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在监狱中关押人群中消除丙型肝炎:在卫生系统框架内采取行动的挑战和建议。

Hepatitis C elimination among people incarcerated in prisons: challenges and recommendations for action within a health systems framework.

机构信息

Department of Medicine, Divisions of General Internal Medicine and Infectious Disease, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, NY, USA.

Department of Medicine, Division of Infectious Diseases and Chronic Viral Illness Service, McGill University, Montreal, QC, Canada; Research Institute of the McGill University Health Centre, Montreal, QC, Canada.

出版信息

Lancet Gastroenterol Hepatol. 2021 May;6(5):391-400. doi: 10.1016/S2468-1253(20)30365-4.

Abstract

Hepatitis C virus (HCV) is a global public health problem in correctional settings. The International Network on Health and Hepatitis in Substance Users-Prisons Network is a special interest group committed to advancing scientific knowledge exchange and advocacy for HCV prevention and care in correctional settings. In this Review, we highlight seven priority areas and best practices for improving HCV care in correctional settings: changing political will, ensuring access to HCV diagnosis and testing, promoting optimal models of HCV care and treatment, improving surveillance and monitoring of the HCV care cascade, reducing stigma and tackling the social determinants of health inequalities, implementing HCV prevention and harm reduction programmes, and advancing prison-based research.

摘要

丙型肝炎病毒(HCV)是监管场所的全球性公共卫生问题。国际药物使用与健康网络-囚犯网络是一个特别利益集团,致力于推进科学知识交流,并倡导在监管场所预防和治疗 HCV。在这篇综述中,我们强调了改善监管场所 HCV 护理的七个优先领域和最佳实践:改变政治意愿,确保 HCV 诊断和检测的可及性,促进 HCV 护理和治疗的最佳模式,改善 HCV 护理级联的监测和监测,减少污名化和解决健康不平等的社会决定因素,实施 HCV 预防和减少伤害方案,以及推进监狱内的研究。

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