Rapid Identification and Investigation of an HIV Risk Network Among People Who Inject Drugs -Miami, FL, 2018
| Autor: | Allan Rodriguez, Felicia Marie Knaul, Tyler S. Bartholomew, Celeste Philip, Leah Colucci, Hansel E. Tookes, James Matthias, Michael A. Kolber, David W. Forrest, Karalee Poschman, Carina Blackmore, Shana Geary, Edward Suarez, Emma C Spencer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Human immunodeficiency virus (HIV) Outbreak investigation 030508 substance abuse HIV Infections Epidemiological method medicine.disease_cause Disease Outbreaks 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Risk-Taking Environmental health Medicine Humans 030212 general & internal medicine Substance Abuse Intravenous Syringe Aged Original Paper Transmission (medicine) business.industry Public health Public Health Environmental and Occupational Health Outbreak HIV Miami Middle Aged United States Health psychology Infectious Diseases Molecular surveillance Florida Female 0305 other medical science business People who inject drugs |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 |
| Popis: | Prevention of HIV outbreaks among people who inject drugs remains a challenge to ending the HIV epidemic in the United States. The first legal syringe services program (SSP) in Florida implemented routine screening in 2018 leading to the identification of ten anonymous HIV seroconversions. The SSP collaborated with the Department of Health to conduct an epidemiologic investigation. All seven acute HIV seroconversions were linked to care (86% within 30 days) and achieved viral suppression (mean 70 days). Six of the seven individuals are epidemiologically and/or socially linked to at least two other seroconversions. Analysis of the HIV genotypes revealed that two individuals are connected molecularly at 0.5% genetic distance. We identified a risk network with complex transmission dynamics that could not be explained by epidemiological methods or molecular analyses alone. Providing wrap-around services through the SSP, including routine screening, intensive linkage and patient navigation, could be an effective model for achieving viral suppression for people who inject drugs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink