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Prioritising treatment among people who inject drugs in order to eliminate hepatitis C: addressing reluctance with sound economic analyses
Gut ( IF 24.5 ) Pub Date : 2016-08-26 , DOI: 10.1136/gutjnl-2016-312636
Yvan J-F Hutin 1 , Stefan Z Wiktor 1
Affiliation  

In May 2016, the World Health Assembly, the governing body of WHO, endorsed the first-ever global hepatitis strategy.1 This document, termed the Global Health Sector Strategy on Viral Hepatitis (GHSS-VH), proposes ambitious prevention and treatment targets with the ultimate goal of eliminating hepatitis as a public health threat by 2030. The GHSS-VH defines elimination as a 90% reduction in incidence of chronic HBV and HCV infections and a 65% reduction in hepatitis-related mortality. Achieving the goals of the global strategy will require scaling up prevention and treatment services, which in turn will require increases in financial resources and political commitment. In addition, national health planners will need to decide how best to allocate these resources so that they have maximal impact. A solid understanding of the epidemiology of hepatitis infection in the country, in particular identifying groups at highest risk of infection and those at highest risk of death should be the basis of a sound national treatment plan that can meet the incidence and mortality goals of GHSS-VH. In this issue, Scott et al 2 developed a mathematical model to study which treatment strategies would most effectively and efficiently eliminate hepatitis C in Australia, based on the WHO strategy's goals. As in most high-income countries, HCV infection …

中文翻译:

优先对注射吸毒者进行治疗以消除丙型肝炎:通过合理的经济分析解决不情愿

2016 年 5 月,世卫组织的理事机构世界卫生大会批准了首个全球肝炎战略。1 该文件被称为病毒性肝炎全球卫生部门战略 (GHSS-VH),提出了雄心勃勃的预防和治疗目标,包括:到 2030 年消除作为公共卫生威胁的肝炎的最终目标。GHSS-VH 将消除定义为慢性 HBV 和 HCV 感染的发病率降低 90%,肝炎相关死亡率降低 65%。实现全球战略的目标需要扩大预防和治疗服务,而这反过来又需要增加财政资源和政治承诺。此外,国家卫生规划者将需要决定如何最好地分配这些资源,以使它们产生最大的影响。对国内肝炎感染流行病学的深入了解,特别是识别感染风险最高的人群和死亡风险最高的人群,应成为制定能够满足 GHSS-发病率和死亡率目标的健全国家治疗计划的基础。 VH。在本期中,Scott 等人 2 开发了一个数学模型,根据 WHO 战略的目标,研究哪些治疗策略将最有效和最有效地消除澳大利亚的丙型肝炎。与大多数高收入国家一样,HCV 感染…… Scott 等人 2 根据 WHO 战略的目标,开发了一个数学模型来研究在澳大利亚最有效和最有效地消除丙型肝炎的治疗策略。与大多数高收入国家一样,HCV 感染…… Scott 等人 2 根据 WHO 战略的目标,开发了一个数学模型来研究在澳大利亚最有效和最有效地消除丙型肝炎的治疗策略。与大多数高收入国家一样,HCV 感染……
更新日期:2016-08-26
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