What Happens When A Pandemic And An Epidemic Collide

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What Happens When A Pandemic And An Epidemic Collide
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At the international AIDS conference last week — held virtually — concerns were shared about the impact of the novel coronavirus on efforts to fight AIDS.

A drug user in a Kyiv apartment. She benefited from a needle exchange program aimed at reducing HIV transmission among intravenous drug users in Ukraine. Participants in such programs face such obstacles as transportation shutdowns and stay-at-home orders during the coronavirus pandemic.Gideon Mendel/Corbis via Getty Images

Today, he works for the International HIV/AIDS Alliance Ukraine as a coordinator for harm reduction programs that help IV drug users get clean needles or safer alternative drugs like methadone.Suddenly, he and other AIDS advocates, researchers, doctors and patients have a 40-year-old epidemica brand new pandemic to worry about."The concern is that AIDS is already being set back by COVID-19," says, director of the University of California San Francisco Center for AIDS Research.

The drug shortage concern is overriding because, while AIDS pharmaceutical treatment is highly effective, it comes with a catch, says Not only that, if they spread the mutated virus to another person, that person will be infected with the drug-resistant strain of HIV. Different kinds of drugs are needed for a subset of HIV patients — those infected through IV drug use."Before the epidemic, 220,000 people in Ukraine were on harm reduction strategies," says Besenko. Those strategies include needle exchange services so IV drug users don't contract AIDS through contaminated needles or spread the disease if they're already infected. And they also include substitute drugs, like methadone or buprenorphine that treat opioid addictions.

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