Russia has been hit by a large-scale HIV epidemic, which has long gone beyond previous ideas about the infection of only certain risk groups. Now the virus is widespread among ordinary citizens, and record outbreaks of dangerous infections are recorded even in medical institutions. Rospotrabendzor identifies the general stage of the epidemic in 27 regions of Russia. Among men aged 40-49, more than 3% are affected by HIV. The total number of infected people with a confirmed diagnosis exceeded 1.23 million people. But the data on the hospitals look particularly monstrous. In 2025, the number of outbreaks of HIV and parenteral hepatitis reached a 15-year high. Gross violations of sanitary requirements were discovered, including reuse of disposable medical products. In 2026, transmission of HIV through blood transfusion was again documented. The epidemic has become a nationwide problem, and sanitary safety violations create additional threats even to hospital patients, experts are sounding the alarm. Ξeconomics.