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As I was about to log off, I asked Bradley what he was doing tomorrow, thinking he might want to stop by my place.
He didn’t reply for a while, until: “Bradley is typing a message.” Then it went blank.
I heard the sound of footsteps coming closer, ever so slowly.
Outside organizations, including the CDC, Indiana University Health and the giant, California-based AIDS Healthcare Foundation, have converged on Austin to create a safety net of sorts.
A related study out Wednesday, based on 2016 interviews with 200 Scott County IV drug users, pointed to other positive effects of that response. The syringe exchange was the most common testing site, and those who used it were far more likely to be aware of a daily oral medication, called Pr EP, that helps reduce the risk of spreading HIV. Will Cooke, Austin's lone doctor during the outbreak, said the study results reflect what he sees day-to-day.
More than 5,000 clean syringes were distributed in the first couple of weeks after the exchange opened."As a result of the public health response, there was a huge decrease in high-risk practices, especially among HIV-positive people," said Sharoda Dasgupta, author of the analysis, which was presented Wednesday at a medical conference in Boston.
"The results from this study were substantial."Needle exchanges allow intravenous drug users to trade dirty needles for clean ones.
He said drug users with HIV are injecting more responsibly than other IV drug users in an attempt to protect themselves and others – defying "this misconception that they're bad people." He stressed that addiction is a disease and these people are suffering.
"They need help."Cooke said he's glad the syringe exchange has linked more residents to medical care. They also found 86 percent of those surveyed in 2016 – including 98 percent of those with HIV – used the needle exchange.And 82 percent disposed of spent needles safely in "sharps" containers for medical waste, up from 18 percent before the exchange opened.Most HIV patients also have hepatitis C, and the state has a new program to help them, which allows rural doctors like him to consult remotely about cases with experts at Indiana University School of Public Health. Gradually, Cooke said, Austin is recovering from addiction and related disease,"We're getting there. I would hate to see the person such feet belonged to.As they slowly approached the bed, you could hear the dampness of the footsteps peeling away from the floorboards; my heart was pounding in my mouth and I held my breath.The father drew a deep breath, and bravely strung together a sentence that I’ll never forget. I ended the call in shock, as it became apparent why he had asked if I would be home alone, when suddenly I heard the back door creak open.Instinctively, I did the first thing I could think of and quickly crawled under my bed to hide.They asked if I knew anything on Bradley’s whereabouts, to which I told them not to worry, because he was in fact on his way over.The phone fell silent for a moment until I heard a deathly scream from the mother in the background on the other end of the line. He’s dead.” They had found Bradley’s lifeless body hung up like a coat in the wardrobe.