Hepatitis C Virus

David E Kaplan1

  • 1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania (D.E.K.).

Annals of Internal Medicine
|September 1, 2020
PubMed

Insights

Hepatitis C virus (HCV) infection affects millions in the US, but new treatments offer a cure. Expanding access, especially for people who inject drugs, and involving primary care are key to eradicating this bloodborne pathogen.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health

Background:

  • Hepatitis C virus (HCV) is a prevalent bloodborne pathogen in the United States, with approximately 2.4 million individuals chronically infected.
  • A significant portion of those infected remain unaware of their condition, highlighting a critical gap in diagnosis and care.
  • Despite the high prevalence, highly effective and well-tolerated therapies with simplified treatment protocols are now available.

Purpose of the Study:

  • To emphasize the national goal of eradicating Hepatitis C virus (HCV).
  • To highlight the necessity of expanding treatment access to hard-to-reach populations, including persons who inject drugs.
  • To underscore the crucial role of primary care providers in managing HCV, from screening to treatment.

Main Methods:

  • Review of current HCV treatment landscape and epidemiological data.
  • Analysis of treatment access barriers for key populations.
  • Assessment of the potential impact of primary care integration in HCV management.

Main Results:

  • Highly effective and well-tolerated therapies for HCV are readily available.
  • Simplified treatment algorithms are now in place, facilitating broader application.
  • Eradication of HCV is a stated national objective.

Conclusions:

  • Achieving HCV eradication necessitates increased access to treatment for all populations, particularly persons who inject drugs.
  • Primary care providers are essential for screening, stratifying patients, and administering treatment to combat the HCV burden.
  • Addressing the significant disease burden requires a comprehensive strategy involving expanded screening and treatment initiatives.

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