The epidemiologic burden of hepatitis C virus infection in Latin America

Chronic infection with hepatitis C virus (HCV) is a major and growing public health concern worldwide, including in Latin America. With more efficacious therapies becoming available, decision-makers will require accurate estimates of disease prevalence to assess the potential impact of new treatment...

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Main Authors: Shelagh M. Szabo, Meagan Bibby, Yong Yuan, Bonnie M.K. Donato, R. Jiménez-Mendez, G. Castañeda-Hernández, Maribel Rodríguez-Torres, Adrian R. Levy
Format: Article
Language:English
Published: Elsevier 2012-09-01
Series:Annals of Hepatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268119314358
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author Shelagh M. Szabo
Meagan Bibby
Yong Yuan
Bonnie M.K. Donato
R. Jiménez-Mendez
G. Castañeda-Hernández
Maribel Rodríguez-Torres
Adrian R. Levy
author_facet Shelagh M. Szabo
Meagan Bibby
Yong Yuan
Bonnie M.K. Donato
R. Jiménez-Mendez
G. Castañeda-Hernández
Maribel Rodríguez-Torres
Adrian R. Levy
author_sort Shelagh M. Szabo
collection DOAJ
description Chronic infection with hepatitis C virus (HCV) is a major and growing public health concern worldwide, including in Latin America. With more efficacious therapies becoming available, decision-makers will require accurate estimates of disease prevalence to assess the potential impact of new treatments. However, few estimates of the epidemiologic burden, either overall or by country, are available for Latin America; and the potential impact of currently-available treatments on the epidemiologic burden of HCV in Latin America has not been assessed. To address this, we systematically reviewed twenty-five articles presenting population-based estimates of HCV prevalence from general population or blood donor samples, and supplemented those with publically-available data, to estimate the total number of persons infected with HCV in Latin America at 7.8 million (2010). Of these, over 4.6 million would be expected to have genotype 1 chronic HCV, based on published data on the risk of progression to chronic disease and the HCV genotype distribution of Latin America. Finally, we calculated that between 1.6 and 2.3 million persons with genotype 1 chronic HCV would potentially benefit from current treatments, based on published estimates of genotypespecific treatment responsiveness. In conclusion, these estimates demonstrate the substantial present epidemiologic burden of HCV, and quantify the impending societal and clinical burden from untreated HCV in Latin America.
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spelling doaj.art-1c20dca579e84f98b575a4d9a6da1d0b2022-12-21T22:30:33ZengElsevierAnnals of Hepatology1665-26812012-09-01115623635The epidemiologic burden of hepatitis C virus infection in Latin AmericaShelagh M. Szabo0Meagan Bibby1Yong Yuan2Bonnie M.K. Donato3R. Jiménez-Mendez4G. Castañeda-Hernández5Maribel Rodríguez-Torres6Adrian R. Levy7Oxford Outcomes Ltd., CanadaOxford Outcomes Ltd., CanadaBristol-Myers Squibb, United StatesBristol-Myers Squibb, United StatesUniversity of British Columbia, CanadaCINVESTAV-IPN, MexicoFundación de Investigación de Diego, United StatesOxford Outcomes Ltd., Canada; Dalhousie University, Canada; Correspondence and reprint request:Chronic infection with hepatitis C virus (HCV) is a major and growing public health concern worldwide, including in Latin America. With more efficacious therapies becoming available, decision-makers will require accurate estimates of disease prevalence to assess the potential impact of new treatments. However, few estimates of the epidemiologic burden, either overall or by country, are available for Latin America; and the potential impact of currently-available treatments on the epidemiologic burden of HCV in Latin America has not been assessed. To address this, we systematically reviewed twenty-five articles presenting population-based estimates of HCV prevalence from general population or blood donor samples, and supplemented those with publically-available data, to estimate the total number of persons infected with HCV in Latin America at 7.8 million (2010). Of these, over 4.6 million would be expected to have genotype 1 chronic HCV, based on published data on the risk of progression to chronic disease and the HCV genotype distribution of Latin America. Finally, we calculated that between 1.6 and 2.3 million persons with genotype 1 chronic HCV would potentially benefit from current treatments, based on published estimates of genotypespecific treatment responsiveness. In conclusion, these estimates demonstrate the substantial present epidemiologic burden of HCV, and quantify the impending societal and clinical burden from untreated HCV in Latin America.http://www.sciencedirect.com/science/article/pii/S1665268119314358HCVPrevalenceLiver diseaseBurdenSystematic review
spellingShingle Shelagh M. Szabo
Meagan Bibby
Yong Yuan
Bonnie M.K. Donato
R. Jiménez-Mendez
G. Castañeda-Hernández
Maribel Rodríguez-Torres
Adrian R. Levy
The epidemiologic burden of hepatitis C virus infection in Latin America
Annals of Hepatology
HCV
Prevalence
Liver disease
Burden
Systematic review
title The epidemiologic burden of hepatitis C virus infection in Latin America
title_full The epidemiologic burden of hepatitis C virus infection in Latin America
title_fullStr The epidemiologic burden of hepatitis C virus infection in Latin America
title_full_unstemmed The epidemiologic burden of hepatitis C virus infection in Latin America
title_short The epidemiologic burden of hepatitis C virus infection in Latin America
title_sort epidemiologic burden of hepatitis c virus infection in latin america
topic HCV
Prevalence
Liver disease
Burden
Systematic review
url http://www.sciencedirect.com/science/article/pii/S1665268119314358
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