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Changing Treatment Landscape of Hepatitis C Virus Infection Among Penitentiary Inmates
Yvon Yeo1, Rosemary Johnson1, Christine Heng1
1is a pharmacist at the U.S. Penitentiary Canaan in Waymart, Pennsylvania; is a nurse practitioner and is a dentist, both at the Federal Correctional Institution in Danbury, Connecticut; all are Commissioned Corps Officers serving in the U.S. Public Health Service.
Limited resources necessitate a strategic approach to managing hepatitis C virus (HCV) in correctional facilities. Prioritizing screening, monitoring, and treatment ensures effective care for infected inmates.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health in Correctional Settings
Background:
- Hepatitis C virus (HCV) infection is prevalent in incarcerated populations.
- Resource limitations within correctional facilities pose challenges for comprehensive healthcare delivery.
- Effective management strategies are crucial for controlling HCV transmission and disease progression.
Purpose of the Study:
- To outline a systematic approach for screening, monitoring, and prioritizing treatment of HCV-infected inmates.
- To provide a framework for resource allocation and clinical decision-making in correctional healthcare.
Main Methods:
- Development of a step-by-step protocol for HCV management.
- Integration of clinical judgment with resource availability.
- Prioritization based on disease severity and treatment eligibility.
Main Results:
- A structured, phased approach allows for efficient identification and management of HCV.
- Prioritization ensures that inmates with the most urgent need receive timely intervention.
- This strategy optimizes the use of limited resources for maximal public health impact.
Conclusions:
- A pragmatic, step-by-step strategy is essential for managing HCV in resource-constrained correctional environments.
- Combining clinical expertise with systematic prioritization enhances the effectiveness of HCV care for inmates.
- This model supports improved health outcomes for incarcerated individuals and contributes to broader community health efforts.
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