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

Don C. Des Jarlais; Vana Sypsa; Jonathan Feelemyer; Adrian O. Abagiu; Vic Arendt; Dita Broz; Daniel Chemtob; Carole Seguin-Devaux; Joan M. Duwve; Margaret Fitzgerald; David J. Goldberg; Angelos Hatzakis; Raluca E. Jipa; Eugene Katchman; Eamon Keenan; Ibrahim Khan; Stephanie Konrad; Andrew McAuley; Stuart Skinner; Lucas Wiessing

doi:10.1016/S2352-3018(20)30082-5

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

Don C. Des Jarlais, Vana Sypsa, Jonathan Feelemyer, Adrian O. Abagiu, Vic Arendt, Dita Broz, Daniel Chemtob, Carole Seguin-Devaux, Joan M. Duwve, Margaret Fitzgerald, David J. Goldberg, Angelos Hatzakis, Raluca E. Jipa, Eugene Katchman, Eamon Keenan, Ibrahim Khan, Stephanie Konrad, Andrew McAuley, Stuart Skinner, Lucas Wiessing

Global Public Health

Research output: Contribution to journal › Review article › peer-review

Abstract

During 2011–16, HIV outbreaks occurred among people who inject drugs (PWID) in Canada (southeastern Saskatchewan), Greece (Athens), Ireland (Dublin), Israel (Tel Aviv), Luxembourg, Romania (Bucharest), Scotland (Glasgow), and USA (Scott County, Indiana). Factors common to many of these outbreaks included community economic problems, homelessness, and changes in drug injection patterns. The outbreaks differed in size (from under 100 to over 1000 newly reported HIV cases among PWID) and in the extent to which combined prevention had been implemented before, during, and after the outbreaks. Countries need to ensure high coverage of HIV prevention services and coverage higher than the current UNAIDS recommendation might be needed in areas in which short acting drugs are injected. In addition, monitoring of PWID with special attention for changing drug use patterns, risk behaviours, and susceptible subgroups (eg, PWID experiencing homelessness) needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.

Original language	English (US)
Pages (from-to)	e434-e442
Journal	The Lancet HIV
Volume	7
Issue number	6
DOIs	https://doi.org/10.1016/S2352-3018(20)30082-5
State	Published - Jun 2020

ASJC Scopus subject areas

Epidemiology
Immunology
Infectious Diseases
Virology

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10.1016/S2352-3018(20)30082-5

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Des Jarlais, D. C., Sypsa, V., Feelemyer, J., Abagiu, A. O., Arendt, V., Broz, D., Chemtob, D., Seguin-Devaux, C., Duwve, J. M., Fitzgerald, M., Goldberg, D. J., Hatzakis, A., Jipa, R. E., Katchman, E., Keenan, E., Khan, I., Konrad, S., McAuley, A., Skinner, S., & Wiessing, L. (2020). HIV outbreaks among people who inject drugs in Europe, North America, and Israel. The Lancet HIV, 7(6), e434-e442. https://doi.org/10.1016/S2352-3018(20)30082-5

Des Jarlais, DC, Sypsa, V, Feelemyer, J, Abagiu, AO, Arendt, V, Broz, D, Chemtob, D, Seguin-Devaux, C, Duwve, JM, Fitzgerald, M, Goldberg, DJ, Hatzakis, A, Jipa, RE, Katchman, E, Keenan, E, Khan, I, Konrad, S, McAuley, A, Skinner, S & Wiessing, L 2020, 'HIV outbreaks among people who inject drugs in Europe, North America, and Israel', The Lancet HIV, vol. 7, no. 6, pp. e434-e442. https://doi.org/10.1016/S2352-3018(20)30082-5

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

abstract = "During 2011–16, HIV outbreaks occurred among people who inject drugs (PWID) in Canada (southeastern Saskatchewan), Greece (Athens), Ireland (Dublin), Israel (Tel Aviv), Luxembourg, Romania (Bucharest), Scotland (Glasgow), and USA (Scott County, Indiana). Factors common to many of these outbreaks included community economic problems, homelessness, and changes in drug injection patterns. The outbreaks differed in size (from under 100 to over 1000 newly reported HIV cases among PWID) and in the extent to which combined prevention had been implemented before, during, and after the outbreaks. Countries need to ensure high coverage of HIV prevention services and coverage higher than the current UNAIDS recommendation might be needed in areas in which short acting drugs are injected. In addition, monitoring of PWID with special attention for changing drug use patterns, risk behaviours, and susceptible subgroups (eg, PWID experiencing homelessness) needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.",

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AU - Arendt, Vic

AU - Broz, Dita

AU - Chemtob, Daniel

AU - Seguin-Devaux, Carole

AU - Duwve, Joan M.

AU - Fitzgerald, Margaret

AU - Goldberg, David J.

AU - Hatzakis, Angelos

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AU - Katchman, Eugene

AU - Keenan, Eamon

AU - Khan, Ibrahim

AU - Konrad, Stephanie

AU - McAuley, Andrew

AU - Skinner, Stuart

AU - Wiessing, Lucas

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

Abstract

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