TY - JOUR
T1 - Time to act
T2 - A call for comprehensive responses to HIV in people who use drugs
AU - Beyrer, Chris
AU - Malinowska-Sempruch, Kasia
AU - Kamarulzaman, Adeeba
AU - Kazatchkine, Michel
AU - Sidibe, Michel
AU - Strathdee, Steffanie A.
N1 - Funding Information:
The Series was funded by a grant from the Global Drug Policy Program of the Open Society Institute to CB's Center for Public Health and Human Rights at Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; and was funded in part by the US National Institute on Drug Abuse grant DA027772-S1 , awarded to SAS's programme in Global Health at University of California, San Diego, CA, USA. We thank Chiara Bucello, Bradley Mathers, Louisa Degenhardt, and the members of the Reference Group to the UN on HIV and Injecting Drug Use for providing figure 1 , Ralf Jürgens and Daniel Wolfe for thoughtful review, and Andrea Wirtz (Center for Public Health and Human Rights) for invaluable work on the report since its inception.
PY - 2010/8
Y1 - 2010/8
N2 - The published work on HIV in people who use drugs shows that the global burden of HIV infection in this group can be reduced. Concerted action by governments, multilateral organisations, health systems, and individuals could lead to enormous benefits for families, communities, and societies. We review the evidence and identify synergies between biomedical science, public health, and human rights. Cost-effective interventions, including needle and syringe exchange programmes, opioid substitution therapy, and expanded access to HIV treatment and care, are supported on public health and human rights grounds; however, only around 10 of people who use drugs worldwide are being reached, and far too many are imprisoned for minor offences or detained without trial. To change this situation will take commitment, advocacy, and political courage to advance the action agenda. Failure to do so will exacerbate the spread of HIV infection, undermine treatment programmes, and continue to expand prison populations with patients in need of care.
AB - The published work on HIV in people who use drugs shows that the global burden of HIV infection in this group can be reduced. Concerted action by governments, multilateral organisations, health systems, and individuals could lead to enormous benefits for families, communities, and societies. We review the evidence and identify synergies between biomedical science, public health, and human rights. Cost-effective interventions, including needle and syringe exchange programmes, opioid substitution therapy, and expanded access to HIV treatment and care, are supported on public health and human rights grounds; however, only around 10 of people who use drugs worldwide are being reached, and far too many are imprisoned for minor offences or detained without trial. To change this situation will take commitment, advocacy, and political courage to advance the action agenda. Failure to do so will exacerbate the spread of HIV infection, undermine treatment programmes, and continue to expand prison populations with patients in need of care.
UR - http://www.scopus.com/inward/record.url?scp=77956058280&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(10)60928-2
DO - 10.1016/S0140-6736(10)60928-2
M3 - Review Article
C2 - 20650515
AN - SCOPUS:77956058280
SN - 0140-6736
VL - 376
SP - 551
EP - 563
JO - The Lancet
JF - The Lancet
IS - 9740
ER -
