At a time when HIV epidemics in Western Europe are shrinking, Russia9s is growing by about 10% a year. Russia, in fact, between 2010 and 2015 accounted for more than 80% of all the new infections in Eastern Europe and Central Asia. Not only has the country turned away assistance from The Global Fund to Fight AIDS, Tuberculosis and Malaria, it also has refused to adopt scientifically proven strategies to slow spread between people who inject drugs, the community that kicked off the Russian epidemic. Only about one in three of the estimated 1 million Russians living with HIV have access to antiretroviral drugs, which means that the country doesn9t receive much benefit on a population level from what9s known as treatment as prevention. But there are signs in St. Petersburg that its unusually progressive response—by Russian standards—is beginning to turn things around.

中文翻译：

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漆黑的夜，璀璨的星辰

在西欧艾滋病毒流行率下降的同时，俄罗斯每年增长约 10%。事实上，在 2010 年至 2015 年间，俄罗斯占东欧和中亚所有新感染病例的 80% 以上。该国不仅拒绝了全球抗击艾滋病、结核病和疟疾基金的援助，还拒绝采用经过科学验证的策略来减缓注射吸毒者之间的传播，而注射吸毒者是导致俄罗斯流行病流行的社区。在估计的 100 万感染艾滋病毒的俄罗斯人中，只有大约三分之一的人可以获得抗逆转录病毒药物，这意味着该国在人口水平上并没有从所谓的治疗即预防中获得多少好处。但是在圣路易斯有迹象。