Impact of COVID-19 & Response Measures on HIV-HCV Prevention Services and Social Determinants in People Who Inject Drugs in 13 Sites with Recent HIV Outbreaks in Europe, North America and Israel

HIV/HCV prevention among people who inject drugs (PWID) is of key public health importance. We aimed to assess the impact of COVID-19 and associated response measures on HIV/HCV prevention services and socio-economic status of PWID in high-HIV-risk sites. Sites with recent (2011–2019) HIV outbreaks...

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Published in:	AIDS and behavior Vol. 27; no. 4; pp. 1140 - 1153
Main Authors:	Wiessing, Lucas, Sypsa, V., Abagiu, A. O., Arble, A., Berndt, N., Bosch, A., Buskin, S., Chemtob, D., Combs, B., Conyngham, C., Feelemyer, J., Fitzgerald, M., Goldberg, D., Hatzakis, A., Patrascu, R. E., Keenan, E., Khan, I., Konrad, S., Leahy, J., McAuley, A., Menza, T., Merrick, S., Metcalfe, R., Rademaker, T., Revivo, S., Rosca, P., Seguin-Devaux, C., Skinner, S., Smith, C., Tinsley, J., Wilberg, M., Des Jarlais, D.
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-04-2023 Springer Nature B.V
Subjects:	Antiretroviral agents Antiretroviral drugs Blood diseases Codification COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Disease control Disease Outbreaks - prevention & control Drug abuse Drug Users Drugs Economics Europe - epidemiology Food Health Psychology Hepacivirus Hepatitis Hepatitis C Hepatitis C - epidemiology Hepatitis C - prevention & control HIV HIV Infections - epidemiology HIV Infections - prevention & control Homeless people Homelessness Human immunodeficiency virus Humans Hygiene Infectious Diseases Israel - epidemiology Medical treatment Medicine Medicine & Public Health Needle exchange programs Opioids Original Paper Outbreaks Overdose Pharmaceutical Preparations Prevention Public Health Qualitative analysis Side effects Social Determinants of Health Socioeconomic status Socioeconomics Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - epidemiology Syringes Viral diseases Europe Israel North America COVID-19 Prevention Services Homelessness Treatment HIV Social determinants Outbreaks Overdose Hepatitis C Epidemiology People who inject drugs (PWID)
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Summary:	HIV/HCV prevention among people who inject drugs (PWID) is of key public health importance. We aimed to assess the impact of COVID-19 and associated response measures on HIV/HCV prevention services and socio-economic status of PWID in high-HIV-risk sites. Sites with recent (2011–2019) HIV outbreaks among PWID in Europe North America and Israel, that had been previously identified, were contacted early May 2020. Out of 17 sites invited to participate, 13 accepted. Semi-structured qualitative site reports were prepared covering data from March to May 2020, analyzed/coded and confirmed with a structured questionnaire, in which all sites explicitly responded to all 103 issues reported in the qualitative reports. Opioid maintenance treatment, needle/syringe programs and antiretroviral treatment /hepatitis C treatment continued, but with important reductions and operational changes. Increases in overdoses, widespread difficulties with food and hygiene needs, disruptions in drug supply, and increased homelessness were reported. Service programs rapidly reformed long established, and politically entrenched, restrictive service delivery policies. Future epidemic control measures should include mitigation of negative side-effects on service provision and socio-economic determinants in PWID.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-022-03851-x