A Public Health Approach to Hepatitis C in an Urban Setting
A Public Health Approach to Hepatitis C in an Urban Setting
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DOI：
10.2105/ajph.2017.303718
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发表时间：
2017-06-01
影响因子：
12.7
通讯作者：
Varma, Jay K.
中科院分区：
文献类型：
--
作者：
Laraque, Fabienne;Varma, Jay K.
HCV感染的临床后果正在增加，因为感染率最高的人群，即1945年至1965年出生的人，正在老龄化。因此，医疗费用预计将增加。现在，HCV感染的治愈是常态，有必要采取公共卫生方法来识别，护理和治疗感染者并预防新的感染。我们认为，成功的公共卫生干预措施，如结核病，可以转化为HCV感染。纽约市有许多HCV感染的居民，并制定了一个公共卫生的方法来控制HCV的流行。它包括监视和监测、病例发现、与护理的联系、护理协调、提高临床提供者的筛查和治疗能力、提高公众认识和初级预防。
The clinical consequences of HCV infection are increasing because the population with the highest prevalence of the infection, persons born between 1945 and 1965, is aging. As a result, health care expenditures are expected to increase.Now that a cure for HCV infection is the norm, a public health approach is necessary to identify, link to care, and treat infected persons and prevent new infections. We believe that the success of public health interventions, such as those for tuberculosis, can be translated to HCV infection.New York City has many HCV-infected residents and has developed a public health approach to controlling the HCV epidemic. It encompasses surveillance and monitoring, case finding, linkage to care, care coordination, increasing clinical provider capacity for screening and treatment, increasing public awareness, and primary prevention.