Mmwr hiv - remarkableCoronavirus News Center. Shifts in injectable drug use behaviors among white Americans could threaten years of declining U. HIV rates in persons who inject drugs, according to a federal report. Between and , the number of new HIV diagnoses in injectable drug users across all demographic groups declined nationally by nearly half, according to an analysis of national HIV surveillance survey data by the Centers for Disease Control and Prevention. The report was published online in Morbidity and Mortality Weekly Report. Of note is that marked the first time that rates of HIV diagnoses were higher in whites who inject drugs than in any other U. The overall drop in new HIV cases largely is due to safer drug use behaviors among blacks and Hispanics. This steady rate, combined with the fact that more whites than ever are using heroin and other drugs intravenously, worries federal health officials MMWR. Although more than half of those who reported injecting drugs in said they had obtained sterile equipment from a syringe sharing program, one in three also reported that during that time they also continued to share needles and syringes, meaning that needle sharing rates are virtually unchanged from Because sharing needles and syringes is a direct route of transmission for HIV, as well as the hepatitis B and C viruses, federal health officials are stressing the importance of syringe sharing programs. mmwr hiv
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Type Accommodation and the title of the report in the subject line of e-mail. Persons who inject drugs should use a new, sterile needle and syringe for each injection 1. Syringe exchange programs SEPs provide free sterile syringes and collect used syringes from injection-drug users IDUs to reduce transmission of bloodborne pathogens, including human immunodeficiency virus HIVhepatitis B mmwr hiv, and hepatitis C virus HCV. To characterize SEPs in the United States, this report summarizes the findings from that survey and compares them mmwr hiv previous Mmwr hiv survey results from the period 2 Inthe SEPs reported exchanging Providing comprehensive prevention services and referrals to IDUs, such as those offered by many SEPs, can help reduce the spread of bloodborne infections and should increase access to health care and substance abuse treatment, thus serving as an minimum wage sowell public health approach for this population.
Follow-up telephone interviews were conducted with the program directors by research staff members to clarify unclear or missing responses received on hard copy surveys. To protect participant confidentiality, many SEPs do not collect client-level data e.
The data collection and analysis methods for this report are similar to those used in previous SEP surveys 2 The analyses for this report are limited to frequencies. To assess changes in funding over time, budgets from previous years were adjusted to dollars. Data were compiled to show the numbers of programs known to NASEN, numbers of programs completing the surveys, syringes exchanged, and mmwr hiv information for the surveys conducted from through Mmar 1.
Mmwr hiv growth occurred in the number of SEPs in the United States in the s and early s, followed by more incremental growth through SEPs were categorized as small, medium, large, or very large based on the number of syringes exchanged during Table 2 ; SEPs reported exchanging a total of 29 mmwr hiv syringes in Inmany SEPs operated multiple sites, including fixed sites and mobile units. The total number of hours that clients were served by SEPs was summed for all sites operated by each program.
In addition to exchanging syringes, SEPs provided various supplies, services, and referrals in ; the percentage of programs providing each type of service was similar for the mmwr hiv Table 3. The findings in this report indicate that, inthe number of SEPs and the number of syringes exchanged remained similar to recent years, in contrast to a period of rapid growth from the mids through the early s.
Budgets for SEPs increased from throughwith the majority of funds coming from public sources.
SEP budgets support syringe exchange and various prevention services, clinical care, and referral to substance abuse treatment.]