Hepatitis C in homeless people: reaching a hard-to-reach population

Area of Science:

• Public Health
• Hepatology
• Infectious Diseases

Background:

• Hepatitis C virus (HCV) infection poses a significant health burden, particularly among vulnerable populations.
• Individuals experiencing homelessness (IEH) face unique barriers to healthcare access, complicating disease detection and treatment.
• Understanding the current process of HCV detection and management in IEH is crucial for improving health outcomes.

Purpose of the Study:

• To analyze the existing processes for detecting and treating hepatitis C among individuals experiencing homelessness.
• To identify challenges and opportunities within the current healthcare system for managing HCV in this population.

Main Methods:

• An analytical cross-sectional study was conducted within a primary care setting.
• Screening and registration of patients with positive hepatitis C antibody tests were performed.
• Positive cases were referred to a specialized Digestive Service for further management.

Main Results:

• A prevalence of 8.3% for positive hepatitis C antibody tests was observed.
• Among those with positive tests, six individuals had previously undergone treatment.
• One patient, not previously treated, achieved successful treatment; however, 30.8% were lost to follow-up or declined participation.

Conclusions:

• Enhanced community coordination is essential for improving hepatitis C detection among IEH.
• The implementation of rapid testing strategies can significantly boost early identification.
• Addressing barriers to care and follow-up is critical for successful treatment outcomes in this population.