Infectious Diseases, Opioids and Injection Drug Use

A deadly consequence of the opioid crisis is increased incidence of blood-borne infections, including hepatitis B virus and hepatitis C, human immunodeficiency virus (HIV), and bacteria that cause heart infections (endocarditisExternal). The use of contaminated injection drug equipment is a primary transmission route for both HIV and hepatitis C. Increasing injection drug use has placed new populations, including young people, at risk.

CDC’s infectious disease programs work to implement evidence-based drug prevention in school and community settings, and to stop the spread of infectious diseases like HIV and hepatitis C among people who inject drugs. Access to comprehensive prevention services is essential for all persons who inject drugs. Syringe services programs reduce syringe sharing and can help provide access to prevention and treatment services for HIV and other blood-borne diseases, such as hepatitis C and hepatitis B. Below are a summary of CDC resources on infectious disease and injection drug use.

Vulnerable Counties and Jurisdictions Experiencing or At-Risk of Outbreaks

Vulnerable Counties and Jurisdictions Experiencing or At-Risk of Outbreaks

County-level Vulnerability to Rapid Dissemination of HIV/HCV Infection Among Persons who Inject Drugs (September, 2015) and Jurisdictions Determined to be Experiencing or At-risk of Significant Increases in Hepatitis Infection or an HIV Outbreak Due to Injection Drug Use Following CDC Consultation (July, 2018). Includes Top 220 Vulnerable Counties in 26 States and Jurisdictions determined to be experiencing or at-risk of outbreaks (States/Territories: 34, Select Counties: 7)

Data Sources: ESRI, EUROPA, CDC Consultations on Determinations of Need Requests

Van Handel MM, Rose CE, Hallisey EJ, et. al. County-Level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections Among Persons Who Inject Drugs, United States. J Acquir Immune Defic Syndr. 2016 Nov 1;73(3): 323-331External.

Top 220 Vulnerable Counties in 26 States and Jurisdictions determined to be experiencing or at-risk of outbreaks (States/Territories: 33, Select Counties: 7)

508 ACCESSIBILITY of these resources: Section 508 requires Federal agencies to ensure that individuals with disabilities who are members of the public or Federal employees have access to and use of electronic and information technology that is comparable to that provided to individuals without disabilities, unless an undue burden would be imposed on the agency. If you need assistance with the resources on this page, please contact NCHHSTPPolicy@cdc.gov and include “508 Accommodation” without quotes in the subject line of your email. In the body of the email, please specify the resources and the URL that you would like to access.
Page last reviewed: July 19, 2018