Hepatitis C: a changing epidemic

Approximately 3% of the world population is estimated to have a chronic hepatitis C virus (HCV) infection and 500,000 individuals die from its consequences yearly. Persons who inject drugs (PWID) bear the majority of the disease burden in high-income countries. Drug substitution programmes have he...

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Main Authors: Gilles Wandeler, Jean-François Dufour, Philip Bruggmann, Andri Rauch
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2015-01-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1979
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author Gilles Wandeler
Jean-François Dufour
Philip Bruggmann
Andri Rauch
author_facet Gilles Wandeler
Jean-François Dufour
Philip Bruggmann
Andri Rauch
author_sort Gilles Wandeler
collection DOAJ
description Approximately 3% of the world population is estimated to have a chronic hepatitis C virus (HCV) infection and 500,000 individuals die from its consequences yearly. Persons who inject drugs (PWID) bear the majority of the disease burden in high-income countries. Drug substitution programmes have helped reduce HCV transmissions among PWID. However, recent epidemics of sexually transmitted HCV infections in HIV-infected men who have sex with men demonstrated the changing nature of the HCV epidemic. HCV therapy is undergoing a revolution, as new interferon-free, oral treatments eradicate HCV infections in almost all treated patients. As a consequence, the eradication of HCV has become a matter of debate and is becoming an important future public health target. However, for this to be achieved, many challenges need to be addressed, including the poor uptake of HCV testing, the high cost of the new antiviral combinations and the high frequency of re-infections after treatment in some populations.
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spelling doaj.art-5de08fe18d7d4b99a268bd4bf41333932022-12-22T03:55:35ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972015-01-01145050610.4414/smw.2015.14093Hepatitis C: a changing epidemicGilles WandelerJean-François DufourPhilip BruggmannAndri Rauch Approximately 3% of the world population is estimated to have a chronic hepatitis C virus (HCV) infection and 500,000 individuals die from its consequences yearly. Persons who inject drugs (PWID) bear the majority of the disease burden in high-income countries. Drug substitution programmes have helped reduce HCV transmissions among PWID. However, recent epidemics of sexually transmitted HCV infections in HIV-infected men who have sex with men demonstrated the changing nature of the HCV epidemic. HCV therapy is undergoing a revolution, as new interferon-free, oral treatments eradicate HCV infections in almost all treated patients. As a consequence, the eradication of HCV has become a matter of debate and is becoming an important future public health target. However, for this to be achieved, many challenges need to be addressed, including the poor uptake of HCV testing, the high cost of the new antiviral combinations and the high frequency of re-infections after treatment in some populations. https://www.smw.ch/index.php/smw/article/view/1979EpidemiologyViral Hepatitis C infectiondirect-acting antiviralsHIV-coinfectioneradication
spellingShingle Gilles Wandeler
Jean-François Dufour
Philip Bruggmann
Andri Rauch
Hepatitis C: a changing epidemic
Swiss Medical Weekly
Epidemiology
Viral Hepatitis C infection
direct-acting antivirals
HIV-coinfection
eradication
title Hepatitis C: a changing epidemic
title_full Hepatitis C: a changing epidemic
title_fullStr Hepatitis C: a changing epidemic
title_full_unstemmed Hepatitis C: a changing epidemic
title_short Hepatitis C: a changing epidemic
title_sort hepatitis c a changing epidemic
topic Epidemiology
Viral Hepatitis C infection
direct-acting antivirals
HIV-coinfection
eradication
url https://www.smw.ch/index.php/smw/article/view/1979
work_keys_str_mv AT gilleswandeler hepatitiscachangingepidemic
AT jeanfrancoisdufour hepatitiscachangingepidemic
AT philipbruggmann hepatitiscachangingepidemic
AT andrirauch hepatitiscachangingepidemic