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- W1991187436 abstract "Herpes simplex virus type 2 (HSV-2) affects HIV acquisition, transmission, and disease progression. Effective medications for genital herpes and for HIV/AIDS exist. Parenteral transmission of HIV among persons who inject drugs is decreasing. Reducing sexual transmission of HIV and HSV-2 among persons who use drugs (PWUD; i.e., heroin, cocaine, “speedball”, crack, methamphetamine through injection or non-injection) necessitates relevant services.We reviewed HSV-2 sero-epidemiology and HSV-2/HIV associations in U.S.-based studies with PWUD and the general literature on HSV-2 prevention and treatment published between 1995 and 2012. We used the 6-factor Kass framework to assess relevant HSV-2 public health strategies and services in terms of their goals and effectiveness; identification of, and minimization of burdens and concerns; fair implementation; and fair balancing of benefits, burdens, and concerns.Eleven studies provided HSV-2 serologic test results. High HSV-2 sero-prevalence (range across studies 38–75%) and higher sero-prevalence in HIV-infected PWUD (97–100% in females; 61–74% in males) were reported. Public health strategies for HSV-2 prevention and control in PWUD can include screening or testing; knowledge of HSV-2 status and partner disclosure; education, counseling, and psychosocial risk-reduction interventions; treatment for genital herpes; and HIV antiretroviral medications for HSV-2/HIV co-infected PWUD.HSV-2 sero-prevalence is high among PWUD, necessitating research on development and implementation of science-based public health interventions for HSV-2 infection and HSV-2/HIV co-infections, including research on effectiveness and cost-effectiveness of such interventions, to inform development and implementation of services for PWUD." @default.
- W1991187436 created "2016-06-24" @default.
- W1991187436 creator A5058766272 @default.
- W1991187436 date "2004-04-01" @default.
- W1991187436 modified "2023-10-16" @default.
- W1991187436 title "Hepatitis C prevention and treatment for substance users in the United States: acknowledging the elephant in the living room" @default.
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- W1991187436 doi "https://doi.org/10.1016/j.drugpo.2003.10.007" @default.
- W1991187436 hasPublicationYear "2004" @default.
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