Responding to the public health consequences of the Ukraine crisis: an opportunity for global health diplomacy

Journal of the International AIDS Society
Tim K Mackey, Steffanie A Strathdee

Abstract

Peace and stability in Eastern Europe is now at a crossroads with the rapidly deteriorating foreign policy crisis continuing to unfold in the Ukraine. However, largely overlooked in the context of other foreign policy and diplomatic priorities are the serious public health consequences for the region following the annexation of Crimea and the subsequent decision to ban opioid substitution therapy in the disputed territory. On 1 May 2014, the Republic of Crimea officially announced it would end access to opioid substitution therapy, an essential harm reduction tool recognized by international organizations and virtually all other European countries. The policy development marks a critical reversal in the region's fight against its growing HIV epidemic and also threatens years of public health gains aimed at providing evidence-based and integrated treatment approaches to combat drug dependence and HIV. Beyond these risks, the Ukrainian conflict could also negatively impact control of other infectious diseases that are converging with HIV and injection drug use, such as multidrug-resistant tuberculosis and hepatitis C virus. The continuing conflict is also likely to have a significant negative impact on Ukraine's fragile public he...Continue Reading

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Citations

Dec 18, 2015·International Journal of Health Policy and Management·Sebastian Kevany
Nov 25, 2016·BMC Infectious Diseases·Tim K Mackey
Oct 1, 2020·História, ciências, saúde--Manguinhos·María Isabel Porras, María José Báguena
Sep 30, 2020·Conflict and Health·Saeed ShahabiKamran Bagheri Lankarani

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