Threading the Needle — How to Stop the HIV Outbreak in Rural Indiana Steffanie A. Strathdee, Ph.D., and Chris Beyrer, M.D., M.P.H. N Engl J Med 2015; 373:397-399July 30, 2015DOI: 10.1056/NEJMp1507252
Many observers were surprised when Indiana Governor Mike Pence issued an executive order on March 26, 2015, declaring a public health emergency after a rapidly escalating outbreak of human immunodeficiency virus (HIV) was identified in Scott County, a rural region on the Kentucky border.1 Others, however, had seen it coming. Over the years, a growing number of young people in Scott County — like those in surrounding counties and states — had begun abusing opiates such as oxymorphone, an opioid analgesic prescribed by local medical providers, until a more tamper-resistant formulation and policy reform began limiting its abuse. Facing the throes of opioid dependence, some users shifted to other potent injectable opioids or to heroin. Although needle-exchange programs can reduce both needle sharing and HIV incidence,2 they are illegal in Indiana. When needles are in short supply, injection-drug users have little choice but to share. Given increases in injection-drug use in nonurban communities and the high efficiency of HIV transmission through injection, it was only a matter of time before an outbreak ensued. Southeast Indiana had previously recorded only about five cases of HIV infection annually, yet by June 10, 2015, a total of 169 people had been newly diagnosed with HIV in about half a year. More than 80% of them were coinfected with hepatitis C virus (HCV).Read More >>
SMBs: How to remain visible during the election push
Over the next few months ads for various political candidates in the US will inundate the online ad space, as well as more traditional markets. This push of ad revenue can leave small businesses feeling the chill of not having their ads seen. How can they compete? Read More >>
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Business Intelligence is a process for increasing the competitive advantage of a business by intelligent use of available data in decision making. This results in an information flood, from which it is hard to find the relevant information to support decision-making. Therefore a systematic approach is needed for analyzing customers, competitors and suppliers and for foreseeing changes.Partner of the Week
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GREENWOOD VILLAGE, Colo.--(BUSINESS WIRE)--Envision Healthcare Holdings, Inc. (NYSE: EVHC) (Envision) plans to release its second quarter and year-to-date operating results for the three months and six months ended June 30, 2015, after the securities markets close on Thursday, July 30, 2015, with a conference call to follow at 5 p.m. Eastern Time. Interested participants may listen to the call by dialing 800-857-6175, or 517-623-4852 for international callers, and referencing participant code 909712. A replay will be available beginning one hour after the call ends through August 31, 2015, at 800-666-0214, or 203-369-3308 for international callers, using access code 909712. An audio file will also be archived for 30 days on the investor relations section of the Company’s website at www.investor.evhc.net. More Press Release >>