Forefront Lecture by Dr. Alex Kral

“Two Decades of Community-Based Research with Injection Drug Users in the San Francisco Bay Area”

Dr. Alex Kral is the Director of the Urban Health Program in the San Francisco Regional office of RTI International and Associate Adjunct Professor of Epidemiology in the Department of Family and Community Medicine at UCSF. For the past two decades, he has been conducting policy-relevant community-based health research with urban poor populations including injection drug users, the homeless, Latino migrant day laborers, and runaway/homeless youth. An infectious disease epidemiologist by training, his primary focus is on the nexus of substance use and infectious diseases including HIV.


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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below