Localized US Efforts to Eliminate Hepatitis C.

Area of Science:

• Public Health
• Infectious Disease Control
• Health Policy

Background:

• The United States has national goals for hepatitis C virus (HCV) elimination.
• Healthcare delivery in the U.S. is largely state- and locally-managed, necessitating tailored approaches.
• Existing healthcare structures require adaptation for effective HCV elimination strategies.

Purpose of the Study:

• To describe the hepatitis C virus (HCV) elimination plans developed by New York, Massachusetts, and San Francisco.
• To highlight how these distinct coalitions leverage and advocate for resources to overcome care barriers.
• To examine the shared commitment to equity in HCV treatment and cure for disproportionately affected groups.

Main Methods:

• Review of state and local HCV elimination plans.
• Analysis of coalition strategies for resource utilization and advocacy.
• Identification of common goals and target populations across different jurisdictions.

Main Results:

• New York, Massachusetts, and San Francisco have developed unique, localized plans for HCV elimination.
• Coalitions are actively working to secure and optimize resources to address critical gaps in HCV care.
• All initiatives demonstrate a focus on reaching and including populations at high risk and those often marginalized in healthcare advancements.

Conclusions:

• Localized, coalition-based strategies are essential for achieving hepatitis C virus (HCV) elimination within the U.S. healthcare system.
• Addressing specific barriers and ensuring equitable access to treatment are key components of successful HCV elimination efforts.
• Collaboration and resource advocacy are vital for advancing HCV cure and preventing new infections across diverse populations.