“The biggest public health issue is these people are practicing a number of different high-risk behaviours,” he says. These users all took other street drugs as well and were more likely to inject daily, share needles, have unprotected sex, and be infected with hepatitis than other intravenous drug users. The surprisingly high prevalence of crack injectors is a big concern, he says. “It’s possible it was emerging at the time and hadn’t caught on in some sites,” says Santibanez. New Orleans, Los Angeles, and Chicago also scored high in the practice, while Baltimore had few intravenous crack users. But a few kilometres away in New York’s mostly white Lower East Side, that figure climbed to 26.4%. In the largely Hispanic neighbourhood of Harlem in New York City, just 1.5% of those interviewed had injected crack.
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June 2023
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