“…Large differences exist across Europe: in Western Europe the proportion of HIV-1 diagnoses among IDUs was 5.1%, in Central Europe 7.3%, and in Eastern Europe 33.6% (ecdc/WHO). In the 80s and 90s, several HIV-1 outbreaks were reported among IDUs in Europe, and specifically in Eastern Europe (Latvia, Russia, Estonia, Belarus, Azerbaijan, Armenia, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Tajikistan, Ukraine, and Uzbekistan) (Balode et al, 2012;Beyrer et al, 2009Beyrer et al, , 1998Bobkov et al, 2004a,b;Bobkova, 2013; ecdc/WHO; Kazennova et al, 2013;Laga et al, 2012;Lazouskaya et al, 2005;Mathers et al, 2010;Novitsky et al, 1998;Pandrea et al, 2001;Saad et al, 2006a,b;Sanchez et al, 2006;Uuskula et al, 2002;Zarandia et al, 2006), in Portugal (Esteves et al, 2003), Italy (Ciccozzi et al, 2007), Finland and Sweden (Kivela et al, 2007;Skar et al, 2011).…”