The influence of needle exchange programs on injection risk behaviors and infection with hepatitis C virus among young injection drug users in select cities in the United States, 1994–2004

2009 ◽  
Vol 49 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Deborah Holtzman ◽  
Vaughn Barry ◽  
Lawrence J. Ouellet ◽  
Don C. Des Jarlais ◽  
David Vlahov ◽  
...  

1995 ◽  
Vol 23 (4) ◽  
pp. 382-388 ◽  
Author(s):  
Sana Loue ◽  
Peter Lurie ◽  
Linda S. Lloyd

United States public health experts have long expressed concern about the prevalence of the human immunodeficiency virus (HIV) among injection drug users (IDUs). The United States has the largest reported IDU population in the world: 1.1 to 1.5 million. Recent estimates from the Centers for Disease Control and Prevention (CDC) suggest that 50 percent of incident HIV infections occur among IDUs, with additional infections occurring among their sex partners and offspring. More than 33 percent of new AIDS cases occur in IDUs, their sexual partners, and their children. Almost one half of all women diagnosed with AIDS in the United States are IDUS. Many of the remaining infected women were infected as a result of sex with a male IDU.While public health agencies, legislators, community leaders, and religious groups have engaged in vigorous debate over the merits of needle exchange programs (NEPs) as an intervention to reduce HIV transmission, the programs, some legal and some illegal, have been implemented in fifty-five cities across the country.





1997 ◽  
Vol 27 (1) ◽  
pp. 117-134 ◽  
Author(s):  
Alex Wodak ◽  
Peter Lurie

Prevalence of injectable drug use is surprisingly similar in Australia and the United States. HIV prevalence among injection drug users (IDUs) is less than 5% in Australia and about 14% in the United States. IDUs accounted for 2.5% of AIDS cases in Australia in 1994 and 28% in the United States in 1993. Harm reduction was officially adopted in Australia in 1985 but has been explicitly rejected by the U.S. government. In 1994, needle programs exchanged over 10 million syringes from over 4,000 outlets in Australia while 55 needle exchange programs in the United States exchanged almost eight million syringes. Since 1985, methadone maintenance expanded almost ten-fold in Australia but barely increased in the United States. Timely and vigorous adoption of harm reduction strategies in Australia and the relative lack of such programs in the United States is the most plausible explanation for the good control of HIV among IDUs in Australia and poor control in the United States.





AIDS ◽  
2007 ◽  
Vol 21 (14) ◽  
pp. 1923-1932 ◽  
Author(s):  
Richard S Garfein ◽  
Elizabeth T Golub ◽  
Alan E Greenberg ◽  
Holly Hagan ◽  
Debra L Hanson ◽  
...  


2004 ◽  
Vol 27 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Robert F. Schilling ◽  
Jorge Fontdevila ◽  
Daniel Fernando ◽  
Nabila El-Bassel ◽  
Edgar Monterroso


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