By D. C. Des Jarlais (auth.), DDr. Norbert Loimer, Univ.-Doz. Dr. Rainer Schmid, Univ.-Prof. Dr. Alfred Springer M. D. (eds.)
AIDS and drug dependancy is a subject of significant and becoming drawback. AIDS first seemed between intravenous drug clients in Europe in 1984, 3 years after the 1st situations have been obvious between homosexuals. This epidemic has unfold extra swiftly between intravenous drug clients than in the other chance workforce. The excessive charges of HIV-1 seroprevalence between drug clients in France, Italy, and Spain account for eighty five% of the whole variety of AIDS in intravenous drug clients in Europe. it truly is expected that HIV-infected drug clients will quickly position a heavy burden on either drug remedy amenities and really expert wellbeing and fitness care devices. The HIV-1 epidemic also will move the previous iron curtain. This contribution covers the large and intricate scene of drug difficulties and dependancy as a complete. It provides researchers a chance to procure heritage info at the unfold of HIV and AIDS between intravenous drug clients in addition to at the medical and mental results of HIV-1 an infection and AIDS in Europe. the subjects reviewed contain surveys of intravenous drug use, HIV occurrence, detoxing, hazard relief, altering overall healthiness behaviors, comparing AIDS interventions and the influence of methadone upkeep remedy. This monograph should be of price to all clinicians, researchers, and coverage makers who're interested in the relationship among intravenous drug use and AIDS.
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Additional resources for Drug Addiction and AIDS
First, as for any kind of outlaw behaviour, precise measures are impossible, the target population being obliged to hide and sometimes to avoid contacts, even with therapeutic facilities. A second important limit comes from recruitment bias, since most of our prevalence studies took place within specific sub-populations, such as methadone clients, inmates, drug users who voluntarily submitted to HIV screening, and street contacts. Thirdly, as usual in Belgium where epidemiological studies are in general rather scarce, there are no large scale prevalence surveys among drug users or abusers.
80% of all the treated addicts in 1991 are heroin dependent. In order to get an insight into some characteristics of the group of addicts treated in 1990 in the therapeutic community of the Zagreb Center for Dependences a survey from the hospital register in the form of tables. The programme has covere d 156 persons from Croatia. All the cases have been tested on HIV twice and all have been found HIV seronegative. 54 Table 1 Addicts treated in Center for Dependences of the Clinical Hospital "Dr.
The results are shown in Table II. There was no death case with negative toxicological findings. The most common findings were opiates in combination with medicinal drugs and/or alcohol or amphetamine (demonstrated in 36 of 55 analyzed postmortem 29 TABLE I. MAIN DRUG AND HIV-STATUS OF 331 DRUG ADDICTS DYING OUTSIDE HOSPITALS IN STOCKHOLM 1985 - 1990. Main drug Hlv-negative HIV-positive n (%) n (%) Opiates, n = 245 Amphetamine, n = 59 Cocaine, n 6 Not known, n = 21 193 57 6 18 TOTAL: 274 (83) 331 (79) (96) (100) (86) 52 (21) 2 (4) 0 3 (14) 57 (17) samples).
Drug Addiction and AIDS by D. C. Des Jarlais (auth.), DDr. Norbert Loimer, Univ.-Doz. Dr. Rainer Schmid, Univ.-Prof. Dr. Alfred Springer M. D. (eds.)