“…The Estonian CRF06_cpx strain was likely originated in Africa (Zetterberg et al, 2004), and although it has been reported in other European countries, it is a minority variant in all studies performed outside Estonia. Conversely, subtype A dominates in Latvia and Lithuania, where the HIV-1 epidemic is otherwise very similar and driven by injecting drug use (Andrews et al, 2013;Popa et al, 2013). More recently CRF02_AG has been increasingly detected among PWID in Russia and is probably linked with the CRF02_AG epidemics in Central Asia (Bobkova, 2013).…”