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Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
Historical epidemiology of hepatitis C virus in select countries-volume 4
A Maaroufi1, A Vince2, S M Himatt3
1National Institute of Health Administration, Rabat, Morocco.
Insights
New hepatitis C virus (HCV) treatments require updated national control strategies. This study highlights data gaps in HCV prevalence and treatment across 17 countries, crucial for effective public health planning.
Area of Science:
- Hepatology
- Public Health
- Epidemiology
Background:
- The advent of novel, effective hepatitis C virus (HCV) treatments necessitates the evolution of national public health policies.
- Understanding the current epidemiological landscape of chronic HCV infection is vital for adapting control strategies.
Purpose of the Study:
- To characterize the burden of chronic HCV infection across 17 countries.
- To identify data gaps in HCV prevalence, diagnosis, and treatment rates to inform policy development.
Main Methods:
- A comprehensive literature review of published and unpublished data on HCV epidemiology was conducted.
- Data on HCV prevalence, viraemia, genotype, demographics, liver transplants, and treatment rates were collected.
- Expert consensus in each country was used to validate the gathered data.
Main Results:
- Viraemic HCV prevalence varied significantly, from 0.2% in Hong Kong to 2.4% in Taiwan.
- Nigeria and Taiwan reported the largest viraemic populations, with 2,597,000 and 569,000 cases, respectively.
- Rates of diagnosis, treatment, and liver transplantation, along with data reliability, showed considerable cross-country variation.
Conclusions:
- Significant disparities in HCV burden and management exist across countries.
- Addressing data gaps is essential for developing targeted and effective national HCV control strategies.
- Adapting public health policies to the changing epidemiology of hepatitis C is critical for disease management.
Abstract:
Due to the introduction of newer, more efficacious treatment options, there is a pressing need for policy makers and public health officials to develop or adapt national hepatitis C virus (HCV) control strategies to the changing epidemiological landscape. To do so, detailed, country-specific data are needed to characterize the burden of chronic HCV infection. In this study of 17 countries, a literature review of published and unpublished data on HCV prevalence, viraemia, genotype, age and gender distribution, liver transplants and diagnosis and treatment rates was conducted, and inputs were validated by expert consensus in each country. Viraemic prevalence in this study ranged from 0.2% in Hong Kong to 2.4% in Taiwan, while the largest viraemic populations were in Nigeria (2 597 000 cases) and Taiwan (569 000 cases). Diagnosis, treatment and liver transplant rates varied widely across the countries included in this analysis, as did the availability of reliable data. Addressing data gaps will be critical for the development of future strategies to manage and minimize the disease burden of hepatitis C.
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