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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black">Hello, HIV and STI Prevention partners!
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black">Welcome to this week’s HIV/STI Prevention listserv email! Please email me at
<a href="mailto:shelley.m.pearson@oha.oregon.gov">shelley.m.pearson@oha.oregon.gov</a> with any feedback about the listserv, with announcements/resources to share, or if you have any colleagues who would like to be added to the list. For more information about
the resources shared, please reach out via the contact information on each item. Thank you!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black">In this email (click on header to jump to that item):
<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l3 level1 lfo4">
<span style="font-size:12.0pt;font-family:"Verdana",sans-serif"><a href="#JOY">Request for Abstracts: Joining Our Youth (JOY) Conference</a><o:p></o:p></span></li><li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l3 level1 lfo4">
<span style="font-size:12.0pt;font-family:"Verdana",sans-serif"><a href="#NASTAD">NASTAD RFP Release: Regional Centers of Excellence in Harm Reduction</a><o:p></o:p></span></li><li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l3 level1 lfo4">
<span style="font-size:12.0pt;font-family:"Verdana",sans-serif"><a href="#UWPTC">Clinical STI Update Webinar and New Doxy PEP for STI Prevention Clinician Guide</a><o:p></o:p></span></li><li class="MsoListParagraph" style="color:black;margin-left:0in;mso-list:l3 level1 lfo4">
<span style="font-size:12.0pt;font-family:"Verdana",sans-serif"><a href="#SAMHSA">SAMHSA and CDC Partner to Expand HIV and Viral Hepatitis Testing</a><o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black"><o:p> </o:p></span></p>
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<span style="font-size:16.5pt;font-family:"Helvetica",sans-serif;color:#EC891D">Request for Abstracts: Joining Our Youth (JOY) Conference<a name="JOY"></a><o:p></o:p></span></h2>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;border-spacing:0px">
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</v:shape><![endif]--><![if !vml]><img width="182" height="180" style="width:1.8958in;height:1.875in" src="https://content.govdelivery.com/attachments/fancy_images/ORHA/2024/12/10656717/5873479/joy-abstract_crop.png" align="left" hspace="7" alt="JOY request for abstracts" v:shapes="Picture_x0020_1"><![endif]><span style="font-size:11.5pt;font-family:"Helvetica",sans-serif;color:#222222">The
Oregon School-Based Health Alliance (OSBHA) is now accepting abstracts for their Joining Our Youth (JOY) Conference April 10-11, 2025 at Oregon State University in Corvallis.<o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in">
<span style="font-size:11.5pt;font-family:"Helvetica",sans-serif;color:#222222">The JOY Conference aims to build effective and genuine youth-adult partnerships, highlight the impact and innovation of school-based health centers, and identify how health/education
systems can support young people and their families, particularly for communities who have been historically marginalized. The different tracks for this conference are youth engagement and empowerment, school health systems, policy and sustainability, clinical,
and partnerships (more details and examples are in the Speaker Proposal Form).<o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in">
<span style="font-size:11.5pt;font-family:"Helvetica",sans-serif;color:#222222">If you are interested in submitting an abstract, please fill out <a href="https://links-2.govdelivery.com/CL0/https:%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSc7IR3ZxMO1BjOZ05C6jlAjlMgj6lDF8_RuYnAyk3OAk73tEQ%2Fviewform%3Futm_medium=email%26utm_source=govdelivery/1/010101939cebe346-e0781f77-dec4-4f79-bb54-5593528cb4b6-000000/NGyNk5-zOndgNOCeczlXWjDIc0lahCnkeRc4hnAkPLE=382" target="_blank"><span style="color:#1D5782">the
Speaker Proposal Form</span></a>. The deadline to apply is January 17, 2025.<o:p></o:p></span></p>
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<p style="margin:0in;vertical-align:baseline"><span style="font-size:13.0pt"><o:p> </o:p></span></p>
<p style="margin:0in;vertical-align:baseline"><span style="font-size:13.0pt">NASTAD is releasing one of th<a name="NASTAD"></a>ree requests for proposals as part of the CDC-supported Hub and Spoke Center of Excellence in Harm Reduction project.</span><o:p></o:p></p>
<p style="margin:0in;vertical-align:baseline"><b><span style="font-size:13.0pt"><o:p> </o:p></span></b></p>
<p style="margin:0in;vertical-align:baseline"><b><span style="font-size:13.0pt">Regional Centers of Excellence in Harm Reduction</span></b><span style="font-size:13.0pt"> (<a href="https://nastad.org/careers/hub-and-spoke-centers-excellence-harm-reduction-regional-centers-excellence-harm-reduction">Full
