HIV-positive pregnancies are twice what they were five years ago.

HIV-positive pregnancies are twice what they were five years ago.

"Eastern Europe has some of the highest concentrations of HIV among people who inject drugs," Michel Sidibe, executive director of UNAIDS, told The Associated Press. "This epidemic is inflamed by stigma and punitive laws and won't stop burning until harm reduction and drug substitution are scaled up."

And because 80 percent of the region's sex workers are children, and often struggling with drug problems, local youth are facing a serious risk.

An estimated 1.3 million kids in Eastern Europe and Central Asia are homeless, working in the sex industry, or both.

Widespread social stigma, along with a dearth of preventive services and a lack of medical care, all portend a growing crisis, the report warns.

"Children and adolescents living on the margins of society need access to health and social welfare services, not a harsh dose of disapproval," said Anthony Lake, executive director of UNICEF.