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Deadly Public Policy: What the Future Could Hold for the HIV Epidemic among Injection Drug Users in Vancouver
- Source :
- Current HIV/AIDS Reports. 9:394-400
- Publication Year :
- 2012
- Publisher :
- Springer Science and Business Media LLC, 2012.
-
Abstract
- The scope and scale of the HIV outbreak that occurred among injection drug users in Vancouver in the late 1990s was unprecedented and resulted in some 2,000 new HIV infections, with incidence rates reaching 18 per 100 person-years. This outbreak, localized mainly in one neighbourhood, cost the Canadian health care system more than 1 billion dollars to diagnose, care and treat. A number of factors combined to stabilize HIV incidence: 1) HIV prevalence became saturated among those at highest risk; 2) several public health policies focused on drug users were implemented, including increased and additional decentralized needle exchange programs, expanded methadone maintenance services, better addiction treatment services, improved housing, and mental health programs; and 3) increased access and expansion of Highly Active Antiretroviral Therapy. To ensure that a similar outbreak never occurs again in Vancouver and other cities, future health policy must consider the political, psychosocial and socioeconomic factors that contributed to this outbreak. These policies must address the unintended adverse consequences of past policies and their repercussions for marginalized individuals living in this community and beyond.
- Subjects :
- Male
Canada
Methadone maintenance
medicine.medical_specialty
Public policy
Public Policy
Disease Outbreaks
Medication Adherence
Drug Users
Antiretroviral Therapy, Highly Active
Virology
Environmental health
HIV Seropositivity
Health care
Prevalence
medicine
Humans
Substance Abuse, Intravenous
Health policy
Acquired Immunodeficiency Syndrome
business.industry
Health Policy
Incidence
Public health
medicine.disease
Mental health
Needle-Exchange Programs
Substance abuse
Infectious Diseases
Female
business
Psychosocial
Subjects
Details
- ISSN :
- 15483576 and 15483568
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Current HIV/AIDS Reports
- Accession number :
- edsair.doi.dedup.....0948ae6807afd80903dcaf110b9d3534