Federal health officials arrived in central Appalachia over three years ago to address an alarming outbreak of HIV spread among people who inject opioids or methamphetamine. Recommendations were made to launch syringe service programs to stop the spread, but local politicians opposed such programs. Despite efforts to address the outbreak, HIV continues to spread due to restrictions on syringe exchange programs. Research shows these programs are effective in reducing HIV and hepatitis C. The CDC recommended expanding access to these services, but local officials have not followed through. Experts urge state and local policymakers to prioritize public health over politics and allow harm reduction programs to operate effectively.
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