AIDS emerged as an issue in Poland later than in the West-- partly because of communist suppression of statistics, partly because the epidemic apparently reached Poland later. In 1991 the government officially estimated that 2,000 Poles had been infected with the human immunodeficiency virus (HIV), whereas an independent health expert put the figure at 100,000. This statistical discrepancy reflected Poland's late start in testing the groups at highest risk of infection. Narcotics addicts were endangered particularly because the drug in widest use in Poland was administered and distributed by syringe, one of the most potent means of HIV transmission. Early efforts to control the spread of HIV were hampered by public ignorance and superstition; in 1992 about 70 percent of Poles believed they could not be infected, while many believed that water and mosquitoes were carriers. The total lack of sex education programs in the schools (the Polish Catholic Church forced their removal after the communist era) and the disinclination of political and religious leaders to address the issue publicly further hindered prevention efforts.
Twice in 1991, World Health Organization (WHO) teams evaluated the Polish situation and proposed a program to combat the spread of AIDS. The teams advised that, to prevent the disease from spreading from high-risk groups to society at large, information on the epidemic be given maximum dissemination to certain less visible groups that were likely victims of the second phase of the disease. The most urgent target groups were the prostitute community--whose numbers in 1992 were estimated to be as high as 180,000--and their potential customers. At that point, however, a comprehensive information program was impossible because the country lacked trained workers and money for training programs. Other obstacles were lack of modern diagnostic technology and poor hygiene in public health facilities. In 1991 WHO allocated a small fund for a three-year education and prevention program in Poland.
Data as of October 1992