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Aiming at the Global Elimination of Viral Hepatitis: Challenges along the Care Continuum

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Title: Aiming at the Global Elimination of Viral Hepatitis: Challenges along the Care Continuum
Authors: Heffernan, A
Barber, E
Cook, NA
Gomaa, AI
Harley, YX
Jones, CR
Lim, AG
Mohamed, Z
Nayagam, AS
Ndow, G
Shah, R
Sonderup, M
Spearman, CW
Waked, I
Wilkinson, RJ
Taylor-Robinson, SD
Item Type: Journal Article
Abstract: A recent international workshop, organised by the authors, analysed the obstacles facing the ambitious goal of eliminating viral hepatitis globally. We identified several policy areas critical to reaching elimination targets. These include: providing hepatitis B birth-dose vaccination to all infants within 24 hours of birth; preventing the transmission of blood-borne viruses through the expansion of national haemovigilance schemes; implementing the lessons learnt from the HIV epidemic regarding safe medical practices to eliminate iatrogenic infection; adopting point-of-care testing to improve coverage of diagnosis; and providing free or affordable hepatitis C treatment to all. We introduce Egypt as a case study for rapid testing and treatment scale-up: this country offers valuable insights to policy makers internationally, not only regarding how hepatitis C interventions can be expeditiously scaled-up, but also as a guide for how to tackle the problems encountered with such ambitious testing and treatment programmes.
Issue Date: 17-Nov-2017
Date of Acceptance: 13-Nov-2017
URI: http://hdl.handle.net/10044/1/53516
DOI: https://dx.doi.org/10.1093/ofid/ofx252
ISSN: 2328-8957
Publisher: Oxford University Press
Journal / Book Title: Open Forum Infectious Diseases
Volume: 5
Issue: 1
Copyright Statement: © The Author 2017. Published by Oxford University Press on behalf of Infectious Diseases Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: Wellcome Trust
Embassy of The Arab Republic of Egypt
Wellcome Trust
Wellcome Trust
Wellcome Trust
British Council (UK)
The Royal Society
Funder's Grant Number: 072070/Z/03/Z
JS/15/05
097816/Z/11/ZR
104803/Z/14/ZR
105603/Z/14/Z
172574498
NA150173
Keywords: elimination
hepatitis care continuum; policy
viral hepatitis
Publication Status: Published
Article Number: ofx252
Appears in Collections:Division of Surgery
Department of Medicine
Faculty of Medicine
Epidemiology, Public Health and Primary Care



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