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EDITOR
Hepatitis C virus and HIV are both blood borne, and infection
may occur in injecting drug users, transmitted by sharing contaminated
needles and syringes. Despite extensive harm reduction programmes in
Australia, hepatitis C virus continues to spread among injecting drug
users, but HIV does not, partly because the prevalence of hepatitis C
virus has been high among injecting drug users in Australia since at
least 1971, whereas that of HIV, present only from around 1982, has
remained low.1
Hepatitis C virus has a higher average transmission efficiency than
HIV.2 It may be transmitted between injecting drug users
on equipment other than needles and syringes.3 Injecting drug users in Australia commonly share other equipment
for example, swabs, spoons, filters, water, and tourniquets.
We studied used injecting equipment from 10 injecting settings for the
presence of hepatitis C virus RNA, with one to four injecting drug
users at each setting, at least one