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

^*Corresponding author for this work

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Abstract

During 2011-2016, HIV outbreaks occurred among people who inject drugs (PWID) in Athens, Greece; Bucharest, Romania; Dublin, Ireland; Glasgow, Scotland; Luxembourg; southeastern Saskatchewan, Canada; Scott County, Indiana, United States; and Tel Aviv, Israel. Factors common to several 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 prior, during and after the outbreaks. Countries need to ensure high coverage of HIV prevention services; coverage higher than current UNAIDS recommendation may 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 behaviors and vulnerable subgroups, such as homeless PWID, needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.

Original language	English
Pages (from-to)	E434-E442
Number of pages	9
Journal	The Lancet HIV
Volume	7
Issue number	6
DOIs	https://doi.org/10.1016/S2352-3018(20)30082-5
Publication status	Published - 1 Jun 2020

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10.1016/S2352-3018(20)30082-5

Des Jarlais, D.C. et al (2020) A comparative analysis of recent HIV outbreaks among people who inject drugs in Europe, North America and Israel
© 2020 Elsevier. Reproduced in accordance with the publisher's self-archiving policy. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
Author accepted manuscript, 665 KBLicence: CC BY-NC-ND

Cite this

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

@article{af4ea9a402994653817a30f8408fc924,

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

abstract = "During 2011-2016, HIV outbreaks occurred among people who inject drugs (PWID) in Athens, Greece; Bucharest, Romania; Dublin, Ireland; Glasgow, Scotland; Luxembourg; southeastern Saskatchewan, Canada; Scott County, Indiana, United States; and Tel Aviv, Israel. Factors common to several 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 prior, during and after the outbreaks. Countries need to ensure high coverage of HIV prevention services; coverage higher than current UNAIDS recommendation may 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 behaviors and vulnerable subgroups, such as homeless PWID, needs to be in place to prevent or rapidly detect and contain new HIV outbreaks. ",

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

note = "Acceptance in SAN AAM: apply 6m embargo Checked author contributions with depositing user - confirmed SH not one of the authors for this paper. ET 23/3/20",

year = "2020",

month = jun,

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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

TY - JOUR

T1 - HIV outbreaks among people who inject drugs in Europe, North America and Israel

AU - Des Jarlais, Don C.

AU - Sypsa , Vana

AU - Feelemyer , Jonathan

AU - Abagiu , Adrian O.

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

AU - Jipa , Raluca E.

AU - Katchman , Eugene

AU - Keenan , Eamon

AU - Khan , Ibrahim

AU - Konrad , Stephanie

AU - McAuley, Andrew

AU - Skinner , Stuart

AU - Wiessing , Lucas

N1 - Acceptance in SAN AAM: apply 6m embargo Checked author contributions with depositing user - confirmed SH not one of the authors for this paper. ET 23/3/20

PY - 2020/6/1

Y1 - 2020/6/1

N2 - During 2011-2016, HIV outbreaks occurred among people who inject drugs (PWID) in Athens, Greece; Bucharest, Romania; Dublin, Ireland; Glasgow, Scotland; Luxembourg; southeastern Saskatchewan, Canada; Scott County, Indiana, United States; and Tel Aviv, Israel. Factors common to several 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 prior, during and after the outbreaks. Countries need to ensure high coverage of HIV prevention services; coverage higher than current UNAIDS recommendation may 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 behaviors and vulnerable subgroups, such as homeless PWID, needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.

AB - During 2011-2016, HIV outbreaks occurred among people who inject drugs (PWID) in Athens, Greece; Bucharest, Romania; Dublin, Ireland; Glasgow, Scotland; Luxembourg; southeastern Saskatchewan, Canada; Scott County, Indiana, United States; and Tel Aviv, Israel. Factors common to several 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 prior, during and after the outbreaks. Countries need to ensure high coverage of HIV prevention services; coverage higher than current UNAIDS recommendation may 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 behaviors and vulnerable subgroups, such as homeless PWID, needs to be in place to prevent or rapidly detect and contain new HIV outbreaks.

U2 - 10.1016/S2352-3018(20)30082-5

DO - 10.1016/S2352-3018(20)30082-5

M3 - Article

VL - 7

SP - E434-E442

JO - The Lancet HIV

JF - The Lancet HIV

SN - 2352-3018

IS - 6

ER -

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

Abstract

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