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Reflecting on HIV and hepatitis C virus infections among injecting drug users in Europe on World Aids Day - Eurad
EURAD
96-98, Rue des Confédérés
B-1000, Brussels
Belgium

The EMCDDA and ECDC have contributed to a special issue of Eurosurveillance to mark World AIDS Day (1st December 2011).
Overall, a marked decrease in the number of reported newly diagnosed HIV infections due to injecting drug use has been observed in most of the EU/EEA countries; however, high or increasing numbers (in Bulgaria, Estonia, Iceland, Latvia, Lithuania and Portugal) were still reported until 2010, reflecting continued transmission in the region. Recent outbreaks of HIV infection in 2011 in IDUs in Greece and Romania confirm a risk of new increases in countries so far less affected by the HIV epidemic in IDUs.
Data on newly diagnosed HIV infections and HIV prevalence in 2005 to 2010 suggest falling infection rates in injecting drug users (IDUs) in the European Union (EU). However, recent increases in HIV and hepatitis C virus (HCV) infection rates in IDUs suggest increasing injecting risks in some countries.Very high numbers and rates of newly diagnosed HIV infections continue to be reported from eastern European countries neighbouring those of the EU (e.g. Armenia, Belarus, Georgia and Ukraine).
The observed reduction in HIV infections among IDUs in the EU overall in the new millennium is mainly due to large decreases in some of the most affected large countries (in the western part of the EU), which may reflect the combined effects of marked increases in coverage of prevention measures, reductions in risk behaviour among IDUs, declines in the prevalence of injecting drug use (IDU population size) and saturation effects, where incidence naturally declines after explosive spread has reached most high-risk individuals.
The full report can be accessed here.
To read more about the decline in the prevalence of injecting drug use, referred to in this article, please refer to The State Of The Drugs Problem In Europe.

In response to a notified increase in HIV cases among injecting drug users (IDU) in Greece and Romania, the European Commission asked the European Centre for Disease Prevention and Control (ECDC) and the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) in November 2011 to conduct a rapid inquiry to investigate whether such increases had occurred in other countries. Read more about New EMCDDA Rapid Assessment on HIV in injecting drug users in the EU/EEA, following a reported increase of cases in Greece and Romania

The conference will focus on the theme "From Clinical practice to Public Health: The two dimensions of Brief Interventions" and will be held on 27th - 28th September 2012 in Barcelona. The conference will be in English but translation into Spanish will be available. Read more about 9th Conference of INEBRIA: International Network on Brief Interventions for Alcohol and Other Drugs

The EMCDDA will hold a two-week summer school on illicit drugs in Lisbon from 2nd-13th July 2012. Only 50 places available. Read more about Registration opens for European summer school on illicit drugs

A study from Rhode Island Hospital has found that collaborative behavioral management may be effective in reducing substance abuse in the parole setting. Read more about Using behavioral management to reduce substance abuse, crime and re-arrest among drug-involved parolees