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  • A comprehensive literature review of published and unpublished data on HCV epidemiology was conducted.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.

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