Male injection drug users deported from the United States to Tijuana have four-fold higher odds of HIV infection compared to those living in Tijuana who were not deported there, according to a study to be presented at the International AIDS Conference on August 5, 2008 in Mexico City.
TY - JOUR. T1 - Lack of behavior change after disclosure of hepatitis C virus infection among young injection drug users in Baltimore, Maryland. AU - Ompad, Danielle C.. AU - Fuller, Crystal M.. AU - Vlahov, David. AU - Thomas, David. AU - Strathdee, Steffanie A.. PY - 2002/10/1. Y1 - 2002/10/1. N2 - We evaluated behavior change after disclosure of a positive hepatitis C virus (HCV) antibody test result among a cohort of young injection drug users (IDUs). Participants underwent semiannual interviews, human immunodeficiency virus (HIV) and HCV antibody testing, and pretest and posttest counseling. We used X2 statistics to study changes in the frequencies of high-risk behaviors from baseline to a 6-month follow-up visit among 46 IDUs who had a positive HCV test result and among 60 IDUs who did not have a positive HCV test result or who were unaware of their test result. No significant differences were detected between the 2 groups. Both groups continued to share syringes, needles, and other ...
CONTEXT: In British Columbia, human immunodeficiency virus (HIV)-infected persons eligible for antiretroviral therapy may receive it free but the extent to which HIV-infected injection drug users access it is unknown. OBJECTIVE: To identify patient and physician characteristics associated with antiretroviral therapy utilization in HIV-infected injection drug users. DESIGN: Prospective cohort study with record linkage between survey data and data from a provincial HIV/AIDS (acquired immunodeficiency syndrome) drug treatment program.
The intervention arm consists of 7 group sessions, 2 individual sessions, and one community experience. The control arm consists of 8 group sessions, aiming at controlling for demand (1st session) and attention (8 group sessions). Behavioral assessments and blood draws (for viral load and CD4 testing) occur at baseline, 6, and 12 month follow-up; a 3 month assessment involves behavioral assessment only. 1161 participants took baseline. Of these, 966 were randomized into the study, and 840, 807, and 821 participants took 3, 6, and 12 month follow-up assessments, respectively. ...
TY - JOUR. T1 - The Alive Study. T2 - A Longitudinal Study of HIV-1 Infection in Intravenous Drug Users: Description of Methods. AU - Vlahov, David. AU - Anthony, James C.. AU - Muñoz, Alvaro. AU - Margolick, Joseph. AU - Nelson, Kenrad E.. AU - Celentano, David D.. AU - Solomon, Liza. AU - Polk, B. Frank. PY - 1991/10. Y1 - 1991/10. N2 - To identify risk factors for infection with the human immunodeficiency virus (HIV) and for progression to the acquired immunodeficiency syndrome (AIDS) among intravenous drug users, we established a cohort in Baltimore Maryland in 1988-1989. Intravenous drug users were recruited by extensive community outreach to undergo interview and confidential HIV testing in a special study site. During 13 months of recruitment, 2,921 intravenous drug users were enrolled of whome 24 percent were HIV seropositive; 90 percent returned to receive test results. Methodological issues for enhancing recruitment and retention of drug users are discussed.. AB - To identify risk ...
Injecting drug users (IDUs) are among the most vulnerable populations at risk to contract human immunodeficiency virus (HIV) and hepatitis C virus (HCV). Among Canadian cities, Montreal holds one of the higher HIV and HCV contraction rates in the IDU population. Results from SurvUDI, a population survey among IDUs conducted in the province of Quebec (Canada), show that in Montreal 18% of IDUs are infected with HIV and 67% are infected with HCV. The cornerstone of HIV and HCV prevention strategies is to give information on safe injection practices and to make available sterile syringes and other injection equipment. However, the SurvUDI survey reveals that a large proportion of IDUs recruited in community programs offering sterile injection equipment and information on safe injection practices are still sharing needles with other IDUs. Indeed, it seems that information dissemination and distribution of sterile injection equipment are not sufficient in order to control the HIV and HCV epidemic ...
