Aiming at the global elimination of viral hepatitis: challenges along the care continuum

Alastair Heffernan; Ella Barber; Nicola A Cook; Asmaa I Gomaa; Yolande X Harley; Christopher R Jones; Aaron G Lim; Zameer Mohamed; Shevanthi Nayagam; Gibril Ndow; Rajiv Shah; Mark W Sonderup; C Wendy Spearman; Imam Waked; Robert J Wilkinson; Simon D Taylor-Robinson

doi:10.1093/ofid/ofx252

Aiming at the global elimination of viral hepatitis: challenges along the care continuum

Alastair Heffernan, Ella Barber, Nicola A Cook, Asmaa I Gomaa, Yolande X Harley, Christopher R Jones, Aaron G Lim, Zameer Mohamed, Shevanthi Nayagam, Gibril Ndow, Rajiv Shah, Mark W Sonderup, C Wendy Spearman, Imam Waked, Robert J Wilkinson, Simon D Taylor-Robinson

Bristol Medical School (PHS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

A recent international workshop, organised by the authors, analysed the obstacles facing the ambitious goal of eliminating viral hepatitis globally. We identified several policy areas critical to reaching elimination targets. These include: providing hepatitis B birth-dose vaccination to all infants within 24 hours of birth; preventing the transmission of blood-borne viruses through the expansion of national haemovigilance schemes; implementing the lessons learnt from the HIV epidemic regarding safe medical practices to eliminate iatrogenic infection; adopting point-of-care testing to improve coverage of diagnosis; and providing free or affordable hepatitis C treatment to all. We introduce Egypt as a case study for rapid testing and treatment scale-up: this country offers valuable insights to policy makers internationally, not only regarding how hepatitis C interventions can be expeditiously scaled-up, but also as a guide for how to tackle the problems encountered with such ambitious testing and treatment programmes.

Original language	English
Article number	ofx252
Number of pages	6
Journal	Open Forum Infectious Diseases
Volume	5
Issue number	1
Early online date	17 Nov 2017
DOIs	https://doi.org/10.1093/ofid/ofx252
Publication status	Published - Jan 2018

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Heffernan, A., Barber, E., Cook, N. A., Gomaa, A. I., Harley, Y. X., Jones, C. R., Lim, A. G., Mohamed, Z., Nayagam, S., Ndow, G., Shah, R., Sonderup, M. W., Spearman, C. W., Waked, I., Wilkinson, R. J., & Taylor-Robinson, S. D. (2018). Aiming at the global elimination of viral hepatitis: challenges along the care continuum. Open Forum Infectious Diseases, 5(1), [ofx252]. https://doi.org/10.1093/ofid/ofx252

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abstract = "A recent international workshop, organised by the authors, analysed the obstacles facing the ambitious goal of eliminating viral hepatitis globally. We identified several policy areas critical to reaching elimination targets. These include: providing hepatitis B birth-dose vaccination to all infants within 24 hours of birth; preventing the transmission of blood-borne viruses through the expansion of national haemovigilance schemes; implementing the lessons learnt from the HIV epidemic regarding safe medical practices to eliminate iatrogenic infection; adopting point-of-care testing to improve coverage of diagnosis; and providing free or affordable hepatitis C treatment to all. We introduce Egypt as a case study for rapid testing and treatment scale-up: this country offers valuable insights to policy makers internationally, not only regarding how hepatitis C interventions can be expeditiously scaled-up, but also as a guide for how to tackle the problems encountered with such ambitious testing and treatment programmes.",

author = "Alastair Heffernan and Ella Barber and Cook, {Nicola A} and Gomaa, {Asmaa I} and Harley, {Yolande X} and Jones, {Christopher R} and Lim, {Aaron G} and Zameer Mohamed and Shevanthi Nayagam and Gibril Ndow and Rajiv Shah and Sonderup, {Mark W} and Spearman, {C Wendy} and Imam Waked and Wilkinson, {Robert J} and Taylor-Robinson, {Simon D}",

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Heffernan, A, Barber, E, Cook, NA, Gomaa, AI, Harley, YX, Jones, CR, Lim, AG, Mohamed, Z, Nayagam, S, Ndow, G, Shah, R, Sonderup, MW, Spearman, CW, Waked, I, Wilkinson, RJ & Taylor-Robinson, SD 2018, 'Aiming at the global elimination of viral hepatitis: challenges along the care continuum', Open Forum Infectious Diseases, vol. 5, no. 1, ofx252. https://doi.org/10.1093/ofid/ofx252

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AU - Heffernan, Alastair

AU - Barber, Ella

AU - Cook, Nicola A

AU - Gomaa, Asmaa I

AU - Harley, Yolande X

AU - Jones, Christopher R

AU - Lim, Aaron G

AU - Mohamed, Zameer

AU - Nayagam, Shevanthi

AU - Ndow, Gibril

AU - Shah, Rajiv

AU - Sonderup, Mark W

AU - Spearman, C Wendy

AU - Waked, Imam

AU - Wilkinson, Robert J

AU - Taylor-Robinson, Simon D

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DO - 10.1093/ofid/ofx252

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Aiming at the global elimination of viral hepatitis: challenges along the care continuum

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