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Am J Epidemiol 2003; 157:376-378.
Copyright © 2003 by Johns Hopkins Bloomberg School of Public Health

LETTERS TO THE EDITOR

THE AUTHORS REPLY

Lorna E. Thorpe1,4, Lawrence J. Ouellet1, Ronald Hershow1, Susan L. Bailey1, Ian T. Williams2, John Williamson3 and Richard S. Garfein3

1 Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612.
2 Division of Viral Hepatitis, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333.
3 National Center for HIV, STD, and TB Prevention, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333.
4 Current affiliation: Division of Epidemiology, New York City Department of Health and Mental Hygiene, New York, NY 10013.

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We thank Koester et al. (1) for their observations on the potential risk of hepatitis C virus (HCV) transmission associated with using a common syringe to divide drug solutions ("drug-splitting"). The authors correctly point out that, among injection drug users (IDUs), nonsyringe paraphernalia (cookers, cotton, and rinse water) are often shared after a single syringe has been used to prepare and measure the drug solution. The solution is squirted either directly into another syringe or into a cooker for other drug users . . . [Full Text of this Article]


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