Document 0753 DOCN M9440753 TI Correlation between disease and community: is drug addiction a problem of fringe groups? DT 9404 AU Baumgarten R; 2nd Medical Division, County Hospital Prenzlauer Berg, Berlin,; Germany. SO Forensic Sci Int. 1993 Nov;62(1-2):67-72. Unique Identifier : AIDSLINE MED/94131385 AB Addiction, because of its associated psychological and physical diseases, is producing increasing expenses through social burden and influencing the epidemiological situation of the whole population via sexual or simple intimate social contacts. Outstanding infectious diseases with a high incidence in drug addicts are tuberculosis, hepatitis A, hepatitis B and the classical notifiable venereal diseases. Preventive measures are required, involving immunization and isolation. HIV infection is another increasing problem in drug addicts. The relatively long asymptomatic course in this population also raises the potential for the spread of AIDS to the general population. There is no ideal method for preventing this danger, but because the traditional abstinence paradigm has not been successful, methadone substitution is improving the medical compliance of this difficult clientele, reducing crime and prostitution and, at the same time, drug-associated risks for the general population. DE Communicable Disease Control Communicable Diseases/*EPIDEMIOLOGY/ETIOLOGY/TRANSMISSION *Cost of Illness Crime Female Germany/EPIDEMIOLOGY Human *HIV Seroprevalence/TRENDS Incidence Male Methadone/THERAPEUTIC USE Prostitution *Public Health Quality of Life Risk Factors *Social Distance *Social Isolation Substance Dependence/COMPLICATIONS/*EPIDEMIOLOGY/REHABILITATION JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).