RFP and application can be accessed here</a>)<br>
NASTAD is seeking applications from eligible organizations to become Regional Centers of Excellence (CoEs) in Harm Reduction. Regional CoEs will be funded and supported to provide local/regional harm reduction-related training, technical assistance, and capacity
building activities and facilitate relationships among SSPs and between harm reduction programs and public health partners. This project aims to increase SSP sustainability and scale up best practices by building or expanding regional networks of mutual aid,
collaboration, and cross-program learning. </span><o:p></o:p></p>
<p style="vertical-align:baseline"><span style="font-size:13.0pt">Application Deadline: January 5, 2025, 11:59pm PST</span><o:p></o:p></p>
<p><span style="font-size:13.0pt">Number of awards: 6 – 8 </span><o:p></o:p></p>
<p><span style="font-size:13.0pt">Award amounts may vary, anticipated funding is $85,000 - $125,000 per award </span><o:p></o:p></p>
<p><span style="font-size:13.0pt">Period of performance: Year 1 of this program will run from February 1, 2025 - July 31, 2025 </span><o:p></o:p></p>
<p style="margin:0in;vertical-align:baseline"><span style="font-size:13.0pt">Please stay tuned for the other two RFPs related to this project,
<b>Key Projects</b> and <b>Subject Matter Expert Pool</b> to support Regional Centers of Excellence, which will be released next week and can be found
</span><a href="https://nastad.org/hub-and-spoke-centers-excellence-harm-reduction"><span style="font-size:13.0pt">here</span></a><span style="font-size:13.0pt">.</span><o:p></o:p></p>
<p style="margin:0in;vertical-align:baseline"> <o:p></o:p></p>
<p style="margin:0in;vertical-align:baseline"><span style="font-size:13.0pt">Please contact
<a href="mailto:DrugUserHealthTA@NASTAD.org">DrugUserHealthTA@NASTAD.org</a> with any questions. Thank you! </span><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"><a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=0e6284ec43&e=96876a4aea" target="_blank" title="UW PTC STI Clinical Update"><b><span style="color:white;text-decoration:none">Register
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<p class="MsoNormal" style="line-height:150%"><a name="UW"></a><a name="UWPTC"></a><span style="mso-bookmark:UW"></span><a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=4663d6e758&e=96876a4aea" target="_blank"><span style="mso-bookmark:UW"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565;text-decoration:none"><img border="0" width="700" height="905" style="width:7.2916in;height:9.427in" id="_x0000_i1057" src="https://mcusercontent.com/d8556173c86d02de69171c258/images/ab267ad4-cf00-aa44-18b0-0d17e968d13a.jpg"></span></span><span style="mso-bookmark:UW"></span></a><span style="mso-bookmark:UW"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"><o:p></o:p></span></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"><a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=3b74aed1af&e=96876a4aea" target="_blank" title="Register Today!"><b><span style="color:white;text-decoration:none">Register
Today!</span></b></a> </span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=7770ff10ab&e=96876a4aea" title=""" t "><span style="color:blue;text-decoration:none"><img border="0" width="564" height="150" style="width:5.875in;height:1.5625in" id="_x0000_i1058" src="https://mcusercontent.com/d8556173c86d02de69171c258/images/37de6565-d577-8feb-7793-4ddcbb142bfc.png"></span></a><o:p></o:p></p>
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<p class="MsoNormal" style="line-height:150%"><strong><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020">New
</span></strong><em><b><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020">Doxy PEP for STI Prevention</span></b></em><strong><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020">
Clinician Guide to Implement CDC June 2024 Guidelines</span></strong><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020"><br>
The NEW 16-page <em><span style="font-family:"Helvetica",sans-serif">National STD Curriculum</span></em>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=224e2b6b5c&e=96876a4aea">
<em><span style="font-family:"Helvetica",sans-serif;color:#007C89">Clinician’s Information Guide: Doxy PEP for STI Prevention</span></em></a> helps health care professionals implement
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=0fa475d88d&e=96876a4aea">
<span style="color:#007C89">CDC’s June 2024 guidelines</span></a> on the use of doxycycline postexposure prophylaxis (doxy PEP) for bacterial sexually transmitted infections. The guide addresses how and when to prescribe doxy PEP, what lab tests to order, and
how to counsel patients. The guide also has an extensive FAQ and visual abstracts of the four key studies.
