![]() The burden of HCV was estimated among adults in San Diego County through synthesizing available published and unpublished data on populations at risk and HCV seroprevalence (anti-HCV positivity, a marker of past or current infection) in each group, obtained through literature reviews and data requests to public agencies. Our study addresses this gap in knowledge by estimating the burden of HCV among adults in San Diego County in 2018. However, reliance on this reporting alone does not provide a valid measure of prevalence as it excludes the undiagnosed and fails to account for those who have died, moved away, or were cured. Currently, San Diego County conducts core HCV surveillance through mandated reporting of positive HCV antibody and positive RNA test results. The initiative is composed of a public-private partnership that seeks to make recommendations and establish a roadmap on how to achieve the WHO HCV elimination targets through improved screening strategies and linkage to care and treatment, addressing and removing barriers to cure, reducing harm and preventing reinfection, and supporting policies that facilitate HCV elimination.Īn estimate of the burden of HCV infections in San Diego County is necessary to inform elimination planning efforts and to provide a foundation to assess HCV elimination resource needs. The Eliminate Hepatitis C San Diego County Initiative was approved by the San Diego County Board of Supervisors in January 2020 and the recommendations report was approved on March 10, 2020. In response, state and local officials, including those in San Diego County, have initiated their own HCV elimination efforts. National Academies of Sciences, Engineering, and Medicine have set HCV elimination strategies with the goals of reducing new HCV infections by 80% and HCV-related deaths by 65% by 2030. The World Health Organization (WHO) and U.S. ![]() Unfortunately, most individuals with HCV are not aware that they are infected or are not being treated. HCV can be easily identified with available blood tests, and 8–12 week oral treatments can cure nearly all infected patients with few side effects. More than 41,000 Americans were estimated to be newly infected with HCV in 2016 and HCV has been noted to kill more Americans than any other nationally notifiable infectious disease, prior to COVID-19. The hepatitis C virus (HCV) causes a chronic liver infection that can result in significant liver damage, disability, cancer, and death. Martin, Conceptualization, Data curation, Formal analysis, Funding acquisition, Writing – original draft, Writing – review & editing 1 Ramers, Data curation, Validation, Writing – review & editing, 7 and Natasha K. ![]() Cyr, Data curation, Formal analysis, Investigation, Writing – review & editing, 1 Maricris Hernandez, Data curation, Formal analysis, Investigation, Writing – review & editing, 1 Franchesca Ramirez, Data curation, Formal analysis, Investigation, Writing – review & editing, 4 Corey VanWormer, Data curation, Validation, Writing – review & editing, 5 Scott Suckow, Conceptualization, Data curation, Validation, Writing – review & editing, 6 Christian B. Adriane Wynn, Conceptualization, Data curation, Formal analysis, Funding acquisition, Writing – original draft, Writing – review & editing, 1, * Samantha Tweeten, Data curation, Validation, Writing – review & editing, 2 Eric McDonald, Data curation, Validation, Writing – review & editing, 2 Wilma Wooten, Data curation, Validation, Writing – review & editing, 2 Kimberley Lucas, Data curation, Validation, Writing – review & editing, 3 Cassandra L.
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