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Review
. 2016 Jul/Aug;24(2):90-92.

HIV Transmission and Injection Drug Use: Lessons From the Indiana Outbreak

Diane M Janowicz  1
Affiliations
Review

HIV Transmission and Injection Drug Use: Lessons From the Indiana Outbreak

Diane M Janowicz. Top Antivir Med. 2016 Jul/Aug.

Abstract

A recent outbreak of HIV infection centered in the rural town of Austin in Scott County, Indiana, was associated with widespread injection drug use and a socio-economically depressed population. Control of the outbreak required coordinated efforts by state, federal, local, and academic institutions to implement and maintain on-site programs and services that included contact tracing, HIV and hepatitis C virus testing, insurance enrollment, syringe exchange, rehabilitation services, care coordination, preexposure prophylaxis, and HIV treatment. This article summarizes a presentation by Diane M. Janowicz, MD, at the IAS-USA continuing education program, Improving the Management of HIV Disease, held in Los Angeles, California, in April 2016.

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Conflict of interest statement

Financial affiliations in the past 12 months: Dr Janowicz has no relevant financial affiliations to disclose.

Figures

Figure 1.
Figure 1.
HIV diagnoses per week from November 2014 through July 2015 in Scott County, Indiana. Additional cases have been diagnosed since then. Adapted with permission from Brooks.
See this image and copyright information in PMC

References

    1. Galang RR, Gentry J, Peters PJ et al. HIV-1 and HCV molecular epidemiology of a large community outbreak of HIV-1 infection linked to injection drug use of oxymorphone-Indiana, 2015. IAS Conference on HIV Pathogenesis, Treatment, and Prevention July 19-22, 2015; Vancouver, Canada.
    1. Campbell EM, Galang RR, Heneine W, et al. Infer and characterize a transmission network in an opioid-driven HIV-1 outbreak. Top Antivir Med. 2016;24(e-1):84-85.
    1. Peters PJ, Pontones P, Hoover KW, et al.HIV infection linked to injection use of oxymorphone in Indiana, 2014–2015. N Engl J Med. 2016;375:229-239 - PubMed
    1. Indiana State Department of Health. State health officials discuss long term planning process for HIV outbreak response and transition. http://www.in.gov/isdh/files/June_19_State_Health_Officials_Discuss_Long.... Accessed on August 1, 2016.
    1. Patel MR, Combs B, Hall P et al. Reduction in injection risk behaviors after institution of an emergency syringe exchange program during an HIV outbreak among persons who inject drugs, Indiana 2015. ID Week. October 7-11, 2015; San Diego, California.

MeSH terms