<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020"><a href="https://mailchi.mp/uw/uw-ptc-upcoming-january-sti-clinical-update-new-doxy-pep-for-sti-prevention-clinician-guide?e=96876a4aea" target="_blank"><span style="color:#007C89">View
this email in your browser</span></a> <o:p></o:p></span></p>
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<h2>UW Prevention Training Center Links & Useful Tools<o:p></o:p></h2>
<p class="MsoNormal" style="line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020"> <br>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=a1329f2093&e=96876a4aea" target="_blank"><span style="color:#007C89">Request PDF Visual Testing Guides</span></a><br>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=91352ad66d&e=96876a4aea" target="_blank"><span style="color:#007C89">Request an STD Clinical Consult</span></a><br>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=1d15f7450a&e=96876a4aea" target="_blank"><span style="color:#007C89">National STD Curriculum</span></a><br>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=c65e001d51&e=96876a4aea"><span style="color:#007C89">Clinician’s Information Guide: Doxy PEP for STI Prevention</span></a><br>
<a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=90c363515a&e=96876a4aea" target="_blank"><span style="color:#007C89">MPox Resources</span></a>
<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"><a href="https://uwptc.us17.list-manage.com/track/click?u=d8556173c86d02de69171c258&id=1d7b85f4ab&e=96876a4aea" target="_blank" title="Register Today!"><b><span style="color:white;text-decoration:none">Register
Today!</span></b></a> </span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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<h2>Questions? <o:p></o:p></h2>
<p class="MsoNormal" style="line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#202020">Please feel free to reach out with any questions or concerns.<br>
<a href="mailto:uwptc@uw.edu?subject=STD%20Update%3A%20Questions%2C%20Comments%2C%20Concerns" target="_blank"><span style="color:#007C89">uwptc@uw.edu</span></a>
<o:p></o:p></span></p>
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<p class="MsoNormal" align="right" style="text-align:right"><span style="font-family:"Arial",sans-serif">December 9, 2024</span><o:p></o:p></p>
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<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Dear
<a name="SAMHSA"></a>Colleagues, </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">As the Assistant Secretary for Mental Health and Substance Use and leader of the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Director
of the Centers for Disease Control and Prevention (CDC), we urge the public health and substance use disorder (SUD) treatment communities to increase the number of people with SUD who are tested and treated for HIV and viral hepatitis. </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">In the United States, an estimated 2.4 million people have hepatitis C, 1.2 million people have HIV, and 660,000 people have hepatitis B. Roughly 2 percent of those
with HIV also have hepatitis B. Injection drug use is a risk factor for all three infections and is the most commonly reported risk factor for new hepatitis C virus (HCV) and hepatitis B virus (HBV) infections. Further, one in four people with HIV who inject
drugs also have hepatitis C. One in seven people with HIV, one in three people with HCV infection, and one in two people with HBV infection do not know they have it. According to the National Substance Use and Mental Health Services Survey, only a third of
our nation’s 15,000 substance use disorder treatment facilities offer HIV, HCV, or HBV testing. This represents thousands of missed opportunities to ensure everyone knows their HIV, hepatitis C, and hepatitis B status and to link individuals to lifesaving
treatment. </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">To increase the identification and treatment of all people with HIV and viral hepatitis, CDC recommends that all adults receive HIV, HBV, and HCV testing at least once
in their lifetime. CDC also recommends: </span><o:p></o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1"><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc9011f&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=BrZBPh0bVnxu8mqvIwq0mqn0fSGEItGZQxreBuYW03U"><span style="font-family:"Arial",sans-serif">HIV
testing</span></a><span style="font-family:"Arial",sans-serif"> at least once a year for people who share needles, syringes, or other drug injection equipment (for example, cookers) or exchange sex for drugs or money
</span><o:p></o:p></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1"><span style="font-family:"Arial",sans-serif">Routine periodic
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90120&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=X8xF3kiB1xeEFj-z7JFMg_oeQTqbZ0wLfPJCwrUG3s0"><span style="font-family:"Arial",sans-serif">hepatitis
