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VIRAL HEPATITIS IN 2020

Hepatitis C virus elimination: laying the foundation for achieving 2030 targets

An Author Correction to this article was published on 05 January 2021

This article has been updated

The World Health Organization’s targets for hepatitis C elimination by 2030 are ambitious, but, in 2020, global leadership demonstrated by Egypt, innovative strategies to improve linkage to treatment for marginalized populations and the broadened capacity of direct-acting antiviral therapy have been promising for enhanced global elimination efforts.

Key advances

  • A massive national hepatitis C screening and treatment programme in Egypt has demonstrated the feasibility of major progress towards elimination in a high-prevalence lower–middle income country setting6.

  • A cluster-randomized trial in Scottish pharmacies found higher linkage to treatment for people on opiate agonist therapy using a pharmacist-led model of care compared with a conventional model of care7.

  • An ultra-short (7 day) antiviral regimen was highly effective (100%) for prevention of hepatitis C virus (HCV) infection in HCV-uninfected recipients of solid organ transplants from donors with HCV infection9.

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Fig. 1: Cascade of HCV care in Egypt.

Change history

  • 05 January 2021

    A Correction to this paper has been published: https://doi.org/10.1038/s41575-020-00407-z.

References

  1. Choo, Q. L. et al. Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science 244, 359–362 (1989).

    Article  CAS  Google Scholar 

  2. World Health Organization. Global health sector strategy on viral hepatitis 2016-2021 https://apps.who.int/iris/bitstream/handle/10665/246177/WHO-HIV-2016.06-eng.pdf;jsessionid=60A93ADD1A191FF6A0FA823314D24C43?sequence=1 (WHO, 2016).

  3. Naghavi, M. et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390, 1151–1210 (2017).

    Article  Google Scholar 

  4. World Health Organization. Global Hepatitis Report, 2017 https://apps.who.int/iris/bitstream/handle/10665/255016/9789241565455-eng.pdf?sequence=1 (WHO, 2017).

  5. Dore, G. J. & Feld, J. J. Hepatitis C virus therapeutic development: in pursuit of “perfectovir”. Clin. Infect. Dis. 60, 1829–1836 (2015).

    Article  CAS  Google Scholar 

  6. Waked, I. et al. Screening and treatment program to eliminate hepatitis C in Egypt. N. Engl. J. Med. 382, 1166–1174 (2020).

    Article  Google Scholar 

  7. Radley, A. et al. Clinical effectiveness of pharmacist-led versus conventionally delivered antiviral treatment for hepatitis C virus in patients receiving opioid substitution therapy: a pragmatic, cluster-randomised trial. Lancet Gastroenterol. Hepatol. 5, 809–818 (2020).

    Article  Google Scholar 

  8. Durand, C. M. et al. The drug overdose epidemic and deceased-donor transplantation in the United States: a national registry study. Ann. Intern. Med. 168, 702–711 (2018).

    Article  Google Scholar 

  9. Feld, J. J. et al. Short-course, direct-acting antivirals and ezetimibe to prevent HCV infection in recipients of organs from HCV-infected donors: a phase 3, single-centre, open-label study. Lancet Gastroenterol. Hepatol. 5, 649–657 (2020).

    Article  Google Scholar 

  10. Larney, S. et al. Global, regional, and country-level coverage of interventions to prevent and manage HIV and hepatitis C among people who inject drugs: a systematic review. Lancet Glob. Health 5, e1208–e1220 (2017).

    Article  Google Scholar 

Download references

Acknowledgements

The Kirby Institute is funded by the Australian Government Department of Health and Ageing. The views expressed in this publication do not necessarily represent the position of the Australian Government. The content is solely the responsibility of the authors. G.J.D. is supported through a National Health and Medical Research Council Practioner Fellowship.

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Correspondence to Gregory J. Dore.

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G.J.D. is an advisory board member and receives honorarium from Gilead, Merck and Abbvie, has received research grant funding from Gilead, Merck and Abbvie, and travel sponsorship from Gilead, Merck and Abbvie. S.B. declares no competing interests.

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Dore, G.J., Bajis, S. Hepatitis C virus elimination: laying the foundation for achieving 2030 targets. Nat Rev Gastroenterol Hepatol 18, 91–92 (2021). https://doi.org/10.1038/s41575-020-00392-3

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