A sample of 95 intravenous drug users agreed to provide urine samples, which would be tested for the presence of the metabolites of opiates and cocaine; the purpose of the study was to assess the validity of injection drug users self- reported use of these drugs. Using chi-square analyses, the researchers determined that there were no significant differences between intravenous drug users who agreed to participate in the study and those who declined to participate in terms of age, gender, ethnic group, education, primary drug of choice, treatment history, project intervention assignment, or time of follow-up. The urinalysis findings showed that 30 percent of the 67 participants who claimed to be drug-free over the previous 6 months had in fact used drugs. When compared to the total sample, the rate of misrepresentation fell to 21 percent. Logit regression analyses indicated that intravenous drug users who were black or whose primary drugs of choice were injected cocaine and crack were more likely than
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A team of doctors report in the latest Journal of Viral Hepatitis on mortality in HIV-infected injection drug users with active vs cleared hepatitis C virus-infection.. ...
Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Easily share your publications and get them in front of Issuus millions of monthly readers. Title: Perspectives v8n5 sex partners of injection drug users, Author: Alliance Health Project, Name: Perspectives v8n5 sex partners of injection drug users, Length: 9 pages, Page: 1, Published: 2013-10-07
Cases of endocarditis - infection of the heart valves - have risen dramatically in recent years as a result of the opioid crisis. In London, Ontario 55 per cent of people who experience heart valve infections are injection drug users. They are particularly vulnerable to the disease and a third die as a result.. In an effort to improve outcomes, researchers at Lawson Health Research Institute and Western University are studying which clinical factors are associated with improved survival in this patient population. In a new study, they showed that both surgery and in-hospital addictions counselling are linked to significantly reduced mortality in injection drug users with first-episode endocarditis. Surgery was associated with a 56 per cent reduction in mortality, while in-hospital addictions counselling was associated with a 72 per cent reduction.. The project was a retrospective cohort study that examined anonymous patient data from 2007 to 2016 at London Health Sciences Centre (LHSC) and St. ...
Female sex workers who inject drugs (FSW-IDUs) are at risk of acquiring HIV, sexually transmitted infections (STI) and blood-borne infections through unprotected sex and sharing injection equipment. We conducted a 2×2 factorial randomized controlled trial to evaluate combination interventions to simultaneously reduce sexual and injection risks among FSW-IDUs in Tijuana and Ciudad Juarez, Mexico. FSW-IDUs ≥18 years reporting sharing injection equipment and unprotected sex with clients within the last month were randomized to one of four conditions based on an a priori randomization schedule, blinding interviewer/counselors to assignment. Due to the extreme vulnerability of this population, we did not include a control group that would deny some women access to preventive information. All women received similar information regardless of group allocation; the difference was in the way the information was delivered and the extent to which women had an interactive role. Each condition was a single 60
This page includes the following topics and synonyms: Intravenous Drug Abuse, Persons Who Inject Drugs, Intravenous Drug User, Injection Drug Abuse, IV Drug Abuse, IVDA, PWID.
Background. In order to identify, in a sample of heroin intravenous drug users IVDU, those factors associated with the predominant risk behaviour related to the transmission of HIV-1 infection-sharing of injection equipment-a cross-sectional survey was carried out in Valencia, Spain from 1987 to 1992. Methods. Informed consent and pertinent...
Intravenous drug abusers in a methadone program in Minnesota were offered HIV-antibody screening to determine the degree of interest in screening and extent of infection. Thirty-nine (85 percent) were willing to be tested. Only seven refused. All patients were aware of acquired immunodeficiency syndrome (AIDS) and their high risk of exposure to the AIDS virus through sharing of injection paraphernalia. None reported exposure to additional risk factors, such as homosexual or bisexual activity or having received a blood transfusion. Of the patients tested, none was positive for HIV antibodies. The high degree of patient interest in screening was unanticipated as was the lack of positive laboratory findings for HIV antibodies. Factors associated with acceptance of testing included patient awareness of high seroprevalence rates, indifference to potential negative social consequences of positive HIV-antibody status, and the voluntary nature of the testing. These findings raise a cautious sense of ...
Endocarditis - injection drug users answers are found in the Johns Hopkins ABX Guide powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
There s another alarming consequence to America s heroin and prescription painkiller epidemic an increase in a serious heart infection called endocarditis, U.S.
Injecting drugs carries a very high risk of health problems. Diseases are easily contracted, spread and transmitted to others, abscesses, ulcers and other infections are frequent and tolerance and dependence to a drug happens easier for intravenous drug users. The additional problems of unknown quality, adulterant substances and impurities can also contribute to health problems. Serious efforts by governments and health workers is being done to reduce the risks associated with injecting drugs, which includes providing accurate and concise information about injecting drugs.. Injecting an illicit substance into any site on the body can have dire consequences but there are some especially serious risks associated with particular spots. Injecting into the neck, hands, feet and the groin can cause major long-term damage. These injection sites are also prone to developing sepsis more rapidly. Femoral injection is the process whereby an intravenous drug user injects into the femoral vein, which is ...
