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In Reply There have been many well-described epidemics of HIV among people who inject drugs around the world.1 Typically, in addition to limited access to sterile syringes, education, and treatment, a consistent theme in the setting of an injection drug use–driven outbreak is an environment in which there is stronger law enforcement than the public health approach to addiction.
Rich JD, Adashi EY. Needle Exchange Programs for HIV Outbreaks—Reply. JAMA. 2015;314(19):2085-2086. doi:10.1001/jama.2015.12675