Hepatitis C virus (HCV) infection in Africa: a review

Mercy Jelagat Karoney1, Abraham Mogisi Siika

  • 1Moi University Clinical Research Center, Eldoret, Kenya.

Insights

Hepatitis C virus (HCV) is a global pandemic, with Africa experiencing the highest prevalence. Limited data on HCV epidemiology and treatment in Africa suggest it remains a neglected disease, necessitating further research.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • Hepatitis C virus (HCV) is a significant cause of chronic liver disease globally.
  • Africa faces a high burden of HCV, yet data on its epidemiology and management are scarce.

Purpose of the Study:

  • To review the current epidemiology and management of Hepatitis C in Africa.
  • To identify gaps in knowledge regarding HCV prevalence, genotypes, transmission, and treatment in the African continent.

Main Methods:

  • Literature search of Medline and bibliographies using keywords: "Hepatitis C", "Prevalence", "Epidemiology", "Africa", "Treatment".
  • Inclusion of articles published after 1995.
  • Data summarization and presentation in tables and figures.

Main Results:

  • Africa has the highest regional HCV prevalence (5.3%), with Egypt showing the highest national prevalence (17.5%).
  • Common HCV genotypes in Africa are 1, 4, and 5; genotype 3 is prevalent in Egypt and Central Africa.
  • Blood transfusion is a primary transmission route. Data on standard treatments (peginterferon, ribavirin) and liver transplantation in Africa are notably absent.

Conclusions:

  • Hepatitis C is a neglected disease in many African countries due to limited available data.
  • Urgent need for more research on HCV epidemiology, transmission, and effective management strategies across Africa.

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