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监测欧盟/欧洲经济区消除乙型和丙型肝炎的进展情况。

Monitoring progress towards elimination of hepatitis B and C in the EU/EEA.

作者信息

Sharrock Katherine C, Noori Teymur, Axelsson Maria, Buti Maria, Diaz Asuncion, Fursa Olga, Hendrickx Greet, James Cary, Klavs Irena, Korenjak Marko, Maticic Mojca, Mozalevskis Antons, Peters Lars, Rigoni Rafaela, Rosinska Magdalena, Ruutel Kristi, Schatz Eberhard, Seyler Thomas, Veldhuijzen Irene, Duffell Erika

机构信息

National AIDS Trust, London, United Kingdom.

European Centre for Disease Prevention and Control, Solna, Sweden.

出版信息

PLOS Glob Public Health. 2022 Aug 17;2(8):e0000841. doi: 10.1371/journal.pgph.0000841. eCollection 2022.

Abstract

This paper presents data on selected indicators to show progress towards elimination goals and targets for hepatitis B and hepatitis C in the 31 countries of the European Union (EU) and European Economic Area (EEA). A monitoring system was developed by the European Centre for Disease Prevention and Control, which combined newly collected data from EU/EEA countries along with relevant data from existing sources. Data for 2017 were collected from the EU/EEA countries via an online survey. All countries provided responses. In 2017, most countries reporting data had not reached prevention targets for childhood hepatitis B vaccination and for harm reduction services targeting people who inject drugs (PWID). Four of 12 countries had met the target for proportion of people living with chronic HBV diagnosed and seven of 16 met this target for hepatitis C. Data on diagnosed cases treated were lacking for hepatitis B. Of 12 countries reporting treatment data for hepatitis B, only Iceland met the target. This first collection of data across the EU/EEA highlighted major issues with data completeness and quality and in the indicators that were used, which impairs a clear overview of progress towards the elimination of hepatitis. The available data, whilst incomplete, suggest that as of 2017, the majority of the EU/EEA countries were far from meeting most of the 2020 targets, in particular those relating to harm reduction and diagnosis. It is critical to improve the data collected in order to develop more effective services for hepatitis prevention, diagnosis, and treatment that are needed in order to meet the 2030 elimination targets.

摘要

本文展示了部分指标数据,以呈现欧盟(EU)和欧洲经济区(EEA)31个国家在实现乙型肝炎和丙型肝炎消除目标方面取得的进展。欧洲疾病预防控制中心开发了一个监测系统,该系统整合了欧盟/欧洲经济区国家新收集的数据以及现有来源的相关数据。2017年的数据通过在线调查从欧盟/欧洲经济区国家收集。所有国家均提供了回复。2017年,大多数报告数据的国家尚未实现儿童乙型肝炎疫苗接种预防目标以及针对注射吸毒者的减少危害服务目标。12个国家中有4个达到了慢性乙肝诊断患者比例目标,16个国家中有7个达到了丙型肝炎的这一目标。乙型肝炎方面缺乏已治疗确诊病例的数据。在报告乙型肝炎治疗数据的12个国家中,只有冰岛达到了目标。欧盟/欧洲经济区首次收集的数据凸显了数据完整性、质量以及所使用指标方面的重大问题,这妨碍了对消除肝炎进展情况的清晰概述。现有数据虽不完整,但表明截至2017年,大多数欧盟/欧洲经济区国家远未实现2020年的大多数目标,尤其是与减少危害和诊断相关的目标。为了开发更有效的肝炎预防、诊断和治疗服务以实现2030年消除目标,改善所收集的数据至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beba/10022013/cbe4c267eaf0/pgph.0000841.g001.jpg

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