Both injection drug use (IDU) and hepatitis C (HCV) coinfection nearly tripled the risk of death in HIV-positive North Americans and Europeans, according ...
The war on drugs is driving much of the global AIDS pandemic, increasing new infections among injection-drug users in the U.S. and elsewhere, according to a new report from the Global Commission on Drug Policy.
Prevalence of Injection Drug Use in Australia: It has been estimated that a very low proportion of the Australian general population aged 14 years and over have ever injected or recently injected drugs. In 2010, 1.8% of the population had injected a drug in their lifetime, with 0.4% having injected a drug in the past year. More than one-quarter (27.1%) of recent users
Prevalence of Injection Drug Use in Australia: It has been estimated that a very low proportion of the Australian general population aged 14 years and over have ever injected or recently injected drugs. In 2010, 1.8% of the population had injected a drug in their lifetime, with 0.4% having injected a drug in the past year. More than one-quarter (27.1%) of recent users
Injection drug users who undergo surgery for infective endocarditis have a significantly higher risk of reoperation or death between three and six months after surgery compared to patients who develop endocarditis who are not IV drug abusers, according to an article in the September 2015 issue of the Annals of Thoracic Surgery.
Doctors should consider giving a daily AIDS drug to another high risk group to help prevent infections - people who shoot heroin, methamphetamines or other injection drugs, U.S. health officials said Wednesday.
Joe Biden keeps promoting mandatory rehabilitation as good alternative to prison for nonviolent drug users. The problem is mandatory rehab doesnt work--and in many cases is just prison, rebranded.
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My family had no idea: I drink a lot of Diet Coke and they just thought I was hyper or, when I was coming down, they thought I was just having a depressive moment.
TY - JOUR. T1 - Prevalence and correlates of crack-cocaine injection among young injection drug users in the United States, 1997-1999. AU - Santibanez, Scott S.. AU - Garfein, Richard S.. AU - Swartzendruber, Andrea. AU - Kerndt, Peter R.. AU - Morse, Edward. AU - Ompad, Danielle. AU - Strathdee, Steffanie. AU - Williams, Ian T.. AU - Friedman, Samuel R.. AU - Ouellet, Lawrence J.. PY - 2005/3/7. Y1 - 2005/3/7. N2 - Objectives: We estimated prevalence and identified correlates of crack-cocaine injection among young injection drug users in the United States. Methods: We analyzed data from the second Collaborative Injection Drug Users Study (CIDUS II), a 1997-1999 cohort study of 18-30-year-old, street-recruited injection drug users from six US cities. Results: Crack-cocaine injection was reported by 329 (15%) of 2198 participants. Prevalence varied considerably by site (range, 1.5-28.0%). No participants injected only crack-cocaine. At four sites where crack-cocaine injection prevalence was ...
In addition to sterile needles, syringe-exchange programmes typically offer services such as HIV and Hepatitis C testing; alcohol swabs; bleach water and normal saline (often as eye drops); aluminium cookers; citric acid powder (an imperative agent that enables heroin to dissolve in water); containers for needles and many other items.[18] A survey conducted by Beth Israel Medical Center in New York city and the North American Syringe Exchange Network, among 126 surveyed SEPs that 77% provided material abuse therapy, 72% provided voluntary counselling and HIV testing, and more than two-thirds provided supplies such as bleach, alcohol pads and male and female condoms. According to the Centers for Disease Control (CDC), around 1/5 of all new HIV infections and the vast majority of Hepatitis C infections are the result of injection drug use.[19] Needle-exchange programmes are supported by the CDC and the National Institute of Health.[19][20] The NIH estimates that in the United States, between ...
By David Heitz. You just found out you have HIV and Hepatitis C. And, youre addicted to drugs. Now what? Perhaps no low seems lower - except death - to an injection drug user who finds out they have contracted HIV, Hepatitis C, or even both (not uncommon). But what that injection drug user may not know is that Hepatitis C now is curable, and living with HIV is no different from managing diabetes. Talking about a cure for HIV isnt even considered heresy anymore. So, dont turn an HIV/Hepatitis C diagnosis into the end of the world when it isnt. In fact, it might be the start of a whole new way of life. Now, what should you do next?. Immediately see a doctor and work to obtain the treatment and medications you need. Consider getting sober, it would be a great time to do it.. You might have learned you have HIV and/or Hepatitis C via an outreach worker, at a local testing center, or at a needle exchange. Or, maybe an injection drug use (needle sharing) or sexual partner told you they have the ...
