Strathdee - CNT Lab W OODS S TRATDHEE C ARDS 2010 Strathdee...

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Unformatted text preview: CNT Lab W OODS S TRATDHEE C ARDS 2010 Strathdee Cards- 1- CNT Lab W OODS S TRATDHEE C ARDS 2010 INJECTION DRUG USE HIV PUBLIC HEALTH CONCERN Injection drug use is a significant cause of HIV both in the US and globally. Strathdee et al, Strathdee, Steffanie A., and David Vlahov. "The Effectiveness of Needle Exchange Programs: A Review of the Science and Policy." AIDScience 1.16 (2001). Print. 1Department of Epidemiology, Bloomberg School of Public Health , Johns Hopkins University, Baltimore, Maryland, United States. 2 Joseph L. Mailman School of Public Health , Columbia University, New York, New York, United States. [CNT/jcw] From the public health perspective, it is important to ensure that persons who cannot or will not cease injection of illicit drugs are not at risk of these infections. In the United States alone , injection drug use accounts for approximately half of all new HIV infections annually , either directly through needle sharing between injection drug users (IDUs), or indirectly through sexual transmission among IDUs and their sexual partners ( 1 ). Although the incidence of vertical HIV transmission has decreased dramatically in developed countries since the advent of antiretroviral therapies offered to HIV-infected mothers, the majority of perinatally acquired HIV infections in North America can be traced back to a parent who was an Injection Drug User. The urgency of providing IDUs with widespread access to sterile injection equipment is apparent on a global level when examining the link between initiation of injection and HIV infection ( Table 1 ). In 1992, there were 80 countries, regions, and territories reporting injection drug use, of which 52 (65%) also reported HIV among IDUs. In 1999, there were 134 such regions reporting injection drug use, of which 114, or 84%, reported HIV among IDUs (personal communication, Andrew Ball, 2001). In less than a decade, we have therefore witnessed nearly a 20% proportionate increase in the occurrence of HIV among countries reporting injection drug use, which underscores the need for prevention activities to start early before an epidemic takes hold. - 2- CNT Lab W OODS S TRATDHEE C ARDS 2010 EXPLANATION OF NEEDLE EXCHANGE PROGRAM Strathdee et al explains the function of needle exchange programs....
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Strathdee - CNT Lab W OODS S TRATDHEE C ARDS 2010 Strathdee...

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