???? ??? ???? ????? ????? ???? ???? ???? ??????—????????? ??????????? ?????????? ??????????? ???????????—???? ?? 60 ????? ???? ?????? ????? ???? ?????? ????? ????. ?? ??? 2019? ?????? ??????? ??????? ??????? ???????? ?????? ????? ??? ??????? ??????? ????? ????? ?? ??? 1989 ?? ???????? ??????? ???????? ??????. ?????? ????? ????? ??? ??????? ??????? ??????? ???????? ??????? ??????? ????? ??? ??????? ??????? ?? ????? ???? ?????? ?????? ?? ???? ??????? ??? ????? ?? ???? ???????? ????? ?????. ????? ??? ??????? ??? ????????? ??????????? ?????????? ?????? ??? ??? ???? ?????? ?????? ?? ??????? ???????? ?????? ??? ??????? ??????? ?? ?????????? ??????????.
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
???? ???? ??????? ??????? ????? ??????? ??????? ?????? ?????? ??? ??????? ???????/ ?????? (UNAIDS) ??? ??? ?? ??? 2018 ??? ???? 26,000 ??? ???? ?????? ??? ??????? ??????? ?? ?????????? ?8,500 ?? ?????????? ?13,000 ?? ????????? . ?? ??????? ???????? ????? ??????? ??????? ?????? ??????? ?? ???? ????? ?????? ?? ??????? ??????? ????? ??? ??????? ??????? ???? ???????? ??????? ????????? ????????. ??? ???? ?????? ???????? ???? ?? ??????? ???? ??? ??????? ?????? ???????? ?? ????? ?????/ ?????? 2019 ??? ???? ??????? ????? ???????? ?? ??????? ?????? ??? ??????? ???????? ?? ??????? ?? ???? ??? ????? ?? ????? ??????? ??? 73 ?????? ?????? ?????? ????? ???? ????? ??? ??????? ??????? (????? ??????? 1).
???? ?????? ?? ??????? ???? ?? ???? ???? ????? ????? ????? ??? ??????? ??????? ????? ?????????? ???????. ????? ???? ????? ?? ?????? ??????????? ?? ??? ?????? ?? ????? ?????? ??? ?????? ????? ?????? ????? ??? 2020 ?? ???? ??????.
????? ???????? ?? ???? ?????. ??? ???? ?????? ??? ???? ??????? ?? ????????? ??? ??????? ??? ???? ?????? ????????? ????? ?????? ????? ??? ?????? ?????? ?????????. ???? ????? ???????? ?? ??????? ????? ??????? ????????? ?????????? ("????? ?????????") ?????? ?? ???????? ??? ????????? ?????? ??????? ????? ??????? ?? ????? ??? ??????? ???????. ????? ????? ??? 2018? ????? ?????? ???????? ?????? ?????? ??? ??????? ??????? ?? ????? 40 ?????? ?? ???? ???????? ?????? ??? ??????? ??????? ?? ????????? ???????????? ?30 ?????? ?? ?????????? ?? ?????? ?? ????? ????? ?? ????? ???????? ?? ???? ????? ?? ???? ??????? ???????? ?? ???? ????? ??????. ??????? ????? ????? ?? ??????? ????? ??????? ???????? ?? ???? ????? (PWID) ???? ????? ?? ???? ???????? ?????? ??? ??????? ??????? ???? ????? ?? ???? ??????? ??????. ??? ??????? ?????? ??? ???????? ???????? ??? ?????? ?? ?????? ???????? ????? ??????? ?? ????? ?? ???? ??????. ???? ??????? ???????? ????? ??????? ????? ?????? ?? ???????? ??????? ??? ????? ?????? ??????? ??? ?? ??? ?????? ??????? ????????? ??? ??????? ????? ??????? ???????? ?? ???? ????? (PWID) ?? ??????? ?? ??????? ??????. ??? ??? ????? ????? ???????? ??? ?????? ?????? ????? ???????. ???? ??????? ?????? ??? ?????? ????? ???? ?? ????? ????? ????? ???? ???? ??? ???? ???????? ???????? ????????? ???????? ?????? ??? ??????? ??????? ?????????? ??????? ?? ????? ??????? ???????? ?????? ??? ??????? ??????? ????? ???????? ?? ?????? ?? ????? ?? ?????? ????? ??? ??????? ???????.
