policy 45:56-63
Makarenko, Iuliia; Mazhnaya, Alyona; Polonsky, Maxim et al. (2016) Determinants of willingness to enroll in opioid agonist treatment among opioid dependent people who inject drugs in Ukraine. Drug Alcohol Depend 165:213-20
Sereda, Yuliia; Dembitskyi, Serhii (2016) Validity assessment of the symptom checklist SCL-90-R and shortened versions for the general population in Ukraine. BMC Psychiatry 16:300
Nugmanova, Z; Patel, N; Nurbakhyt, A et al. (2015) Universal precautions in Central Asia: the need for multiple strategies in this window of opportunity. J Hosp Infect 89:197-201
Girchenko, P; Ompad, D C; Kulchynska, R et al. (2015) Correlates of Lifetime History of Purchasing Sex Services by Men in Saint Petersburg and Leningrad Oblast, Russia. J Urban Health 92:1105-16
Meylakhs, Peter; Friedman, Samuel R; Mateu-Gelabert, Pedro et al. (2015) Taking care of themselves: how long-term injection drug users remain HIV and Hepatitis C free. Sociol Health Illn 37:626-41
Chkhartishvili, N; Sharavdze, L; Chokoshvili, O et al. (2015) The cascade of care in the Eastern European country of Georgia. HIV Med 16:62-6

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