| Literature DB >> 32504576 |
Don C Des Jarlais1, Vana Sypsa2, Jonathan Feelemyer3, Adrian O Abagiu4, Vic Arendt5, Dita Broz6, Daniel Chemtob7, Carole Seguin-Devaux8, Joan M Duwve9, Margaret Fitzgerald10, David J Goldberg11, Angelos Hatzakis12, Raluca E Jipa4, Eugene Katchman13, Eamon Keenan10, Ibrahim Khan14, Stephanie Konrad14, Andrew McAuley15, Stuart Skinner16, Lucas Wiessing17.
Abstract
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.Entities:
Year: 2020 PMID： 32504576 DOI： 10.1016/S2352-3018(20)30082-5
Source DB: PubMed Journal: Lancet HIV ISSN： 2352-3018 Impact factor: 12.767