The 5th Canadian Symposium on Hepatitis C Virus: We Are Not Done Yet-Remaining Challenges in Hepatitis C

Nicholas van Buuren1, Lorraine Fradette2, Jason Grebely3

  • 1Department of Genetics, Stanford University School of Medicine, Stanford, CA, USA.

Insights

Hepatitis C virus (HCV) remains a significant public health challenge in Canada, with many undiagnosed cases and low treatment rates despite effective new therapies. Continued efforts are needed to enhance prevention, diagnosis, and treatment to eliminate HCV.

Area of Science:

  • Hepatology and Viral Diseases
  • Public Health and Epidemiology

Background:

  • Hepatitis C virus (HCV) significantly impacts Canadians, causing more years of life lost than other infectious diseases.
  • HCV-related liver disease is a priority for Canadian health organizations, leading to the creation of a National Hepatitis C Research Network.

Framework:

  • The advent of interferon-free therapies in 2015 revolutionized Hepatitis C treatment, offering high cure rates (>90%) with minimal side effects.
  • Despite therapeutic advancements, significant barriers including financial, geographical, cultural, and social factors impede diagnosis and treatment uptake in Canada.

Implementation:

  • Comprehensive prevention strategies encompassing enhanced harm reduction, expanded screening, and widespread treatment are crucial.
  • The development of an HCV vaccine remains a critical, yet unrealized, goal for disease elimination.

Implications:

  • Addressing the remaining challenges in Hepatitis C prevention, diagnosis, and treatment is essential to reduce disease burden.
  • The ultimate goal is the elimination of Hepatitis C in Canada, requiring a concerted and multi-faceted approach.

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