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Opiate substitution therapy together with needle/syringe programmes (NSP) probably reduce the risk of hepatitis C acquisition; and NSP are likely to be good value for money and even cost-saving in some settings.

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Lucy Platt 1,*, Sedona Sweeney 1, Zoe Ward 2, Lorna Guinness 1, Matthew Hickman 2, Vivian Hope 3, Sharon Hutchinson 4, Lisa Maher 5, Jenny Iversen 5, Noel Craine 6, Avril Taylor 7, Alison Munro 8, John Parry 3, Josie Smith 6, Peter Vickerman 2

1 Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
2 School of Social and Community Medicine, University of Bristol, Bristol, UK
3 Centre for Infectious Disease Surveillance and Control, Public Health England, London, UK
4 School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
5 Viral Hepatitis Epidemiology and Prevention Program, Kirby Institute, University of New South Wales, Sydney, NSW, Australia
6 Health Protection Division, Public Health Wales, Cardiff, UK
7 School of Media Society and Culture, University of the West of Scotland, Paisley, UK
8 School of Social Science, University of the West of Scotland, Paisley, UK
* Corresponding author Email: lucy.platt@lshtm.ac.uk

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