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Representative samples of female (n=119) and male (n=100) guests were selected at two inner city soup kitchens. In the preceding month, 75% used cocaine/crack and 25% used heroin/opiates as determined by hair analysis. Relatively few guests (25%)...
Stephen W. Hwang, Alex Kiss, Cheryl S. Leung, Adi V. Gundlapalli
An outbreak among homeless shelter users of a communicable disease with a short generation time would pose serious public health challenges. Data from Toronto were used to examine the number of shelter residents potentially exposed in the event of...
This article describes the assessment of physicians' attitudes and practices regarding prescribing syringes to injection drug users (IDUs). A brief, anonymous, self-administered questionnaire was sent to all Infectious Disease and Addiction...
Bassam H. Rimawi, Meena Mirdamadi, Joseph F. John Jr.
Homelessness is a major problem that affects every continent on the globe, with estimates of up 100 million people worldwide who are homeless at any given time. Of concern, homeless women may be placed at higher risk for certain stressors, such as...
C. Turner, M. Chambers
The resurgence of tuberculosis (TB) in the United States in the 1980s and early 1990s has been well documented. This problem was particularly severe in cities such as New York where the TB case rate nearly tripled over a 15-year period from the late...
Patients with chronic viral infections such as HIV/AIDS or hepatitis C often have multiple co-existing problems such as psychiatric and addictive disorders, as well as social problems such as lack of housing, transportation and income that present...
This article describes psychiatric and substance dependence comorbidities, lifetime rates of infectious disease, and reported high-risk sexual behaviors for methamphetamine-dependent, gay and bisexual men at entry to outpatient drug abuse treatment...
Larry Nuttbrock, Andrew Rosenblum, Stephen Magura, Hunter McQuistion
Using data collected by Project Renewal's mobile medical services to homeless people in New York City, this paper discusses a tension between an emergency medicine model of outreach and that of primary care. In the former model, clinicians...
James Krieger, Donna Higgins
Poor housing conditions are associated with a wide range of health conditions, including respiratory infections, asthma, lead poisoning, injuries, and mental health. Addressing housing issues offers public health practitioners an opportunity to...
Todd Wilson, Kashef Ijaz, Suzanne Marks, Marisa Moore
Context Tuberculosis (TB) rates among US homeless persons cannot be calculated because they are not included in the US Census. However, homelessness is often associated with TB. <br/> <br/>Objectives To describe homeless persons with...
David Morris, Jon Hirshon
This issue of the Emergency Medicine Clinics of North America focuses on the spectrum of public health issues that significantly impact the practice of emergency medicine and which are faced by practicing emergency physicians on daily basis. Topics...
Background: Peer use of take home naloxone has the potential to reduce drug related deaths. There appears to be a paucity of research amongst homeless drug users on the topic. This study explores the acceptability and potential risk of peer use of...