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Review
. 2019 Jan;156(2):297-310.
doi: 10.1053/j.gastro.2018.10.048. Epub 2018 Nov 2.

What Is Needed to Eliminate Hepatitis B Virus and Hepatitis C Virus as Global Health Threats

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Review

What Is Needed to Eliminate Hepatitis B Virus and Hepatitis C Virus as Global Health Threats

John W Ward et al. Gastroenterology. 2019 Jan.

Abstract

Hepatitis B virus (HBV) and hepatitis C virus (HCV) cause 1.3 million deaths annually. To prevent more than 7 million deaths by 2030, the World Health Organization set goals to eliminate HBV and HCV, defined as a 90% reduction in new infections and a 65% reduction in deaths, and prevent more than 7 million related deaths by 2030. Elimination of HBV and HCV is feasible because of characteristics of the viruses, reliable diagnostic tools, and available cost-effective or cost-saving interventions. Broad implementation of infant immunization against HBV, blood safety, and infection-control programs have greatly reduced the burden of HBV and HCV infections. To achieve elimination, priorities include implementation of HBV vaccine-based strategies to prevent perinatal transmission, safe injection practices and HCV treatment for persons who inject drugs, and testing and treatment for HBV- and HCV-infected persons. With sufficient capacity, HBV and HCV elimination programs can meet their goals.

Keywords: Eradication; Health Disparities; Injection Drug Use; Liver Cancer.

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