?? ??????? ?? ??? ???? ???? ?? ????? ????? ???????? ??????? ??????? ?????????? (OAT) ???? ?? ??????? ?????? ??? ??????? ??????? ??? ??????? ????? ??????? ???????? ?? ???? ????? (PWID). ???? ????? ????? ???????? ??????? ??????? ?????????? (OAT) ????? ?????? ??????? ???????? ?????? ??? ??????? ???????? ???? ???????? ??????? ????????? ????????. ????? ?????? ?????? ??????? ????? ?????? ?? ???????? ??? ?????? ???????? ?????? ??????? ????????? ?????? ??????? ????????? ?????? ??????. ?? ???? ?????? ??? ?????? ??????? ?????????? (OAT) ??????? ??? ????????? ??????? ???? ???? ????? ?? ??????? ??? ?????? ??? ?? 5 ?????? ?? ????? ???????? ??????? ????? ??????? ???????? ?? ???? ????? (PWID) ?? ??????? ???????. ??????? ???? ?????? ??? ??????? ???? ??????? ?????? ?????? ??????? ?????????? (OAT) ??????? ??? ?????????????. ?? ??? ??? ???? ?????? ????? ???? ?? ??????? ???????? ??? ??? ???? ????? ??? ???????????? ???? ??????? ????????? ????????? ?? ?????? ??????.
????? ?????. ??? ????????? ??? ?????? ?? ????? ????? ???? ?????? ????? ??????? ?????? ??? ??????? ??????? ???????? ?????? ?? ??????. ??? ???? ?????? ?????? ?????? ????????? ?? ???? ????? ???? ??????. ?? ??????? ???? ?????? ?????? ????? ???? ??????? ?????? ??? ??????? ??????? ??? ??? ??????? ??????? ??????? ??? ???? 17.3 ?????? ?? ???? ??????? ????? ?? ??????? ?????? ?????? ??? ??????? ??????? ?? ????????? ?? ??? 2018 ?? ????? ???? ?????? ???? ????? ????? ?? ????? ???????? ??????. ????? ????? ???? ?????? ??????? ??????? ?????? ?????? ??? ??????? ??????? ??? ?????? ????????? ??? ??????? ??? ??? ???? ?? ????????? ????????? ??????? ??? ????? ???? ????? ???????? ?????? ??? ??????? ??????? ??? ?????? ??? ?????? ?????? ????????? ???????? ????? ??????.
???? ????? ????????. ?? ???? ???? ????? ???????? ?????? ??? ??????? ??????? ???????? ?? ??????? ???????? ?????? ??? ??????? ??????? ?? ??? ????? ????? ??????? ????????? ?? ???? ??????? ?????? ?????? ????????? ??????? ??? ?????? ???? ???????? ??????? ????? ????? ??? ??????? ???????. ???? ??????? ??????? ???????? ?????????? ??????? ????????? ????????? ???? ???? ?????? ??? ?????? ??????? ??? ??? ????????? ???? ??????? ??????? ?? ????? ??? ??????? ??????? ??????????? ?????????. ??? ??? ???? ????? ??? ??????? ??????? ?? ?????? ??????? ?????? ??????? ????? ??????? ????? ?? ???? ?????? ??? ????? ??? ??????? ??????? ??? ?????? ????? ?????? ????? ?? ???? ?? ??????? ?? ??? ??????. ????? ??????? ????????? ?????? ??????? ????? ??????? ????? ?? ???? ?????? ???????? ????? ??? ???? ?? ?????? ?????? ?? ????? ??? ?? ????? ??????? ??? ??? ????? ?? ?????? ??? ???????.
????? ??????? ????????? ??????????. ???? ????? ???? ?????? ????? ?????? ?? ???? ????? ?????? ??????? ?? ????? ??????? ?? ????? ??? ??????? ??????? ?????? ????? ????? ??????? ???????? ???????????? ??????? ???????? ?????? ??????? ??????. ??? ?????? ????? ??? ??????? ??????? ?? ?????? ?? ??? ???? ?????? ?? ???? ?????? ?????? ?????????? ??????? ??????????? ????????? ???. ????????? ?????? ????? ??? ??????? ??????? ????? ????? ?? ?????? ????? ??????? ?????? ?? ?????. ????? ???????? ??? ??? ???? ???? ????? ?????? ??? ???? ???????????? ???? ??????? ?????? ?? ????? ????? ?????? ??????? ???????? ????? ????? ??? ??????? ?????? ?????? ???? ??????? ????????. ?? ??? ??? ??????? ?? ?????? (PrEP) ??? ???? ???? ?? ???? ?????? ??? ????? ????? ???? ??????? ?????? ??? ??????? ??????? ??? ??????? ???????? ?????? ?????.
