Elimination of hepatitis C in Europe: can WHO targets be achieved?
| Autor: | Massimo Colombo, Mojca Matičič, Mario U. Mondelli, Andrea Lombardi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Hepatitis C vaccine medicine.medical_specialty Universal design 030106 microbiology Health Promotion Global Health World Health Organization Antiviral Agents 03 medical and health sciences 0302 clinical medicine Time frame Development economics medicine Humans 030212 general & internal medicine Disease Eradication Transmission (medicine) Public health Viral Vaccines General Medicine Hepatitis C Hepatitis C Chronic medicine.disease Hcv elimination Vaccination Europe Infectious Diseases Business |
| Zdroj: | Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases. 26(7) |
| ISSN: | 1469-0691 |
| Popis: | Background Chronic hepatitis C virus (HCV) infection affects 71 million people worldwide. The availability of highly efficient direct-acting antivirals has revolutionized the treatment landscape with over 95% cure rates. The WHO has launched a global programme to achieve rather ambitious HCV elimination targets for 2030. Objectives This article aims to provide a critical overview of the current HCV elimination programmes in Europe highlighting the elements that should be implemented to achieve elimination and those that are already in place to promote this process. Sources Review of the recently published literature and opinion of experts in the field. Content Elimination of hepatitis C as a public health threat appears to be a difficult task, which should be subdivided into smaller targets, the so-called micro-elimination goals, to increase chances of success. Macro-elimination strategies based on mass-screening are difficult to implement. Evidence supporting the efficacy of micro-elimination comes from key populations, such as people who inject drugs. HCV elimination is proceeding at different speeds in Europe. Some countries are on target with the WHO's objectives whereas others lack economic support and political advocacy, and have insufficient infrastructures to achieve this. The absence of an effective prophylactic vaccine is hampering the process and should be overcome. Implications Elimination of hepatitis C worldwide appears plausible, but in several countries probably not within the time frame suggested by the WHO. In the absence of vaccination, universal access to HCV treatment would act as a ‘therapeutic’ option to reduce transmission, especially in high-risk populations. |
| Databáze: | OpenAIRE |
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