Screening for chronic hepatitis C: American College of Preventive Medicine practice policy statement

Linda Hill1, Bonnie Henry, Suzanne Schweikert

  • 1University of California-San Diego and San Diego State University, General Preventive Medicine Residency, University of California-San Diego, San Diego, CA, USA.

Insights

Hepatitis C virus (HCV) infection is common, especially in high-risk groups. Expanding screening for these populations is recommended, but universal screening for all adults is not yet supported by evidence.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • Hepatitis C is a prevalent, under-diagnosed bloodborne illness.
  • Chronic infection can lead to cirrhosis in up to 25% of cases.
  • Prevalence in the US is 1.7% overall, but up to 80% in high-risk populations.

Purpose of the Study:

  • To summarize the current understanding of Hepatitis C virus (HCV) epidemiology.
  • To evaluate the effectiveness and recommendations for screening and treatment.

Main Methods:

  • Literature review of HCV prevalence, transmission, and treatment efficacy.
  • Analysis of screening value in different population groups.

Main Results:

  • HCV transmission is understood, but prevention is hindered by socioeconomic and political factors.
  • Antiviral treatments have variable efficacy (40-85%) and high cost.
  • Screening high-risk populations is valuable and should be expanded.

Conclusions:

  • While screening high-risk populations for Hepatitis C is beneficial, universal screening for all adults lacks sufficient evidence.
  • Further research may be needed to address economic, social, and political barriers to prevention and treatment.

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