Reducing barriers to participation for harm reduction programs is among the recommendations from the CDC in addressing the HIV outbreak in Kanawha County. CDC representatives have been in Charleston most of this year reviewing the HIV situation and helping identify potential opportunities for public health intervention, according to a news release from the state Department of Health and Human Resources. Some of the CDC recommendations include expanding and improving access to sterile syringes, testing and treatment, involving the community in efforts to address the outbreak, and conducting more research to understand the extent of injection drug use in Kanawha County and develop additional prevention and care services. The Kanawha-Charleston Health Department says it is aggressively pursuing HIV testing and referral.