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High HCV Death Rates in NYC; Estimating the Number of IDUs in the USA
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"we estimate that approximately 6,612,488 adults and adolescents ever injected drugs"
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Important to consider recently reported rates of HCC & related deaths are increasing & high in NYC reflecting the inner city HCV epidemic among Blacks & Latinos & older people. This reflects high rates of chronically infected HCV+ older people who are escaping screening, linkage & treatment. I am certain this data also reflects what's going on in other big cites in the USA. Global data has also reported increasing HCC & deaths. I think this reflects our inability to capture thispopuation through screening & linkage to treatment & cure. New innovative methods are needed to reach this population. we have had 95% HCV cure rates with new DAAs for many years now so we should have by now done a better job of figuring out how to reach these communities more successfully. I think complacency and inaction has become the norm around this question. We need new ideas & an infusion of new excitement & motivation to these problem. Jules Levin, NATAP
https://www.natap.org/2022/HCV/011822_03.htm
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Estimating the Number of Persons Who Inject Drugs in the United States by Meta-Analysis to Calculate National Rates of HIV and Hepatitis C Virus Infections
https://www.natap.org/2014/HCV/053014_01.htm
Using data from national population-based U.S. surveys, we estimated that persons who ever injected drugs comprised 2.6% (CI: 1.8%-3.3%) of the U.S. population. This represents approximately 6,612,488 million PWID (range: 4,583,188-8,641,788) aged 13 years or older in 2011. Although PWID comprise 3% or less of the U.S. population, they account for 22% of all persons living with HIV infection [2] -[but of course among those who contracted HIV by IDU 85% had HCV. jules]. Our estimates also quantified the recognized disparity of HIV disease rates among black and Hispanic/Latino male and female PWID when compared with white male and female PWID.
we estimate that approximately 774,434 adults and adolescents (range: 494,605-1,054,263) injected drugs in the past year in the United States.
Applying these proportions to the U.S. population age 13 years or older for 2011, we estimate that approximately 6,612,488 adults and adolescents ever injected drugs, with a range from 4,583,188 to 8,641,788 persons; using the sex-specific proportions an estimated 4,532,348 males (range: 3,040,447-6,024,250) and 2,059,709 females (range: 1,513,969-2,605,450) ever injected drugs.
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