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 âOfficials struggle with HIV cases in Bostonâ (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 â harm that includes not only HIV and other infections but also fatal overdoses, which are at an all-time high.