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Most health workers, including many who care for injection-drug users or are involved in programs to prevent transmission of the human immunodeficiency virus (HIV), do not know the steps used by injection-drug users to prepare and inject illegal drugs. The National Academy of Sciences panel report, Preventing HIV Transmission: The Role of Sterile Needles and Bleach, is an excellent introduction to the world of injection-drug users and can help general readers understand how to prevent the transmission of blood-borne infections from one injection-drug user to another. Because about half of all cases of hepatitis C virus and one third of
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