Advertisement

We need your help now

Support from readers like you keeps The Journal open.

You are visiting us because we have something you value. Independent, unbiased news that tells the truth. Advertising revenue goes some way to support our mission, but this year it has not been enough.

If you've seen value in our reporting, please contribute what you can, so we can continue to produce accurate and meaningful journalism. For everyone who needs it.

The shocking story of the rise of HIV in one rural American community

From 2009-2013, Scott County, Indiana had three HIV infections. There have been 142 since January.

Overprescribing Painkillers Opana (far right) or oxymorphone, which is crushed and injected by users. AP / Press Association Images AP / Press Association Images / Press Association Images

CASES OF HIV have skyrocketed in a rural community in the midwestern state of Indiana, where 142 people have been diagnosed since the beginning of the year, officials said today.

Pregnant women, grandparents, their adult children and grandchildren are among the new cases of HIV linked to illicit injections of oxymorphone, a potent prescription painkiller.

Scott County, a community with a population of 4,200 people and just one doctor, in southeastern Indiana, previously saw no more than five cases of the virus diagnosed in one year, health authorities said.

From 2009-2013, the county recorded just three new cases of HIV, said Indiana State Health Commissioner Jerome Adams, describing the current outbreak as “unprecedented.”

“We literally have new cases being reported every day, literally on an hourly basis,” Adams told reporters.

A public health emergency was declared in Scott County on March 26 by the state governor, Mike Pence.

HIV Outbreak Indiana Indiana Governor Mike Pence declaring a state of emergency over the HIV outbreak in Scott County, in March. AP / Press Association Images AP / Press Association Images / Press Association Images

The US Centers for Disease Control and Prevention (CDC) today issued a nationwide alert to health care providers to be on the lookout for similar outbreaks of hepatitis C and the possibility of future HIV among injection drug users.

“At this point there is no sign that infections are increasing on a national level among people who are injecting drugs,” said Jonathan Mermin, director of the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.

But, he added the situation in Indiana “should serve as a warning that we cannot let down our guard against these deadly infections.”

About 3,900 new HIV infections per year in the United States are linked to injection drug use, down from a peak of 35,000 annually in the late 1980s when heroin use was driving the infections among needle-sharers, he said.

Heroin is less popular these days but prescription painkiller abuse is on the rise in the United States, where opioid poisoning deaths have nearly quadrupled from 2009 to 2011.

scott Location of Scott County, Indiana, in red of the map. Wapcaplet / David Benbennick/Wikimedia Commons Wapcaplet / David Benbennick/Wikimedia Commons / David Benbennick/Wikimedia Commons

Scott County has an unemployment rate of 8.9 percent, “a high proportion of adults who have not completed high school (21.3 percent), a substantial proportion of the population living in poverty (19 percent),” said the CDC’s Morbidity and Mortality Weekly report.

Four out of five of the diagnosed cases have admitted to injecting drugs, health authorities explained during a conference call with reporters.

Their drug of choice is an oral painkiller known by the brand name Opana that they crush and dissolve, even though it is sold in an abuse-deterrent form.

They may shoot up as often as every four hours, and are using and sharing larger needles than heroin users typically do, raising their risk of exposure to HIV.

scottsburg A view of Scottsburg, the biggest town in Scott County, Indiana. Google Maps Google Maps

The problem of painkiller addiction in the area began more than a decade ago, said Joan Duwve, chief medical consultant for the Indiana State Department of Health.

“Many family members will use drugs together,” she said.

“There are children and parents and grandparents who live in the same house who are injecting drugs together, sort of as a community activity.”

The age range of those infected so far is 18-57. Just over half are men. Seven percent of the female patients have identified themselves as commercial sex workers, the CDC said.

The CDC said interviews showed each person reported sharing needles with an average of nine other people.

Read: How crystal meth has started to take hold in Australia’s wild outback>

Read: LA’s porn industry issues alert after on-set HIV transmission>

Author
View 21 comments
Close
21 Comments
    Install the app to use these features.
    Mute Pedro deluvio
    Favourite Pedro deluvio
    Report
    Apr 24th 2015, 8:49 PM

    Grandparents???

