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PRESENTER: Thomas J. Stopka, Ashley Donahue, Marga Hutcheson, David Meyers, Kenneth Chui; Department of Public Health and Community Medicine, Tufts University School of Medicine
ABSTRACT: The opioid epidemic presents a major public health challenge and contributes to a larger syndemic, which includes non-prescription opioid misuse, heroin injection, opioid overdoses, and hepatitis C virus (HCV) and HIV clusters. Over the past decade, Massachusetts has experienced increases in all opioid-related morbidities and mortalities., As this syndemic continues to grow, it may be a harbinger of future increases in HIV and HIV-HCV co-infection rates. Through the use of various GIS and spatial epidemiological methods, we identified spatial hotspot clusters (p < 0.05) on the neighborhood, census tract, municipality, and state levels. We identified locations where injection drug use, overdose, HCV and HIV clusters were a concern, and where enhanced prevention, treatment, and care can help combat the opioid epidemic in Massachusetts.