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We show involvement of three major populations in transmission injection drug user, heterosexual, and trans-border migrants. This study highlights the need to focus harm reduction efforts toward controlling transmission of blood-borne infections among the abovementioned high-risk populations in the FSU countries. This study highlights the need to focus harm reduction efforts toward controlling transmission of blood-borne infections among the abovementioned high-risk populations in the FSU countries.Sclerosing hepatic carcinoma (SHC) is