C testing</span></a><span style="font-family:"Arial",sans-serif"> for people with ongoing risk factors, including people who currently inject drugs and share needles, syringes, or other drug preparation equipment
</span><o:p></o:p></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1"><span style="font-family:"Arial",sans-serif">Routine periodic
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90121&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=teYPoYBFqQ3OgFFGBlhfHYJrFjV9k6NJc4ASqNZIVMU"><span style="font-family:"Arial",sans-serif">hepatitis
B testing</span></a><span style="font-family:"Arial",sans-serif"> for people who inject drugs
</span><o:p></o:p></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1"><span style="font-family:"Arial",sans-serif">Clients without hepatitis B immunity, including adults age 19–59 and adults 60 and older with
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90122&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=5m7g88vIgh5Lqu5hbhl2_QR7hoKGwAuyERqNxg9q9Hw"><span style="font-family:"Arial",sans-serif">risk
factors</span></a><span style="font-family:"Arial",sans-serif">, should be </span>
<a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90123&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=wlMtVfHSvY2v-cXcTe8KR_DIU_mB2OwuspeJiQWcUqw"><span style="font-family:"Arial",sans-serif">vaccinated</span></a><o:p></o:p></li></ul>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Testing is the first step to accessing lifesaving treatment. For example, hepatitis C treatment with oral direct-acting antivirals is curative in >95% of cases, prolongs
life, is very well tolerated, and confers cost savings to the healthcare system by preventing HCV-related complications. Yet too few people are diagnosed, and only one-third of people with diagnosed hepatitis C have been treated or have naturally cleared the
virus.<sup>xi</sup> At the end of June 2024, the </span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc9044e&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=QTb-fvQqwt1miHvrCIm9y8QyJLiSFhxsCnUkrWi3DBU"><span style="font-family:"Arial",sans-serif">FDA
cleared a fingerstick point-of-care (POC) HCV RNA test</span></a><span style="font-family:"Arial",sans-serif"> for use in Clinical Laboratory Improvement Amendments (CLIA)-waived settings. This new POC test has the potential to revolutionize provider workflows
and significantly reduce barriers to hepatitis C testing and treatment. Prior POC tests for the HCV antibody have only been able to diagnose previous exposure and not current infection, requiring multiple visits to test and connect people to treatment. Since
the test takes 60 minutes or less to run, the new POC HCV RNA test can facilitate same-day diagnosis and rapid treatment initiation for hepatitis C. CDC recommends
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc9044f&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=AFUoyLCm2crsffPjMJ2BDbmYcoBr0gE6qkWGcWVeCJo"><span style="font-family:"Arial",sans-serif">direct
HCV RNA testing</span></a><span style="font-family:"Arial",sans-serif"> for people who might have been exposed to HCV within the past six months. Co-located hepatitis C treatment or highly accessible treatment through telehealth, mobile units, or warm handoffs
to hepatitis C treatment providers is essential to actualize the benefit of POC HCV RNA testing. POC HCV RNA testing has the potential to significantly improve HCV testing and treatment rates in settings where people with SUD seek care.</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">People with SUD are at increased risk for HIV, and SUD treatment improves both HIV and SUD-related health outcomes. There are several
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90450&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=lvXQdksrQned51c6EIYRIvPZnbLT9O_u3cJTgKyY_qw"><span style="font-family:"Arial",sans-serif">FDA-approved
POC tests for HIV</span></a><span style="font-family:"Arial",sans-serif"> that can be run on fingerstick whole blood or oral fluids in CLIA-waived settings. We reiterate an
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90451&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=aQnbTPq5h83UfM5sQhda1jKn2FnowQ2lMhk0Dv2K-48"><span style="font-family:"Arial",sans-serif">earlier
appeal</span></a><span style="font-family:"Arial",sans-serif"> to increase POC HIV testing in SUD treatment programs. Linking people with HIV to treatment is essential to prolong their lives and prevent HIV transmission, and those who test negative may benefit
further from being connected with </span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90452&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=UkaDXtR0th6xB7ttPYbdK-T5dOhjzPwv6-29SnygJcg"><span style="font-family:"Arial",sans-serif">HIV
pre-exposure prophylaxis (PrEP)</span></a><span style="font-family:"Arial",sans-serif"> and