NEW YORK (Reuters Health) - Needle-exchange programs designed to cut injection drug users risk of HIV, the virus that causes AIDS, and other infections do seem to reduce needle sharing, but there is only limited evidence that they lower disease transmission, a new research review concludes.
Camden, N.J., City Council Member Ali Sloan-El (R) on Tuesday plans to introduce legislation to allow a needle-exchange program in the city to reduce the ...
The nations drug czar has touted needle-exchange programs as a way to reduce the spread of disease and to steer heroin users into treatment.
Despite $1 million in city AIDS funding over three years, the Districts largest needle-exchange program is nearly out of cash and has at times been unable to supply clean syringes to intravenous...
Art Caplan, MSNBC.coms Vitals: The belief that [g]iving out free clean needles sends the message that injecting drugs is OK … just happens to be completely unsupported by any evidence at all, Caplan, director of the Center for Bioethics at the University of Pennsylvania writes, adding, Policy involves more than scientific evidence when it comes to touchy subjects like drug addiction. However, morality cannot ignore the facts. He concludes, If needle-exchange programs do reduce risk, suffering, deaths and costs, and it is beyond dispute that they do, then it is bad ethics to insist on a moral message that is utterly disconnected from the harsh realities of drug abuse (12/19 ...
Needle exchange was first introduced in the United Kingdom (UK) in 1985 in response to the AIDS epidemic. Most areas within the UK have pharmacy-based needle-exchange programs (NEPs). Mobile, agency-based and automated needle exchange programs also exist.Despite this widespread availability of free needles, HIV infection among newer UK injection drug users (IDUs) is rising, according to the Health Protection Agency. The data comes from samples taken of addicts who accessed services provided by NEPs and methadone treatment programs. ...
TY - JOUR. T1 - Hodgkins disease in 50 intravenous drug users with HIV-infection. AU - Monfardini, S.. AU - Tirelli, U.. AU - Vaccher, E.. AU - Errante, D.. AU - Rezza, G.. AU - Talamint, R.. AU - Albericci, F.. AU - Barbui, T.. AU - Bernasconi, C.. AU - Cajozzo, A.. AU - Cargnel, A.. AU - Clerici, M.. AU - Lalla, De. AU - Dessalvi, P.. AU - Fiaccadori, F.. AU - Garavelli, P. L.. AU - Giudici, M.. AU - Gherlinzoni, F.. AU - Deliliers, G. Lambertenghi. AU - Lazzarin, A.. AU - Luzi, G.. AU - Luzzati, R.. AU - Malfitano, A.. AU - Mandelli, F.. AU - Marigo, S.. AU - Montesarchio, V.. AU - Moroni, N.. AU - Puppo, F.. AU - Raise, E.. AU - Rizzardini, G.. AU - Rizzi, M.. AU - Rossi, E.. AU - Saliva, G.. AU - Scanni, A.. AU - Sinicco, A.. AU - Vaglia, A.. AU - Foà, R.. AU - Gavosto, F.. PY - 1991. Y1 - 1991. N2 - Fifty cases of Hodgkins disease in intravenous drug users (IVDU) have been collected by the Italian Cooperative Group on AIDS-Related Tumors (G.I.C.A.T.). Ninety-two per cent of the patients ...
Injection drug users (IDUs) who continue to inject can substantially reduce their risk of acquiring or transmitting HIV, hepatitis B and C, and other ...
Harm Reduction Coalition advances policies and programs that help people address the adverse effects of drug use including overdose, HIV, hepatitis C, addiction, and incarceration.
Martin cites a number of alarming statistics to show the size of the drug problem. The number of IDUs is estimated to be between 1 million and 1.4 million. By mid-2000, 36 percent (270,721) of AIDS cases in the United States had occurred among IDUs, their sexual partners and their children, and these three categories of people accounted for half of all new HIV infections in the nation. In fact, 57 percent of children born with AIDS in the United States are the offspring of IDUs or their sexual partners. IDUs also risk exposure to various forms of hepatitis. Between 50 and 80 percent of IDUs contract hepatitis C - the most dangerous strain -- within their first year of needle use ...
