HIV outbreaks among people who inject drugs in Europe, North America, and Israel
During 2011-16, HIV outbreaks occurred among people who inject drugs (PWID) in Canada (southeastern Saskatchewan), Greece (Athens), Ireland (Dublin), Israel (Tel Aviv), Luxembourg, Romania (Bucharest), Scotland (Glasgow), and USA (Scott County, Indiana). Factors common to many of these outbreaks inc...
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| Veröffentlicht in: | The lancet HIV 2020-06, Vol.7 (6), p.e434-e442 |
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| creator | Des Jarlais, Don C Sypsa, Vana Feelemyer, Jonathan Abagiu, Adrian O Arendt, Vic Broz, Dita Chemtob, Daniel Seguin-Devaux, Carole Duwve, Joan M Fitzgerald, Margaret Goldberg, David J Hatzakis, Angelos Jipa, Raluca E Katchman, Eugene Keenan, Eamon Khan, Ibrahim Konrad, Stephanie McAuley, Andrew Skinner, Stuart Wiessing, Lucas |
| description | During 2011-16, HIV outbreaks occurred among people who inject drugs (PWID) in Canada (southeastern Saskatchewan), Greece (Athens), Ireland (Dublin), Israel (Tel Aviv), Luxembourg, Romania (Bucharest), Scotland (Glasgow), and USA (Scott County, Indiana). Factors common to many of these outbreaks included community economic problems, homelessness, and changes in drug injection patterns. The outbreaks differed in size (from under 100 to over 1000 newly reported HIV cases among PWID) and in the extent to which combined prevention had been implemented before, during, and after the outbreaks. Countries need to ensure high coverage of HIV prevention services and coverage higher than the current UNAIDS recommendation might be needed in areas in which short acting drugs are injected. In addition, monitoring of PWID with special attention for changing drug use patterns, risk behaviours, and susceptible subgroups (eg, PWID experiencing homelessness) needs to be in place to prevent or rapidly detect and contain new HIV outbreaks. |
| doi_str_mv | 10.1016/S2352-3018(20)30082-5 |
| format | Article |
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Factors common to many of these outbreaks included community economic problems, homelessness, and changes in drug injection patterns. The outbreaks differed in size (from under 100 to over 1000 newly reported HIV cases among PWID) and in the extent to which combined prevention had been implemented before, during, and after the outbreaks. Countries need to ensure high coverage of HIV prevention services and coverage higher than the current UNAIDS recommendation might be needed in areas in which short acting drugs are injected. In addition, monitoring of PWID with special attention for changing drug use patterns, risk behaviours, and susceptible subgroups (eg, PWID experiencing homelessness) needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.</description><identifier>ISSN: 2352-3018</identifier><identifier>ISSN: 2405-4704</identifier><identifier>EISSN: 2352-3018</identifier><identifier>DOI: 10.1016/S2352-3018(20)30082-5</identifier><identifier>PMID: 32504576</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Disease Outbreaks ; Europe - epidemiology ; Female ; Health Services Accessibility - statistics & numerical data ; HIV Infections - epidemiology ; Humans ; Ill-Housed Persons - statistics & numerical data ; Israel - epidemiology ; Male ; North America - epidemiology ; Socioeconomic Factors ; Substance Abuse, Intravenous - epidemiology</subject><ispartof>The lancet HIV, 2020-06, Vol.7 (6), p.e434-e442</ispartof><rights>Copyright © 2020 Elsevier Ltd. 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| subjects | Disease Outbreaks Europe - epidemiology Female Health Services Accessibility - statistics & numerical data HIV Infections - epidemiology Humans Ill-Housed Persons - statistics & numerical data Israel - epidemiology Male North America - epidemiology Socioeconomic Factors Substance Abuse, Intravenous - epidemiology |
| title | HIV outbreaks among people who inject drugs in Europe, North America, and Israel |
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