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Harm Reduction, By Mail: the Next Step in Promoting the Health of People Who Use Drugs.

J Urban Health · 2021 · PMC7953942 · PMID 33710493

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an overall trendno p-value reported
Despite an overall trend in reduced HIV incidence among PWUD, outbreaks of HIV in drug using communities continue to occur.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.