after a check to make sure vadim has swallowed it all, he's dismissed. vadim says this program has saved his life, not just by keeping him off illegal drugs but by keeping him from contracting h.i.v./aids. the logic of this substitution therapy is simple: the more drug users on methadone, the less sharing of needles, and thus fewer transmissions of h.i.v. kostiantyn pertsovskyi is an h.i.v. prevention worker. >> it is not just about getting pill once a day, but here people get consultations from social workers and they advised them, so that it really changed their behavior to less risky one not only to themselves but to the community as a whole. >> reporter: ukraine has the highest h.i.v./aids rate in all of europe. half a million people may be infected-- more than france, germany and the united kingdom combined. diagnoses here have doubled in the last decade, as the epidemic exploded among ukraine's large injecting drug user population and their sexual partners. today, almost half new h.i.v. infections are through heterosexual contact, and the epidemic