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July 2, 1997

Publication of HIV-Prevention Bulletin for Health-Care Providers Regarding Advice to Persons Who Inject Illicit Drugs

JAMA. 1997;278(1):19. doi:10.1001/jama.1997.03550010031017

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PERSONS who inject illicit drugs are at risk for acquiring and transmitting bloodborne infections, including human immunodeficiency virus, hepatitis B, and hepatitis C. CDC, the Health Resources and Services Administration, the National Institute on Drug Abuse of the National Institutes of Health, and the Substance Abuse and Mental Health Services Administration have released a bulletin for health-care providers that contains the following provisional recommendations for persons who continue to inject illicit drugs:

1. Stop using and injecting drugs.

2. Enter and complete substanceabuse treatment, including relapse prevention.

3. If use of illicit injected drugs continues, take the following steps to reduce personal health risks and public health risks:

a. Never reuse or "share" syringes, water, or drug-preparation equipment.

b. Use only syringes obtained from a safe, reliable source (e.g., pharmacies).

c. Use a new, sterile syringe to prepare and inject drugs.

d. If possible, use sterile water to