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West Virginia, one of the poorest states in the United States, is facing a twin crisis – it’s at once the epicentre of America’s opioid crisis and the site of a significant HIV outbreak. The situation is particularly tragic because the public health emergency likely could have been avoided, had policymakers looked at the science and endorsed successful harm reduction initiatives rather than vilifying them.

[...] Even in Europe, overall more forward-thinking on public health issues, lawmakers are falling short by failing to integrate reduced-harm products like e-cigarettes into their efforts to stamp out the tobacco habit [...]