HIV outbreaks among people who inject drugs in Europe, North America, and Israel

Common factors in many of the outbreaks have included inadequate or disrupted HIV prevention services, community economic problems, changes in the patterns of drugs injected, and  People who inject drugs (PWID) experiencing homelessness as a highly susceptible subgroup. Successful long-term maintenance of low rates of new HIV infections among PWID needs to be based on a proactive attitude, high coverage of combined prevention programmes (particularly for highly susceptible subpopulations), continuous monitoring of the local drug use situation, and previous planning for addressing an outbreak. The Lancet HIV

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