This risk is significant in persons who inject drugs, but reinfection can also occur through sexual contact, particularly among men who have sex with men (MSM).[40] In one study that clearly evaluated reinfection among treated PWID, the reinfection rate for those reporting ongoing injection after SVR was 5.3/100 person-years.[41] Similarly, in a recent systematic review of 36 studies of HCV reinfection following successful HCV treatment in persons who inject drugs, the overall rate of HCV reinfection was 6.2 per 100 person-years among those who reported recent injection drug use.[42] A similar systematic review and meta-analysis of 41 single-armed observational studies found a pooled rate of reinfection of 4.1 per 100 person-years), with a rate of reinfection of 2.8 per 100 person-years among PWID, 7.4 per 100 person-years among MSM, and 7.2 per 100 person-years among incarcerated individuals.[43] Thus, providing access to counseling for safe injection practices and MOUD is an important component of HCV treatment programs
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I should note that this is normalized within those who either smoke or vape, so each bar here goes inside the corresponding pink bar above
When you have another fellow who is involved with the cigar as much as you are, then it's wonderful, kind of like the old peace pipe syndrome or whatever
