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Assessment of Treatment Strategies to Achieve Hepatitis C Elimination in Canada Using a Validated Model
Author(s) -
Mawuena Binka,
Naveed Z. Janjua,
Jason Grebely,
Chris Estes,
Dena L. Schanzer,
Jisoo A. Kwon,
Naglaa H. Shoukry,
Jeffrey C. Kwong,
Homie Razavi,
Jordan J. Feld,
Mel Krajden
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.4192
Subject(s) - medicine , hepatitis c , hepatitis c virus , epidemiology , antiviral treatment , harm reduction , environmental health , chronic hepatitis , family medicine , immunology , virus , human immunodeficiency virus (hiv)
Key Points Question What strategies are needed to meet the goal of hepatitis C virus elimination in Canada by 2030? Findings In this decision analytical model, the sustained annual treatment of 10 200 individuals with hepatitis C virus infection was associated with a 5-fold reduction in chronic hepatitis C virus infections and a substantial decrease in liver-associated morbidity and mortality, and the achievement of hepatitis C elimination in Canada by 2030. However, this model indicates that a rapid decrease in the initiation of hepatitis C virus treatment would preclude Canada from achieving this goal. Meaning Results of this study suggest that hepatitis C virus elimination may be achievable in Canada by 2030 if current national hepatitis C virus treatment rates are sustained during the next decade.

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