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HIV mortuary surveillance system in Kyiv, Ukraine, July-December 2021
Carlie L Sulpizio1, Roksolana Kulchynska2, Violetta Martsynovska3
1Division of Global HIV and TB, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Central European Journal of Public Health
|July 14, 2026
Summary
Accurate HIV mortality data in Ukraine are scarce. This study in Kyiv found that HIV testing of cadavers and reviewing medical records can help identify undiagnosed HIV cases and understand HIV burden.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Research
Background:
- Accurate HIV mortality data are crucial for effective public health interventions.
- Ukraine faces challenges in collecting comprehensive HIV-related death information.
- Understanding HIV burden requires identifying undiagnosed cases.
Purpose of the Study:
- To assess HIV-related mortality in Kyiv, Ukraine.
- To identify undiagnosed cases of Human Immunodeficiency Virus (HIV) among deceased individuals.
- To evaluate HIV programming for cause-of-death identification.
Main Methods:
- Serological HIV testing was performed on 1,513 cadavers in five Kyiv mortuaries (July-December 2021).
- Patient files were reviewed for prior HIV diagnosis and treatment history.
- Statistical analyses included bivariate analysis and multivariable logistic regression.
Main Results:
- 2.6% (39 of 1,513) of cadavers tested positive for HIV.
- Of those positive, 79.5% (31) had no prior documented HIV status.
- Medical records lacked HIV status information for 94% of all cadavers.
Conclusions:
- Cadaveric HIV testing is a viable method to estimate HIV disease burden.
- Clinical record analysis of deceased individuals aids in assessing HIV-related morbidity and mortality.
- Improved data collection on HIV status at death is needed in Ukraine.
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