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Global Research Network on HIV Prevention in DrugUsing Populations Dr. M. Suresh Kumar MD MPH (USA) Madras, India Global Research Network • The GRN is an international network of scientists and practitioners from both governmental and non-governmental organizations, research institutes, and universities, that began to meet in June 1998 to exchange scientific information on effective HIV prevention efforts for injection and non-injection drug users in different countries Injecting Drug Use and HIV Infection Source: World Health Organization Goal • Preventing the further spread of HIV and other blood-borne diseases among drug-using populations Objectives • To increase the understanding about the epidemic of HIV in drug-using populations with implications for HIV, HBV and HCV prevention • Network members compile and report on research findings both at the regional and country levels Objectives • Network facilitates the exchange, dissemination, and diffusion of evidence-based data on HIV prevention responses Objectives • GRN promotes utilization of reported findings to establish best practices for reducing HIV risk in drug-using populations and to prevent HIV transmission to other populations Objectives • GRN provides an international forum to encourage crossnational studies of the applicability and effectiveness of strategies to prevent HIV and other blood-borne diseases Sponsoring Agencies • National Institute on Drug Abuse • National Institutes of Health • U.S. Department of Health and Human Services • Office of AIDS Research, National Institutes of Health • Centers for Disease Control and Prevention Sponsoring Agencies • Health Canada • Joint United Nations Programme on HIV/AIDS • World Health Organization • United Nations Office for Drug Control and Crime Prevention • Medical Research Council of South Africa Countries Africa Asia • • • • • • • India • Pakistan • People’s Republic of China • Thailand • Vietnam Botswana Kenya Nigeria Sierra Leone South Africa Zambia Countries South America Europe • Argentina • Brazil • • • • • • • North America • Canada • United States of America Australia Germany Hungary Portugal Spain United Kingdom Russian Federation Ukraine Annual Meetings • Geneva, 1998 World AIDS Conference • Atlanta, 1999 National HIV Prevention Conference • Durban, 2000 World AIDS Conference Prevention Database Indicators Prevalence • Number of Drug Injectors • Incidence and Prevalence of HIV in IDUs • Incidence and Prevalence of HCV in IDUs • Injection and Non-injection drugs in order of prevalence and use Prevention Database Indicators Prevention • Community-based outreach • Syringe- Exchange Programs • Unrestricted access to syringes and pharmacies • Bleach Distribution program • Availability/distribution of condoms Prevention Database Indicators HIV and Hepatitis • • • • HIV counseling and testing HIV drug therapies Hepatitis B vaccination Hepatitis C action or prevention Prevention Database Indicators Others • Drug treatment / Substitution therapy • Measures available to prisoners • Other HIV prevention activities for drug users