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90453&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=ckcqcYCgFjJcT-FiO3iMHaeVmNYfesVs5EywV8y0aqk"><span style="font-family:"Arial",sans-serif">syringe
service programs</span></a><span style="font-family:"Arial",sans-serif">. </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Integrating HIV and viral hepatitis testing in SUD treatment settings improves treatment initiation, especially when treatment is co-located, and is in line with
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90454&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=7VQ5h1OEYyN4YiceJDAz9v1Tzkehqt6TPmWwoB1TAbo"><span style="font-family:"Arial",sans-serif">SAMHSA’s
2023–2026 Strategic Plan</span></a><span style="font-family:"Arial",sans-serif">, which prioritizes the integration of behavioral and physical healthcare. SAMHSA and CDC encourage SUD treatment facilities to integrate HIV and viral hepatitis testing, including
POC HIV and HCV tests, into the services they offer their clients. Those who test positive should be connected to HIV or HCV treatment or offered on site when feasible. Information on integrating
</span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90455&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=8HTiSbKE58CTmMPHuCaGtfW0WcqszXufELpUzIomx14"><span style="font-family:"Arial",sans-serif;background:white">HIV</span></a><span style="font-family:"Arial",sans-serif">
and </span><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90456&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=FBIpS7baoLEPKmnJIwFs6DMp3gscQ8Xd3-nj2HW16ak"><span style="font-family:"Arial",sans-serif;background:white">HCV</span></a><span style="font-family:"Arial",sans-serif">
into SUD treatment is available. HCV POC testing may be an allowable expense for SAMHSA grant recipients—reach out to your SAMHSA Government Project Officer to assess feasibility; a budget revision may be necessary.</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">More than one million Americans are on medications for opioid use disorder, and millions more receive SUD treatment each year. It is our collective responsibility to
ensure that they access screening and lifesaving treatment for HIV and viral hepatitis. Advancements in diagnostics are the first step to increasing testing, but we need your help to implement and use these new tools. Please consider integrating these POC
diagnostics into your practice. With your help, we can increase HIV and viral hepatitis screening to ensure that no more families and communities have to lose loved ones to these preventable and treatable diseases. </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Sincerely,</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">/Miriam Delphin-Rittmon/
</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Miriam E. Delphin-Rittmon, PhD</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Assistant Secretary for Mental Health and Substance Use</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">/Mandy K. Cohen/</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Mandy K. Cohen, MD, MPH</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif">Director, Centers for Disease Control and Prevention</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
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</span><span style="color:black"><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90457&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=_2JieB5HcA84_jNYYcEkYhYO_Ywmo38ePPq0yUBRT30"><i><span style="font-family:"Arial",sans-serif">signed
letter</span></i></a></span><span style="font-family:"Arial",sans-serif;color:black"> is also available for downloading on
</span><span style="color:black"><a href="https://t.emailupdates.cdc.gov/r/?id=h93faa65e,1dc25688,1dc90458&e=QUNTVHJhY2tpbmdJRD1VU0NEQ05QSU5fMTYyLURNMTQyMDQzJkFDU1RyYWNraW5nTGFiZWw9U0FNSFNBJTIwYW5kJTIwQ0RDJTIwcGFydG5lciUyMHRvJTIwZXhwYW5kJTIwSElWJTIwYW5kJTIwdmlyYWwlMjBoZXBhdGl0aXMlMjB0ZXN0aW5n&s=G_pQsSR4wIGYFj0xM1NYoacZrLoxL4NhpFselQjEA64"><i><span style="font-family:"Arial",sans-serif">CDC.gov</span></i></a></span><span style="font-family:"Arial",sans-serif;color:black">.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">References:</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">i Hall, Eric W et al. “Estimating hepatitis C prevalence in the United States, 2017-2020.” Hepatology (Baltimore, Md.), 10.1097/HEP.0000000000000927. 13 May. 2024, doi:10.1097/HEP.0000000000000927</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">ii "HIV Surveillance Supplemental Report: Estimated HIV Incidence and Prevalence in the United States, 2017– 2021,” 2023
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">iii Bixler D, Barker L, Lewis K, Peretz L, Teshale E. Prevalence and awareness of hepatitis B virus infection in the United States: January 2017–March 2020. Hepatol Commun 2023;7.
