Opioid-related encounters included any with documentation of illicit opioid use (including prescription opioid misuse), a toxicology screen positive for opioids, or provision of syringe services. We analyzed health care encounter and HIV- and opioid-related services data from 1 year before HIV diagnosis through June 18, 2021. INTRODUCTION In 2019, the West Virginia (WV) Bureau for Public Health identified 15 HIV diagnoses among people who inject drugs (PWID) in Kanawha County, an area disproportionately affected by the opioid crisis; previously, annual diagnoses were less than 5. [Extracted from the article]