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Public health issues of hepatitis C virus infection
George Papatheodoridis1, Angelos Hatzakis
12nd Department of Internal Medicine, Athens University Medical School, Hippokration General Hospital, Athens, Greece.
Insights
Hepatitis C virus (HCV) infection impacts millions globally, causing significant liver disease and mortality. Effective prevention, screening, and treatment strategies are crucial for public health authorities to manage this widespread viral threat.
Area of Science:
- Hepatology
- Virology
- Public Health
Background:
- Hepatitis C virus (HCV) is a major global cause of liver disease, with 130-170 million chronically infected individuals.
- Annual mortality from HCV infection reaches 350,000, with prevalence varying significantly by region.
- Transmission routes include injecting drug use and unsafe therapeutic injections, leading to a large undiagnosed reservoir of chronic infections.
Purpose of the Study:
- To highlight the global burden of Hepatitis C virus infection.
- To discuss the challenges in screening and treatment access.
- To advocate for enhanced public health strategies for HCV management.
Main Methods:
- This study is a review of the global epidemiology and public health implications of Hepatitis C virus.
- Analysis of prevalence, incidence, and transmission patterns of HCV worldwide.
- Examination of barriers to diagnosis and treatment for HCV patients.
Main Results:
- HCV infection affects a substantial portion of the global population, leading to high mortality rates.
- Significant regional disparities exist in HCV prevalence, with higher rates in African and Eastern Mediterranean countries.
- Lack of systematic screening and treatment barriers result in a significant number of undiagnosed and untreated cases.
Conclusions:
- Public health authorities must prioritize Hepatitis C virus, allocating resources for prevention, screening, and management.
- High treatment efficacy necessitates improved access to care to reduce the global burden of HCV.
- Addressing transmission routes and diagnostic/treatment barriers is essential for controlling HCV infection.
Abstract:
Hepatitis C virus (HCV) is a leading cause of liver disease worldwide, as 130-170 million individuals are chronically infected and 350,000 patients die every year from HCV infection. The HCV prevalence varies widely among countries being highest in several African and Eastern Mediterranean countries. The incidence of new HCV infections may be declining in developed countries, but there is still a large reservoir of chronic infections. The most important mode of HCV transmission has been injecting drug use in developed countries with low prevalence and unsafe therapeutic injections in developing countries with moderate-high prevalence. Since there are no systematic screening policies, most patients remain undiagnosed. Even among diagnosed patients, a minority receives treatment due to several barriers to therapy. Given the high efficacy of treatment, public health authorities should recognise the importance of HCV and make resources available for the implementation of effective primary prevention, screening and management policies.
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