Securing sustainable funding for viral hepatitis elimination plans

Angelos Hatzakis, Jeffrey V. Lazarus, Evangelos Cholongitas, Ricardo Baptista-Leite, Charles Boucher, Cristian-Silviu Busoi, Sylvie Deuffic-Burban, Jagpreet Chhatwal, Gamal Esmat, Sharon Hutchinson, Minerva-Melpomeni Malliori, Mojca Maticic, Antons Mozalevskis, Francesco Negro, George A. Papandreou, George V. Papatheodoridis, Markus Peck-Radosavljevic, Homie Razavi, Tatjana Reic, Eberhard SchatzNurdan Tozun, Zobair Younossi, Michael P. Manns

Research output: Contribution to journalArticle

Abstract

The majority of people infected with chronic hepatitis C virus (HCV) in the European Union (EU) remain undiagnosed and untreated. During recent years, immigration to EU has further increased HCV prevalence. It has been estimated that, out of the 4.2 million adults affected by HCV infection in the 31 EU/ European Economic Area (EEA) countries, as many as 580,000 are migrants. Additionally, HCV is highly prevalent and under addressed in Eastern Europe. In 2013, the introduction of highly effective treatments for HCV with direct acting antivirals created an unprecedented opportunity to cure almost all patients, reduce HCV transmission and eliminate the disease. However, in many settings, HCV elimination poses a serious challenge for countries’ health spending. On 6 June 2018, the Hepatitis B and C Public Policy Association held the 2nd EU HCV Policy summit. It was emphasized that key stakeholders should work collaboratively since only a few countries in the EU are on track to achieve HCV elimination by 2030. In particular, more effort is needed for universal screening. The micro-elimination approach in specific populations is less complex and less costly than country-wide elimination programmes and is an important first step in many settings. Preliminary data suggest that implementation of the World Health Organization (WHO) Global Health Sector Strategy on Viral Hepatitis can be cost saving. However, innovative financing mechanisms are needed to raise funds upfront for scaling-up screening, treatment and harm reduction interventions that can lead to HCV elimination by 2030, the stated goal of the WHO.
Original languageEnglish
Pages (from-to)260-270
Number of pages11
JournalLiver International
Volume40
Issue number2
Early online date5 Dec 2019
DOIs
Publication statusPublished - Feb 2020

Keywords

  • Prevention
  • burden
  • care
  • elimination
  • health policy
  • viral hepatitis
  • high-risk populations
  • treatment
  • surveillance

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    Hatzakis, A., Lazarus, J. V., Cholongitas, E., Baptista-Leite, R., Boucher, C., Busoi, C-S., Deuffic-Burban, S., Chhatwal, J., Esmat, G., Hutchinson, S., Malliori, M-M., Maticic, M., Mozalevskis, A., Negro, F., Papandreou, G. A., Papatheodoridis, G. V., Peck-Radosavljevic, M., Razavi, H., Reic, T., ... Manns, M. P. (2020). Securing sustainable funding for viral hepatitis elimination plans. Liver International, 40(2), 260-270. https://doi.org/10.1111/liv.14282