The Nightmare Scenario in West Virginia

The scenario long feared by US health officials is happening in West Virginia: A cluster of HIV cases in a rural West Virginia county rocked by opioids.
Rural Cabell County, which has an unusually vigorous public health system, has reported 74 cases in the last year and a half, primarily among IV drug users.
The county leads the state in surveillance and prevention efforts, already delivering much of the Trump administration recommendations to end HIV transmission within a decade—making the spike in cases all the more worrying.
The Quote: “This is the nightmare everyone is worried about,” says Judith Feinberg, a West Virginia University professor.

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