Supporters of needle exchange programs say they provide clean needles to injection drug users to prevent the spread of disease, but Madison County, Indiana, Prosecutor Rodney Cummings said the exchange program in his community brought a different set of is
Tyndall M, Craib KJP, Currie S, Li K, OShaughnessy MV, Schechter MT Impact of HIV infection on mortality in a cohort of injection drug users Journal of Acquired Immune Deficiency Syndromes PubMed. ...
Adult injection drug users aged 30 years or younger are both at the highest risk for acquiring hepatitis C and transmitting HCV, according to a presentation at the International Symposium on Hepatitis Care in Substance Users. Kimberly Page, PhD, MPH, MS, from the University of New Mexico Health Sciences Center, presented results from the Acute UFO study, which took place from 2003 to 2017
Critics of a proposal to expand Baltimores syringe exchange believe that would only encourage drug use, but city officials said theyre trying to stop the spread of dangerous diseases.
The Treatment and Care for HIV-Positive Injecting Drug Users training curriculum is designed for clinicians who provide treatment and care, including ART, for HIV-positive injecting drug users. The training curriculum consists of a trainer manual, 12 participant manuals, and a CD-ROM with PowerPoint presentations and reference articles. Topics covered in the curriculum include: Module 1: Drug use and HIV in Asia Module 2: Comprehensive services for injecting drug users Module 3: Initial patient assessment Module 4: Managing opioid dependence Module 5: Managing non-opioid drug dependence Module 6: Managing ART in injecting drug users Module 7: Adherence counselling for injecting drug users Module 8: Drug interactions Module 9: Management of coinfections in HIV-positive injecting drug users Module 10: Managing pain in HIV-infected injecting drug users Module 11: Psychiatric illness, psychosocial care and sexual health Module 12: Continuing medical education Trainer ...
Acute endocarditis in intravenous drug users: a case report and literature review. J Community Hosp Intern Med Perspect. 2012; 2(1): Ji Y, Kujtan L,
Data Collection Notes: This dataset contains waves 3 and 4 of the survey. However, question text is only available for wave 4. The wave 3 questionnaires were destroyed in an accident. The variable order follows the questionnaire for wave 4. ICPSR staff added wave 3 variables in a pattern that follows the wave 4 questionnaire.. The Principal Investigator computed variables to reflect the number of times the respondent did certain activities. These variables have the same variable names and labels as the originals except the letter K is added to the end of the variable names and (Converted to number of times) is added to the end of the variable labels.. The Principal Investigator computed variables to reflect the percentage of the time the respondent did certain activities. These variables have the same variable names and labels as the originals except the letter F is added to the end of the variable names and (Converted to Percentage) is added to the end of the variable labels.. At the ...
TY - JOUR. T1 - HIV Risks Among Injecting Drug Users in Vietnam: A Review of the Research Evidence. AU - Do, Khoi. AU - Minichiello, Victor. AU - Hussain, Rafat. PY - 2012. Y1 - 2012. N2 - Injecting drug use plays a critical role in the transmission of HIV in Vietnam. This paper provides a comprehensive review of studies on risks of HIV infection among injecting drug users (IDUs) in Vietnam. Current research evidence shows that the age at which drug initiation starts is becoming younger and the transition time between non-injecting to injecting drug use becoming shorter. The practice of needle sharing and unprotected sex was quite common among the IDUs. Although most of the IDUs generally had good knowledge of HIV transmission routes, most IDUs were not aware of their infection status. Data from a national surveillance programme shows that a third of the IDUs were HIV positive. Amongst all HIV positive cases, almost two-thirds had a history of intravenous drug use. A number of studies have ...
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Objective: Injection drug use (IDU) remains a major risk factor for HIV-1 acquisition. The complex interplay between drug use, non-sterile injection, and Hepatitis C rema..
KENILWORTH, N.J.--(BUSINESS WIRE)--Merck (NYSE:MRK), known as MSD outside the United States and Canada, today announced the presentation of results from the companys Phase 3 C-EDGE CO-STAR clinical trial evaluating the efficacy and safety of the investigational once-daily tablet elbasvir/grazoprevir1 (50mg/100mg) in patients with chronic hepatitis C virus (HCV) genotypes (GT) 1, 4 or 6 infection who inject drugs and are receiving opioid agonist therapy (OAT). Ninety-five percent (189/198) of patients treated with elbasvir/grazoprevir for 12 weeks in the pre-specified primary efficacy analysis population achieved sustained virologic response 12 weeks after the completion of treatment (SVR12, considered virologic cure). Adherence to treatment was high, with 97 percent of patients taking at least 95 percent of their study medication over the 12 weeks of therapy. These findings will be featured today at the American Association for the Study of Liver Diseases Presidents Press Conference at The ...
