The use of molecular surveillance tools to identify and respond to HIV transmission clusters is a critical step toward bringing the nation closer to the goal of no new infections. CDC conducts routine analyses to identify molecular clusters that are concerning for recent and rapid transmission of HIV. CDC also provides technical support to jurisdictions responding to HIV transmission clusters and outbreaks.
- Meeting summary: Responsible Use of HIV Cluster Data for Public Health Action: Amplifying Benefits, Minimizing Harms
- Advancing HIV Prevention through Cluster Detection and Response [PDF – 577 KB]
- Guidance: Detecting, Investigating, and Responding to HIV Transmission Clusters [PDF – 5 MB]
- Clinical Info: Information on Drug Resistance Testing
HIV Outbreaks among People Who Inject Drugs
The opioid misuse epidemic has substantially increased the transmission risk of blood-borne viruses, including HIV and hepatitis C virus, through injection drug use. The following documents provide guidance on how to prepare for, detect, investigate and respond to an HIV or hepatitis C outbreak among people who inject drugs.
- Managing HIV and Hepatitis C Outbreaks Among People Who Inject Drugs – A Guide For State and Local Health Departments [PDF – 2 MB]
- Summary of Considerations for Management of HIV and Hepatitis C Outbreaks Among People Who Inject Drugs – A Checklist for State And Local Health Departments [PDF – 691 KB]
- Tennessee Department of Health: Human Immunodeficiency Virus (HIV) & Hepatitis C Virus (HCV) Outbreak Response Plan [PDF – 3 MB]
- NACCHO: Community Response Planning for Outbreaks of HIV/Hepatitis Among Persons Who Inject Drugs
- PowerPoint Presentation: HIV Data In Action [PPT – 31 MB]
This PowerPoint presentation can help explain to partners and stakeholders how HIV data, including molecular data, is used to prevent new HIV infections and improve health.
- Key Considerations for Engaging With News Media During a Cluster Response [PDF – 144 KB]
This document provides guidance to health departments on engagement with news media when responding to HIV molecular clusters in their local jurisdictions.
- PrEP and PEP
- Injection Drug Use
- Safer Sex
- Visit Let’s Stop HIV Together for additional outreach materials for various at-risk populations.
- amfAR Opioid & Health Indicators Database
- Ethical Considerations for a Public Health Response Using Molecular HIV Surveillance Data: A Multi-Stakeholder Approach. may 10 & 11, Chicago, IL [PDF – 10 MB]
- NASTAD: HIV Data Privacy and Confidentiality. Legal and Ethical Considerations for Health Department Data Sharing: A Ten State Analysis
- National Minority AIDS Council (NMAC) Community Engagement Toolkit
- O’Neill Institute for National & Global Health Law: Georgetown Law Quick Take: Using Cluster Detection to End the HIV Epidemic
- O’Neill Institute for National & Global Health Law: Georgetown Law Big Ideas: Policy Action Can Increase Community Support for HIV Cluster Detection