Portugal

HIV Epidemiology and the Intravenous Drug Users Population


AIDS Cases by Transmission Group and Year of Diagnosis

  1987 1988 1989 1990 1991 1992
Homo/Bisexual 66 62 73 101 92 79
Intravenous Drug User (IDU) 19 7 29 38 55 79
Homo/IDU 1 2 3 1 1 5
Heterosexual 38 29 48 63 64 77
Haemophiliac 14 8 5 4 5 4
Transfusion 5 5 10 14 12 9
Mother to Child 2   3 6 4 3
Unknown 3 6 11 6 13 9
Total 148 119 182 233 246 265

In 1990 and unlike other southern European countries AIDS in Portugal was not mainly a disease of drug intravenous addicts, but since then the picture was changed. In 1992 their weight was 30% and the partial data for 1993 seems to indicate a new increase to 40%. Because this and after a long delay the government start a syringe and needle exchange in October 1993.

AIDS Cases and Intravenous Drug Users Weight

  1987 1988 1989 1990 1991 1992
Intravenous Drug Users 13% 6% 16% 16% 22% 30%
Others 87% 94% 84% 84% 78% 70%

In 1989 51% of the addicts visiting the treatment units had shared their works during the last month. And only 24% used condoms, usually in a irregular basis. By 1992 71% said they had not shared syringes or needles in the last six months, and 60% used condoms, although it is still done in irregular basis. In 1995 only 5% of intravenous drug addicts the share of works during the last month.


Sources: António Costa, Treatment of Heroin Addicts and HIV Epidemiology in Portugal, Centro das Taipas, Colectânea de Textos, VI volume, Lisboa 1994, SPTT.


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