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Spread of HIV in Boston cries out for systemic response

Spread of HIV in Boston cries out for systemic response Updated April 28, 2021, 2 hours ago Email to a Friend Bold strategy must include safe consumption sites Re “Officials struggle with HIV cases in Boston” (Metro, April 21): While Boston is certainly not unique in its HIV outbreak among unsheltered people who use drugs, it is exceptional for its public health and medical infrastructure and recent willingness to try bold new strategies, such as providing housing to those who are actively using drugs and living with HIV (as the state recently announced). While this is a critical step in the right direction, much more is needed to end our epidemic of drug-related harm — harm that includes not only HIV and other infections but also fatal overdoses, which are at an all-time high.

Listen: Two addiction specialists debunk excited delirium

In the tenth episode of “The First Opinion Podcast,” I talk with two physicians who specialize in addiction medicine about “excited delirium,” a topic that has come up several times in the trial of Derek Chauvin, the Minneapolis police officer charged with killing George Floyd by kneeling on his neck for more than nine minutes last May. Jennifer Brody, of Boston Health Care for the Homeless Program, and Ayana Jordan, who works at the Connecticut Mental Health Center, wrote the First Opinion entitled “Excited delirium: valid clinical diagnosis or medicalized racism? Organized medicine needs to take a stand” along with their colleague Sarah Wakeman of Massachusetts General Hospital.

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