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, Greece, Ireland, Israel, Luxembourg, Romania , Scotland , and USA . Factors common to many of these outbreaks included community economic problems, homelessness, and changes in drug injection patterns. 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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