González Rubio Raquel, Labrador Cañadas María Vicenta, Del Amo Julia
Secretaría del Plan Nacional sobre el Sida. Dirección General de Salud Pública. Ministerio de Sanidad. Madrid. España.
Unidad de Programas de Cribado. Dirección General de Salud Pública. Ministerio de Sanidad. Madrid. España.
Rev Esp Salud Publica. 2020 Dec 16;94:e202012180.
Within the framework of the Global health sector strategy on viral hepatitis and the Strategic Plan for tackling hepatitis C in the Spanish National Health System, the Secretariat of the National Plan on HIV and STIs and the Unit for Screening Programs in the Ministry of Health have coordinated the policies around the screening of hepatitis C virus (HCV) in Spain. This paper describes the experience and learnings arisen around it. The key points of the process include interdisciplinary work through a Technical Group made up of experts from the different fields involved; the availability of scientific evidence for decision-making, highlighting the 2nd Seroprevalence Study in the general population; and a public health approach along the entire process. As a result, the recently published Guideline on hepatitis C testing includes the indication for HCV testing for people with risk exposures and situations, as well as the main recommendations to improve screening and linkage to care in the most affected populations. We hope that this Guideline and the continuation of joint work will be a step towards equitable access to the diagnosis and treatment of HCV infection in Spain.
在全球病毒性肝炎卫生部门战略以及西班牙国家卫生系统应对丙型肝炎战略计划的框架内,国家艾滋病毒和性传播感染计划秘书处及卫生部筛查项目股协调了西班牙丙型肝炎病毒(HCV)筛查相关政策。本文介绍了围绕该筛查产生的经验和教训。该过程的关键点包括通过一个由各相关领域专家组成的技术小组开展跨学科工作;为决策提供科学依据,突出在普通人群中开展的第二次血清流行率研究;以及在整个过程中采用公共卫生方法。因此,最近发布的丙型肝炎检测指南纳入了针对有风险暴露和情况的人群进行HCV检测的指征,以及在受影响最严重人群中改善筛查和与治疗衔接的主要建议。我们希望该指南以及联合工作的持续开展将成为西班牙朝着公平获得HCV感染诊断和治疗迈出的一步。