1. Network of Low-Threshold Centres as a Response to Concentrated HIV Epidemic among IDUs in Latvia

2. HIV Incidence by Transmission Group and Year September 1, 2004

3. Changing philosophy Transformation from Needle Exchange Point to Low Threshold Centre –Needle&syringe exchange –outreach –Voluntary Counseling and Testing –condoms –disinfectants –Information –psychological and social support –reference and entry to drug and HIV treatment programmes

4. HIV Cases and Locations of LTC September 1, 2004

5. Jurmala – 20 km long sea side resort

6. Comparative Data of Low - Threshold Program in Latvia (1999 – 2003)

7. Results & Sustainability  Sevices: –Free of charge –VCT, N&S exchange, condoms, disinfectants, information etc.  6110 new clients engaged during the project  More than 2000 HIV tests done  Municipal responsibility: –Insures operation of the center through municipal budget  AIDS prevention center respponsibility: –syringes, needles, –condoms, –Information materials, –HIV tests