    Drug using grandparents I presume???

    Very strange!

    161
    Install the app to use these features.
    Mute J. Dunn
    Favourite J. Dunn
    Report
    Apr 24th 2015, 8:55 PM

    One does not need to be elderly or wise to be a grandparent.

    311
    Install the app to use these features.
    Mute Jack Dunne
    Favourite Jack Dunne
    Report
    Apr 24th 2015, 9:06 PM

    Its a veritable HIVE of HIV

    34
    See 1 more reply ▾
    Install the app to use these features.
    Mute Jack Bowden
    Favourite Jack Bowden
    Report
    Apr 25th 2015, 1:52 AM

    Old people in the USA, or “seniors” as they’re known, act much younger then the elderly in Ireland. 1950′s Ireland was a world away from 1950′s America. It is not unusual for their seniors to try bungee jumping and sky diving. I’m sure many experiment in drugs and are more promiscuous than the Irish elderly.

    40
    Install the app to use these features.
    Mute Allan Farrell
    Favourite Allan Farrell
    Report
    Apr 24th 2015, 9:00 PM

    Indiana..I’d say its all a rouse. All shagging each other I’d be more inclined to think

    54
    Install the app to use these features.
    Mute Dave Davis
    Favourite Dave Davis
    Report
    Apr 25th 2015, 8:10 AM

    “Heroin is less popular these days”. Heroin metabolizes into morphine. So too does the oxygen these people are taking. It’s like choosing between Guinness and vodka as your drink. You’re still after the alcohol.

    Morphine addiction is a huge problem, and it’s going to get worse. Especially in Ireland as we’re one of the few countries in the world where we can get morphine precursors over the counter without prescription.

    I think this article is very relevant to us here in Ireland because this issue is something were in the height of now but the floodgates simply have not opened yet.

    26
    Install the app to use these features.
    Mute Dave Davis
    Favourite Dave Davis
    Report
    Apr 25th 2015, 8:11 AM

    Oxygen = Oxy… Obviously. Damn, that’s one autocorrect that makes me look pretty stupid.

    27
    Install the app to use these features.
    Mute Richard boyle
    Favourite Richard boyle
    Report
    Apr 24th 2015, 8:56 PM

    You removed E Conways miserable pun.
    Should have left if up let the so and so answer for it ,
    Vote no for the children ,mothers and fathers my arse ,shows what a hypocrite and piece of garbage he is .

    26
    Install the app to use these features.
    Mute David Harrington
    Favourite David Harrington
    Report
    Apr 25th 2015, 3:31 AM

    Lack of compassion among these comments, but also don’t understand the newsworthiness that Journal sees in this article in the first place. (?)

    8
    Install the app to use these features.
    Mute Doc Jonh
    Favourite Doc Jonh
    Report
    Oct 17th 2016, 1:00 PM

    I’m doc jonh, i help mike cole who contracted HIV in 2015, he was told by my doctor that there’s no possible cure for HIV. he started taking ARV’s, CD4 was 77 and viral load was 112,450. he saw a my website of Dr. jonh, also he saw a lot of testimonials about me on how i uses herbal medicine to cure HIV. he contacted me and told me his problems, i sent him the herbal medicine and he took it for 4 days after then he went for check-up and he was cured. The medicine has NO SIDE EFFECT, there’s no special diet when taking the medicine. He also cure DIABETES, EX BACK, ALS, HEPATITIS B, CANCER, HERPES and lots more. You can reach him on: doctorjonh697@gmail.com just let me help you out first i have four defference herb medicine for HIV it depend on how long you have contracted the AIDS for please i can help give me a chance i show you the power of my herbs

    1
    Install the app to use these features.
    Mute Oscar Calm
    Favourite Oscar Calm
    Report
    Apr 25th 2015, 5:38 PM

    Is it a large homosexual population?

    1
Submit a report
Please help us understand how this comment violates our community guidelines.
Thank you for the feedback
Your feedback has been sent to our team for review.
JournalTv
News in 60 seconds