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丙型肝炎:疫苗是解决之道吗?

Hepatitis C: is a vaccine the solution?

作者信息

Mehta Bharti, Kumar Vijay, Chawla Sumit, Jindal Harashish, Bhatt Bhumika

机构信息

Department of Community Medicine; PGIMS; Rohtak, India.

出版信息

Hum Vaccin Immunother. 2014;10(2):417-9. doi: 10.4161/hv.26970. Epub 2013 Oct 28.

Abstract

Hepatitis C Virus (HCV) infection is a major cause of chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Following acute infection, 20% of people eliminate the virus over weeks or months and are often asymptomatic. The remaining 80% of people will develop chronic disease, of which approximately 20% will eventually develop liver cirrhosis and 1-5% will develop liver cancer. About 150 million people are chronically infected with HCV, and more than 350,000 people die every year from hepatitis C related liver diseases. The economic cost of hepatitis C is significant both to the individual and to the society. In the United States the average lifetime cost of the disease was estimated at $33,407 USD with the cost of a liver transplant approximately $200,000 USD. PEG-IFN and ribavirin treatment is also expensive and, at an average cost of approximately GB £7000 in the UK for a treatment course, is unaffordable in developing countries. Hepatitis C, not only brings down the quality of the life of individuals but also affect progress of the nation by adding financial burden. If we prevent the disease from occurring or find a perfect cure of the disease, in form of a prophylactic or therapeutic vaccine, it will be a boon to not only to the individual but to the nation as a whole.

摘要

丙型肝炎病毒(HCV)感染是慢性肝炎、肝硬化和肝细胞癌的主要病因。急性感染后,20%的人会在数周或数月内清除病毒,且通常没有症状。其余80%的人会发展为慢性病,其中约20%最终会发展为肝硬化,1 - 5%会发展为肝癌。约1.5亿人慢性感染HCV,每年有超过35万人死于丙型肝炎相关肝病。丙型肝炎对个人和社会的经济成本都很高。在美国,该疾病的平均终身成本估计为33407美元,肝脏移植成本约为20万美元。聚乙二醇干扰素和利巴韦林治疗也很昂贵,在英国一个疗程的平均成本约为7000英镑,在发展中国家难以承受。丙型肝炎不仅降低个人生活质量,还通过增加经济负担影响国家发展。如果我们能预防该疾病发生或找到完美的治愈方法,如预防性或治疗性疫苗,这不仅对个人,对整个国家都将是福音。

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