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Threading the Needle — How to Stop the HIV Outbreak in Rural Indiana
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Threading the Needle — How to Stop the HIV Outbreak in Rural Indiana
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Journal Article
Threading the Needle — How to Stop the HIV Outbreak in Rural Indiana
2015
Overview
An HIV outbreak in rural Indiana provides a cautionary tale. An aggressive, multipronged strategy is needed to prevent similar outbreaks, and it requires permanently lifting the ban on using federal funds to support needle-exchange programs.
Many observers were surprised when Indiana Governor Mike Pence issued an executive order on March 26, 2015, declaring a public health emergency after a rapidly escalating outbreak of human immunodeficiency virus (HIV) was identified in Scott County, a rural region on the Kentucky border.
1
Others, however, had seen it coming.
Over the years, a growing number of young people in Scott County — like those in surrounding counties and states — had begun abusing opiates such as oxymorphone, an opioid analgesic prescribed by local medical providers, until a more tamper-resistant formulation and policy reform began limiting its abuse. Facing the . . .
Publisher
Massachusetts Medical Society
Subject
/ Adult
/ Disease Outbreaks - prevention & control
/ Disease Transmission, Infectious - prevention & control
/ Female
/ HIV
/ HIV Infections - epidemiology
/ HIV Infections - prevention & control
/ HIV Infections - transmission
/ Human immunodeficiency virus
/ Humans
/ Male
/ Needle-Exchange Programs - economics
/ Needle-Exchange Programs - legislation & jurisprudence
/ Opioid-Related Disorders - epidemiology
/ Public Health Practice - legislation & jurisprudence
/ Substance Abuse, Intravenous - complications