?????. ?????? ????? ???? ?????? ??? ?????? ??????? ???????? ???? ???? ?????? ????? ??? ??????? ??????? ?????? ?????? ??????? ???????? ?????? ??? ??????? ??????? ???????? ????????? ????????? ??? ?????? ????????? ?????????? ?????? ?????? ?????? ?????? ?? ?????? ????? ??????? ????? ?? ?????? ?? ????? ????? ??????? ??????? ?????? ?????? ???? ????? ??? ??????? ???????. ????? ??? ??? ??????? ?????? ?? ???? ????? ???????? ?????? ??? ??????? ??????? ????????? ??????? ??????? ?????? ??? ???????? ????????? ??????? ???? ??????? ????????? ?????????? ????? ?? ?????? ??????? ?????? ???????? ????? ??? ??????? ??????? ?????????? ???????. ?????? ?????? ??????? ????? ??? ????? ????? ???????? ?????? ??????? ??????? ????? ??????? ????? ?????? ?? ???????? ????? ????????. ????? ????? ????? ??? ??????? ??????? ??? ?????? ?? ??? ?? ???? ??? ???? ??? ?????? ???? ?????? ??????? ?? ???????. ?????? ??????? ?? ???????? ??????? ?????? ??? ??????? ??????? ????? ???? ?????? ??? ???????? ???????? ???????? ???????? ??? ?????? ??? ???? ?? ????? ?????? ??????? ???? ?????? ??????? ??????? ????? ??????? ???????? ?? ???? ????? (PWID). ???????? ??? ???? ???? ???? ???? ??? ?????? ?????????? ??? ?? ??? ?????? ?? ?????? ???????? ??????? ???????? ?? ?????? (PrEP)? ???????? ????????. ???? ?? ????? ?????? ??? ????? ?????? ???? ????? ????????? ?????? ?? ??????? ??????? ?????? ????? ???????? ??????? ??? ?????? ??????? ?? ????? ??? ??????? ??????? ???????? ?????? ???? ?????? ????????? ?? ?? ?????? ??????? ??????? ?????? ??? ??????? ??????? ?????? ???? ??????.
??? ??????? ???? ?????? ?????? ????? ?????? ??????? ?????? ?? ?????? ?????? ?????? ?????? ?????? (ICAP) ?????? ???????? ?? ????? ??? ??????.
?
???????
1
??????? ??????? ???? ????? ??? ??????? ??????? ???????: ??? ?????? ?????? ??????? ?? ?????? ????? ??? ??????? ??????? ?????? ???? ?????? ????? ????2030 (A/RES/70/266).
???? ??? ?????? ??????: .
2???????? ????? ??? ?????? ??????:
3
Anna P. Deryabina and Wafaa M. El-Sadr, “Optimizing HIV prevention and treatment outcomes for persons with substance use in Central Asia: what will it take?”, Current Opinion in HIV and AIDS, vol. 14, No. 5 (September 2019). ???? ??? ?????? ??????: .
4?????? ????.
?
????? ????? ??????? ???? ????? ??????. ?? ?????? ???? ???? ???? ???????? ???????? ????? ?????? ???????? ???????? ????????? ????????? ?? ??????? ?? ????????? ?? ???? ???????? ?????? ?? ???? ???? ?? ???? ????? ???????.
2 ?????? 2019
?
????? ????? ??????? ???? ????? ??????. ???? ????? ???????? ???? ?????? ????? ??????? ????? ????????? ???????? ?? ???? ?????? ????? ??????? ????? ?? ???? ?????? ???????? ?? ???? ????? ???????. ???????? ?????? ???????? ???????? ????????? ????????? ?? ??????? ?? ????????? ?? ???? ???????? ?????? ?? ???? ?? ???? ????? ???????.