Congress had banned the use of federal money to finance needle exchange programs. Supporters of the ban thought such programs encouraged drug use. Now, activists see the lifting of the ban as a step forward in the fight to stop the spread of HIV/AIDS.
BACKGROUND: Since 2003 Thailand has waged an aggressive war on drugs campaign focused on arresting and incarcerating suspected drug users and dealers. However, little is known about incarceration experiences among IDU in the wake of the recent war on drugs. Therefore, we sought to examine incarceration experiences among IDU in Bangkok, Thailand. METHODS: We examined the prevalence of incarceration among community-recruited IDU participating in the Mitsampan Community Research Project.
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Despite being at an increased risk for HIV and hepatitis C, persons who inject drugs (PWID) are tested at dismal rates for both: just 8.6% and 7.7%, respectively, according to data from 2010 to 2017. PWID who live in rural communities are more likely to face barriers to adequate testing and care for both diseases.
The AIDS Linked to the Intravenous Experience (ALIVE) Study is a long-standing community based research effort that includes past and current injection drug users (IDUs). ALIVE has been ongoing since 1988 and is one of the longest-running community-based cohorts of IDUs in existence. The primary objectives when the study started were to characterize the incidence and natural history of HIV among injection drug users (IDUs). Since 1998, the research objectives have evolved to include characterization of access to and impact of treatment for HIV, evaluation of non-AIDS outcomes among an aging cohort as well as ascertainment of the incidence, natural history and treatment of co-infections such as hepatitis C virus. Importantly, the ALIVE study serves as a platform for numerous other research studies focused on IDUs in Baltimore. These range in scope from focusing on HIV associated co-infections and comorbidities (e.g., HCV and pulmonary disease) to intervention studies. ...
For injecting drug users there are other important considerations. This includes that injecting drug-users often chaotic lives mean that they can find it difficult to access health services and may only be in contact with health professionals sporadically. This trial included only those who were currently attending drug treatment clinics. However, there are likely to be many other vulnerable groups of injecting drug users in the community who are not attending clinics, or who attend but then are lost to follow-up. Therefore, ensuring that all drug users are able to access care, and receive continued care and treatment may be issues that would need to be considered ...
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The increasing number of injecting drug users (IDUs) and the growing HIV/AIDS epidemic in Burma presents one of the most serious health threats to the population in the country, and also to the region at large. Infection rates among IDUs in Burma are among the highest in the world. The international community needs to make a firm commitment to stem the HIV/AIDS epidemic in Burma and should ensure sufficient and long-term financial support for HIV/AIDS and harm reduction programmes.. ...
The provision of programs to prevent the spread of HIV and hepatitis among people who inject drugs (PWID) is inadequate in many countries around the world and presents a critical public health problem, comprehensive reviews by Australian researchers from the National Drug and Alcohol Research Centre at UNSW Sydney have found.. The two reviews of the global prevalence of injecting drug use and of interventions to prevent the spread of blood borne viruses among PWID are published today in leading international journal The Lancet Global Health.. The authors estimate that 15.6 million people have recently injected drugs. Of these, 18% are living with HIV infection and 52% test positive for hepatitis C (HCV) antibody.. Yet despite evidence that needle and syringe programs (NSP) and opioid substitution therapy (OST) reduce HIV and HCV infections, they are still not being implemented in many places, and few people can access them in many countries, the authors found.. Australia is one of only four ...
Problematic use of prescription-type opioids prior to heroin use among young heroin injectors Robin A Pollini1, Caleb J Banta-Green2, Jazmine Cuevas-Mota3, Mitcheal Metzner3, Eyasu Teshale4, Richard S Garfein31Pacific Institute for Research and Evaluation, Calverton, MD; 2Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA; 3Department of Medicine, University of California San Diego, La Jolla, CA; 4National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USABackground: Misuse of prescription-type opioids and related adverse health effects are increasing, but little is known about the role of these drugs as a precursor to heroin use. We conducted an exploratory study to determine the proportion of young heroin injectors reporting problematic use of prescription-type opioids prior to using heroin, and to describe the factors associated with prior problematic prescription-type opioid use.Methods: Between March 2009
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Increasing prevalence of HIV, and persistent high-risk behaviours among drug users in Bangladesh: need for a comprehensive harm reduction programme.: There are