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">iv Bosh, K A et al. “HIV and viral hepatitis coinfection analysis using surveillance data from 15 US states and two cities.” Epidemiology and infection vol. 146,7 (2018): 920-930. doi:10.1017/S0950268818000766
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">v Ibid. </span>
<o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">vi “HIV Surveillance Supplemental Report: Estimated HIV Incidence and Prevalence in the United States, 2017– 2021,” 2023
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">vii Lewis, Karon C et al. “Estimated Prevalence and Awareness of Hepatitis C Virus Infection Among US Adults: National Health and Nutrition Examination Survey, January 2017-March 2020.” Clinical
infectious diseases: an official publication of the Infectious Diseases Society of America vol. 77,10 (2023): 1413-1415. doi:10.1093/cid/ciad411
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">viii Bixler D, Barker L, Lewis K, Peretz L, Teshale E. Prevalence and awareness of hepatitis B virus infection in the United States: January 2017–March 2020. Hepatol Commun 2023;7.
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">ix Substance Abuse and Mental Health Services Administration. (2023). National Substance Use and Mental Health Services Survey (N-SUMHSS) 2022: Annual Detailed Tables (SAMHSA Publication No.
PEP23-07-00-002). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from
</span><a href="https://www.samhsa.gov/data/"><span style="font-family:"Arial",sans-serif">https://www.samhsa.gov/data/</span></a><span style="font-family:"Arial",sans-serif">.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">x </span><a href="https://www.cdc.gov/hivnexus/hcp/diagnosis-testing/index.html"><span style="font-family:"Arial",sans-serif">https://www.cdc.gov/hivnexus/hcp/diagnosis-testing/index.html</span></a><span style="font-family:"Arial",sans-serif">;
</span><a href="https://www.cdc.gov/hepatitis-b/hcp/diagnosis-testing/index.html"><span style="font-family:"Arial",sans-serif">https://www.cdc.gov/hepatitis-b/hcp/diagnosis-testing/index.html</span></a><span style="font-family:"Arial",sans-serif">;
</span><a href="https://www.cdc.gov/hepatitis-c/hcp/diagnosis-testing/index.html"><span style="font-family:"Arial",sans-serif">https://www.cdc.gov/hepatitis-c/hcp/diagnosis-testing/index.html</span></a><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">xi </span><a href="https://www.cdc.gov/mmwr/volumes/72/wr/mm7226a3.htm"><span style="font-family:"Arial",sans-serif">https://www.cdc.gov/mmwr/volumes/72/wr/mm7226a3.htm</span></a><span style="font-family:"Arial",sans-serif">.</span><o:p></o:p></p>
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<span style="font-size:9.0pt;font-family:"Century Gothic",sans-serif;color:white">1600 Clifton Rd Atlanta, GA 30329 1-800-CDC-INFO (800-232-4636) TTY: 888-232-6348<br>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Verdana",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;color:black">Shelley Pearson<span style="mso-ligatures:none"><o:p></o:p></span></span></b></p>
<p class="MsoNormal"><i><span style="font-size:14.0pt;color:black">Pronouns: she/her/hers
<o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black">HIV/STI Administrative and Communications Specialist<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black">OREGON HEALTH AUTHORITY
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black">Public Health Division<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black"><a href="mailto:shelley.m.pearson@dhsoha.state.or.us"><span style="color:#0563C1">shelley.m.pearson@oha.oregon.gov</span></a>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black">Phone: 503-381-6173<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;color:black">Fax: 971-673-0178<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><a href="http://www.endhivoregon.org/"><span style="color:#0563C1;text-decoration:none"><img border="0" width="132" height="101" style="width:1.375in;height:1.052in" id="Picture_x0020_1" src="cid:image001.png@01DB4BD6.F4214FF0"></span></a><u><span style="color:#0563C1"><o:p></o:p></span></u></p>
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