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To the editor: I read with great interest the article by Paraskevis et al. on the approximately 10-fold increase in reported cases of HIV-1 among injecting drug users (IDUs) in Greece, recently published in Eurosurveillance [1]. The authors conclude that the increase reflects a recent outbreak among users. They use data collected through the systematic case reporting surveillance system and specialised laboratory studies (mainly sequencing based cluster or phylogenetic analysis) to further suggest that the root cause of the outbreak is transmission from HIV-positive migrants to native Greek drug users.

Letter to the editor: HIV-1 outbreak among injecting drug users in Greece, 2011: a preliminary report