To the Editor In the context of an outbreak of human immunodeficiency virus (HIV) in Indiana, Drs Rich and Adashi1 offered a historical overview of needle and syringe exchange programs (NSEPs) and their benefits and implementation challenges related to fiscal and ideological barriers. Although significant challenges remain, we believe Indiana’s response has great potential to leverage strong, lasting public health partnerships in rural and underserved communities.
Silverman RD, Meyerson B, Priest CF. Needle Exchange Programs for HIV Outbreaks. JAMA. 2015;314(19):2085. doi:10.1001/jama.2015.12672
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