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Everyone in: hepatitis C screening for rough sleepers accommodated during the COVID-19 pandemic in Somerset, England
Frontline Gastroenterology ( IF 2.4 ) Pub Date : 2022-07-01 , DOI: 10.1136/flgastro-2021-101979
Katharine Hutchison 1 , Anna Page 1 , Samuel Hayward 2
Affiliation  

WHO is aiming for the eradication of the hepatitis C virus (HCV) as a global health threat by 2030. However, concerns have been raised about how the COVID-19 pandemic may affect eradication efforts.1 One long-standing barrier to achieving the WHO goals is the high prevalence of HCV in marginalised populations.2 Homelessness is a significant risk factor for HCV infection in the UK, with chronic prevalence in this group estimated at 29%.3 Homeless people diagnosed with HCV infection are also less likely to complete treatment. The reasons for this are complex, but involve mistrust of medical services, inflexibility of secondary care pathways and geographic mobility.4 During the COVID-19 pandemic, homeless people across Somerset were housed in temporary accommodation through the national ‘Everyone in’ initiative. This provided a unique opportunity for eradication efforts by reducing the geographic mobility of this population, and provided a setting in which HCV patients could be managed. In this letter, we describe a targeted multidisciplinary programme to identify and …

中文翻译:

每个人都在:在英格兰萨默塞特郡的 COVID-19 大流行期间对露宿者进行丙型肝炎筛查

世卫组织的目标是到 2030 年根除作为全球健康威胁的丙型肝炎病毒 (HCV)。然而,人们对 COVID-19 大流行如何影响根除工作提出了担忧。 1 实现世卫组织的一个长期障碍目标是边缘化人群中 HCV 的高患病率。2 无家可归是英国 HCV 感染的一个重要风险因素,该群体的慢性患病率估计为 29%。3 被诊断为 HCV 感染的无家可归者也不太可能完成治疗. 造成这种情况的原因很复杂,但涉及对医疗服务的不信任、二级保健途径的不灵活和地域流动性。4 在 COVID-19 大流行期间,萨默塞特郡的无家可归者通过国家“全民参与”倡议被安置在临时住所。这通过减少该人群的地域流动性为根除工作提供了独特的机会,并提供了可以管理 HCV 患者的环境。在这封信中,我们描述了一个有针对性的多学科计划,以识别和……
更新日期:2022-06-07
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