Opioid Use and People with HIV
The new millennium has witnessed over 700,000 drug overdose deaths in the U.S. In 2017, there were 70,000 overdose deaths, with over two-thirds being associated with opioid drug use.
As for the impact of opioid abuse on people living with HIV, the newly-launched Opioid Response Newsletter of the Pacific AETC has drawn out attention to that matter, along with various key resources. Here's a summary.
Opioid Deaths and People with HIV
HIV death rates continue to decline. However, for the time period 2011 to 2015, deaths from opioid use among people with HIV went up 47%, according to Opioid Overdose Deaths among Persons with HIV Infection, United States, 2011-2015, released at CROI 2019.
Opioids and HIV Risk
Today, just 10% of HIV cases are associated with injection drug use (IDU), but opioid injection drug use has the potential to ignite HIV outbreaks in rural areas with historically low HIV rates, according to a JAMA Viewpoint article, Opioid Injection in Rural Areas of the United States, A Potential Obstacle to Ending the HIV Epidemic, published August 1, 2019.
A Substance Use Management consultation service is available for HIV clinicians through the HRSA-supported Clinician Consultation Center, which provides expert support on delivery of HIV clinical care as part of the larger AETC network of HIV clinician training. See also these AETC NCRC opioid training resources, featuring the Opioid Use Disorder section in the National HIV Curriculum.