Abstract
In January 2015, the Indiana State Health Department detected an alarming number of new HIV diagnoses in Scott County, a rural community in southeastern Indiana. A disease intervention specialist identified a cluster of 11 newly diagnosed HIV infections in a county where just five infections had been diagnosed from 2004 to 2014.1 The first three cases were detected through routine HIV screening. Following initial contact tracing, eight additional cases were diagnosed in the syringe-sharing partners of the three patients.
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