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Injecting drug users in Bangkok, Thailand, are at high risk of HIV
infection in police holding cells before incarceration because of
sharing needles with multiple partners. Buavirat and colleagues
(p 308) studied 347 male injecting drug users and investigated the
associations between HIV infection and sexual and parenteral exposure
before, during, and after their most recent incarceration. Other
factors associated with HIV infection were injection of methamphetamine
before incarceration, being tattooed while in prison, and sharing
needles after release. Risk of infection may be higher because of the
symptoms of severe opiate withdrawal experienced during the
transitional period before incarceration.

(Credit: EMMANUEL DUNAND-STF/AFP)