Report on the Drug Situation 2010 - Bundesministerium für ...

The reports from the long-term national AIDS statistics show that injecting use is the
third-most risky situation (10 cases) after heterosexual contacts (n = 25) and homosexual
contacts (n = 17). In 2009, seven cases were filed as ‘other/unknown’. The
statistics on AIDS deaths by risk situation and year show that less than one third out of
a total of 19 deaths listed were related to injecting drug use (BMG 2010a; see Table A3
in Annex A).
Data on other drug-related infections are available only for tuberculosis (TB). No
person out of 208 for whom tuberculosis entries exist in the corresponding DOKLI data
set (see Chapter 5.3) had a positive TB diagnosis, two cases had already been
registered before. These figures again confirm that TB is no relevant problem among
clients receiving drug treatment services. The TB vaccination rate given is based on the
data of 238 people. The latest data again point to a low TB vaccination coverage: it was
5% in both 2008 and 2009 (GÖG/ÖBIG 2009a; GÖG/ÖBIG 2010a).
The DOKLI data set on hepatitis A vaccinations includes 359 people, and regarding
hepatitis B vaccinations, 493 people. The vaccination coverage of 28% for hepatitis A
and 33% for hepatitis B is in fact small. However, among people under 20, higher
vaccination rates have been registered than in the other age groups (see GÖG/ÖBIG
2010a). The above HBV vaccination coverage rates are similar to the rates
communicated by the inpatient departments of Lukasfeld (27%) and API (34%) but not
by the Marienambulanz low-threshold centre (10%; see ST9). The figures reported
generally reflect previous vaccinations rather than the actual status of immunisation
(GÖG/ÖBIG 2009a).
6.2 Other drug-related health correlates and
consequences
In a diploma thesis, 58 clients living at the Erlenhof treatment centre were surveyed by
means of a standardised questionnaire, which focused on their state of health and in
particular their psychological situation (Porstmann 2009, see Chapter 5.2) Three out of
four respondents indicated memory and concentration problems, and around half of
clients said they suffered from severe depression. More than 50% indicated anxiety and
feelings of tension, and approximately one out of three suffered from aggression they
could not control. One third of respondents already had attempted suicide at least
once: suicide attempts were found considerably more often among women than among
men (Porstmann 2009).
The DOKLI data also provide information on psychiatric comorbidity (see Chapter 5.3).
In 183 out of 347 people (53%) for whom at least one ICD-10 diagnosis not related to
addiction was entered, a mental and behavioural disorder was found. The diagnoses
Chapter 6 / Health Correlates and Consequences 57