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Another one-third of the cases were among homosexual men. No cases of HIV infection through injecting drug use had been reported by the end of However, subsequent reports have made clear that there has been considerable transmission owing to injecting drug use in Russia, particularly in the far western exclave of Kaliningrad Oblast. According to official statistics, as of there were 21 women who had contracted HIV "by nursing HIV-positive babies," although the actual route of transmission is almost certain to have been mother-to-child. Until recently, all prevention messages came from the government and were typically based on fear campaigns and discrimination against homosexuals.

A revised law went into effect in August in the Russian Federation. It was more specific on the rights of HIV-infected people and on the limits of compulsory testing, and it included provisions about prevention and the role of NGOs. Ukraine, a Slavic nation that is the second most populous of the former Soviet republics, was the only country that had reported injecting drug use as its main mode of HIV transmission ; the predominance of this mode of transmission can be explained, in part, by Ukraine's location on the drug trading route from Turkey to western Europe. According to Ukraine's ministry of health, by March there were cases of HIV infection among Ukrainian nationals.

In addition, foreign nationals living in Ukraine had tested positive. Health officials in the small Slavic nation of Belarus are still tackling the adverse health results of the nuclear station disaster at Chernobyl. Fallout from the explosion of the reactor in neighboring Ukraine fell mostly on Belarusan territory and is blamed by health authorities for weakening the immune systems of the area's residents, making them far more susceptible to infectious diseases. The small nation of Moldova, ethnically related to neighboring Romania, had an extremely low level of HIV infection, with fewer than ten cases confirmed by the end of The Baltic states were the last to become members of the Soviet Union in and the first to declare independence.

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The Soviet health model never placed emphasis on preventive medicine; thus, prophylactic treatment for opportunistic infection is rarely administered. Because of the extremely centralized nature of the Soviet Union, the capital city of Moscow was historically the location of all government offices and structures. Even after the breakup of the Soviet Union, the documents and regulations in place in the former Soviet republics were very similar to those of Russia or were those that were adopted during the Soviet era. Russia is by far the largest and most populous of the states of the former Soviet Union, with a population of more than million.

Predictably, Russia also has reported the greatest number of cases of HIV infection -- over 1, by the end of Of these, were foreigners, who were deported.

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