Publications by authors named "D Paraskeva"

Background: Multiple HIV outbreaks have been recorded among people who inject drugs (PWID) since 2010. During an intervention for PWID in 2019-2021 in Thessaloniki, Greece, an increasing number of HIV cases was documented. Here, we provide an analysis of this new outbreak.

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Article Synopsis
  • HIV late presentation (LP) is on the rise in Europe, particularly in Greece, prompting an investigation into the characteristics and factors influencing LP, defined by the time between HIV infection and diagnosis.
  • Analysis of data from 6166 people living with HIV in Greece from 1999-2015 revealed that older age, heterosexual transmission, and more recent diagnoses correlate with a higher risk of LP, while individuals who inject drugs tend to get diagnosed more quickly than other groups.
  • The findings highlight the need for focused healthcare interventions for older adults and heterosexuals, who are increasingly at risk for LP as they represent a growing segment of new diagnoses in Greece.
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Article Synopsis
  • The HIV outbreak among people who inject drugs (PWID) in Athens between 2011-13 was Europe and North America's largest recent epidemic, prompting a study on prevalence, drug use, and prevention access from 2014-20.
  • Two community-based programs collected data from PWID using respondent-driven sampling, revealing an increase in HIV prevalence from 14.2% to 22.0% between the two periods, and highlighting worsening socio-economic conditions and decreased access to prevention.
  • The estimated HIV incidence was 1.94 new cases per 100 person-years during 2014-20, with younger age and lower education identified as associated risk factors.
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Our aim was to estimate the date of the origin and the transmission rates of the major local clusters of subtypes A1 and B in Greece. Phylodynamic analyses were conducted in 14 subtype A1 and 31 subtype B clusters. The earliest dates of origin for subtypes A1 and B were in 1982.

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Our aim was to investigate the dispersal patterns and parameters associated with local molecular transmission clusters (MTCs) of subtypes A1 and B in Greece (predominant HIV-1 subtypes). The analysis focused on 1751 (28.4%) and 2575 (41.

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