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Hepatitis C elimination among people incarcerated in prisons: challenges and recommendations for action within a health systems framework
The Lancet Gastroenterology & Hepatology ( IF 30.9 ) Pub Date : 2021-04-12 , DOI: 10.1016/s2468-1253(20)30365-4
Matthew J Akiyama , Nadine Kronfli , Joaquin Cabezas , Yumi Sheehan , Prem H Thurairajah , Richard Lines , Andrew R Lloyd

Hepatitis C virus (HCV) is a global public health problem in correctional settings. The International Network on Health and Hepatitis in Substance Users–Prisons Network is a special interest group committed to advancing scientific knowledge exchange and advocacy for HCV prevention and care in correctional settings. In this Review, we highlight seven priority areas and best practices for improving HCV care in correctional settings: changing political will, ensuring access to HCV diagnosis and testing, promoting optimal models of HCV care and treatment, improving surveillance and monitoring of the HCV care cascade, reducing stigma and tackling the social determinants of health inequalities, implementing HCV prevention and harm reduction programmes, and advancing prison-based research.



中文翻译:

在监狱中关押的人中消除丙型肝炎:卫生系统框架内的挑战和行动建议

丙型肝炎病毒(HCV)是惩教机构中的全球性公共卫生问题。国际物质使用者健康和肝炎网络-监狱网络是一个特殊的利益集团,致力于促进科学知识的交流和倡导,以在矫正环境中预防和护理HCV。在本评论中,我们重点介绍了在教养环境中改善HCV护理的七个优先领域和最佳实践:改变政治意愿,确保获得HCV诊断和测试的机会,推广HCV护理和治疗的最佳模型,改善对HCV护理级联的监测和监测,减少耻辱感和解决健康不平等的社会决定因素,实施HCV预防和减少伤害计划以及推进基于监狱的研究。

更新日期:2021-04-13
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