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A Road Map to Hepatitis C Elimination: Yesterday, Today, and Tomorrow
Luis A Gonzalez Corro1, Gregory M Lucas2, Kathleen R Page2
1Division of Infectious Diseases, New York University School of Medicine, New York, New York, USA.
Insights
Hepatitis C virus (HCV) infection impacts millions in the US, with rising cases and deaths. Eradicating HCV requires addressing social determinants of health alongside biomedical tools.
Area of Science:
- Public Health
- Infectious Diseases
- Health Policy
Background:
- An estimated 3.5 million individuals in the US have hepatitis C virus (HCV) infection.
- HCV-related deaths reached 15,000 in 2019, with annual healthcare costs around $7 billion.
- Despite previous declines, hepatitis C infections have resurged in the US since 2010.
Purpose of the Study:
- To highlight the ongoing public health challenge posed by hepatitis C virus (HCV) infection in the United States.
- To emphasize the critical role of social determinants of health in achieving better patient outcomes.
- To advocate for cohesive action among public health systems, hospital networks, and governments to eradicate HCV.
Main Methods:
- This study is a review and analysis of the current state of hepatitis C virus (HCV) infection in the US.
- It synthesizes information on HCV incidence, mortality, costs, and treatment advancements.
- It examines the impact of social determinants of health on HCV outcomes and proposes a public health strategy.
Main Results:
- Hepatitis C virus (HCV) infection remains a significant public health issue in the US, characterized by increasing incidence and substantial mortality.
- Current biomedical treatments, while successful, are insufficient alone to curb the epidemic.
- Social determinants of health profoundly influence health outcomes for individuals with HCV, necessitating integrated interventions.
Conclusions:
- The eradication of hepatitis C virus (HCV) is achievable through a combination of advanced biomedical treatments and targeted social interventions.
- A coordinated effort involving public health systems, healthcare providers, and governmental bodies is essential.
- Addressing social determinants of health is paramount to overcoming the hepatitis C epidemic and improving patient outcomes.
Abstract:
There are an estimated 3.5 million people with hepatitis C virus (HCV) infection in the United States, resulting in 15 000 HCV-related deaths in 2019 and approximately $7 billion annually in healthcare costs. Although the United States had experienced declining incidence, since 2010 hepatitis C infections have rebounded. The history of HCV treatment can be seen as a series of scientific triumphs that should be celebrated as the accomplishments that they represent. But new treatments will only get us so far: Social determinants of health drive the majority of health outcomes. Without addressing the factors that impact the lives of our patients, we will fall short in the outcomes we seek. Public health systems, hospital networks, and governments must work more cohesively to eradicate hepatitis C. We have the tools, both biomedical and social. The end of hepatitis C depends on our willingness to make use of them.
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