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Harm reduction is a pragmatic approach to patients whose addiction is compounded by other psychological and social ills. It takes the viewpoint that society will never be drug-free, and that the best approach to drug issues is to tackle those that cause crime and other harmful effects. Harm reduction draws on many disciplines, but measures outcomes in terms not of drug use itself, but of related "harms" such as disease, death, and crime. In this model, resources and energy are directed toward those drugs that cause comparatively greater harm, while some others (such as marijuana) receive less attention. Harm-reduction-based programs may include needle exchanges, food and hygiene services, treatment based on individual dignity, and substance abuse clinics offering factual, science-based drug education both for addicts and for young people who may come into contact with drugs.

Test Overview A CD4+ count is a blood test to determine how well the immune system is working in people who have been diagnosed with human immunodeficiency virus (HIV). CD4+ cells are a type of white blood cell. White blood cells are important in fighting infections. CD4+ cells are also called T-lymphocytes, T-cells, or T-helper cells. HIV infects CD4+ cells. The number of CD4+ cells drops in most people infected with HIV who are not receiving treatment for the disease. The number of CD4+ cells helps determine whether other infections (opportunistic infections) may occur. The pattern of CD4+ counts over time is more important than any single CD4+ value because the values can change from day to day. The CD4+ pattern over time shows the effect of the virus on the immune system. CD4+ counts generally decrease as HIV progresses. ...