© 2007 American Public Health Association DOI: 10.2105/AJPH.2007.112342
Curt G. Beckwith, Nickolas Zaller, and Timothy P. Flanigan are with the Division of Infectious Diseases, the Miriam Hospital and the Warren Alpert Medical School, Brown University, Providence, RI. Correspondence: Requests for reprints should be sent to Curt G. Beckwith, MD, The Miriam Hospital, 164 Summit Ave, Providence, RI 02906 (e-mail: cbeckwith@lifespan.org).
We were interested in the article by Heimer et al.1 that investigated the proportion of injection drug users (IDUs) who were aware and unaware of their HIV serostatus and how this could impact expansion of HIV counseling and testing and prevention efforts. Data from the Centers for Disease Control and Prevention (CDC) have demonstrated a decline in HIV diagnoses attributed to injection drug use, and we recently confirmed a similar decline from 1990 to 2003 in Rhode Island.2,3 Heimer et al. estimated that the number of IDUs unaware of their HIV infection represented a small proportion of the general IDU
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