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In an effort to recognize and respond to an HIV/HCV outbreak in its early stages, the Indiana State Department of Health (ISDH) has developed the attached County Profiles. The profiles contain the number and incidence rate by county of HIV, HCV, STDs, and the number of individuals currently living with HIV. In the profiles, you will also find the total number and incidence rate for drug overdoses and deaths as well as comparisons to the totals for the State of Indiana. In addition, the ISDH has prepared a syringe exchange guidance document. This document contains additional information including state and national resources and syringe access options for local health departments considering exchange programs.