A survey of 51 people who work on trawlers was carried out to describe inje
cting and sexual behaviour and the prevalence of HIV and HCV antibody. All
crew members who were departing from an Australian port during the last wee
k of February 1996 to work on trawlers were asked to complete a brief, self
-administered questionnaire and provide a finger prick blood sample. Questi
onnaires were received from 51 (77%) and blood samples from 45 (68%) of the
66 crew from 15 vessels. Almost half the respondents reported ever injecti
ng illicit drugs. No respondents had HIV antibody while 27% had HCV antibod
y detected. Among 20 injecting drug user (IDU) respondents, the prevalence
of HCV was 55% (95% CI 32%-77%). Twelve respondents reported new sex partne
rs in the past month of whom half reported no condom use with these sex par
tners. The survey emphasises the diversity of the IDU population in Austral
ia. Yet it would appear that regardless of the sub-population surveyed that
HCV is endemic among IDUs in Australia. Effective HCV prevention programs
targeted specifically for these (and other) sub-populations of IDUs should
be devised.