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台湾的HCV消除现状台湾的HCV消除现状

Rong-Nan Chien¹, Maggie Shu-Mei Hsu², Ya-Xin Luo²

¹Liver Research Unit, Linkou Chang Gung Memorial Hospital and University, Taoyuan, Taiwan.

Journal of the Formosan Medical Association = Taiwan yi zhi

|September 27, 2025

概括

台湾实现了高C型肝炎病毒 (HCV) 诊断和治疗率,接近2025年WHO消除目标. 政府的举措显著提高了慢性型肝炎 (CHC) 患者的查和护理.

科学领域:

肝病学肝病学是一种肝病学.
公共卫生公共卫生
传染病流行病学传染病流行病学

背景情况:

台湾的C型肝炎病毒 (HCV) 患病率估计为2.86%,在老年患者中发现有阳性传染.
感染HCV的高风险群体包括接受血液透析的末期病患者,艾滋病毒感染者,注射药物使用者 (PWID) 和接受阿片类药物替代疗法的个人.
据估计,台湾约有188,126人患有慢性型肝炎 (CHC;HCV RNA阳性),需要治疗.

研究的目的:

评估台湾在实现世界卫生组织 (WHO) 2025年HCV消除目标方面的进展情况.
评估2017年至2024年期间卫生和福利部 (MOHW) 实施的国家战略的影响.
确定台湾一般人口中CHC的诊断和治疗率.

主要方法:

分析国家HCV流行数据和估计的CHC患者人数.
审查政府主导的倡议,包括国家查,减少伤害,扩大治疗能力和关联护理计划.
根据计划数据和世卫组织标准计算诊断和治疗率.

主要成果:

台湾已经表现出强有力的政府承诺,这对于成功消除HCV的努力至关重要.
国家计划成功地解决了诊断和护理的障碍,包括财政支持,减少伤害和扩大治疗机会.
诊断和治疗率分别达到90.6%和92.8%,达到世卫组织的HCV消除计划目标 (诊断率>90%,治疗率>80%).

结论:

台湾正准备在2025年之前实现世卫组织的HCV消除目标,这在很大程度上是由于政府领导的强有力的战略.
综合性方法,包括查,减少伤害和可获得的治疗,非常有效.
持续的政治意愿和战略计划实施是实现消除传染病的公共卫生目标的关键因素.

关键词:

慢性型肝炎C 慢性型肝炎C 政府的意愿,政府的意愿.消除HCV的消除方法影响目标影响目标规划目标规划目标

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