The “War on Drugs” has failed, particularly with regard to the spread of HIV in middle-income nations and some developing nations in Asia. The disease is now starting to bleed into Africa as well.

The spread of HIV among injection drug users is a most crucial issue in middle-income countries: poor nations simply cannot afford so expensive a vice on a large scale, and affluent nations often have instituted harm-reduction policies, such as needle exchange and opioid substitution programs, to mitigate the health risks.

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