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迈向全球消除乙型肝炎之路:HBV 治愈仅仅是第一步。

Pathway to global elimination of hepatitis B: HBV cure is just the first step.

机构信息

Disease Elimination, Burnet Institute, Melbourne, Victoria, Australia.

Department Gastroenterology, St Vincent's Hospital, Melbourne, Victoria, Australia.

出版信息

Hepatology. 2023 Sep 1;78(3):976-990. doi: 10.1097/HEP.0000000000000430. Epub 2023 May 1.

Abstract

Hepatitis B (HBV) is a major cause of global morbidity and mortality, and the leading cause of liver cancer worldwide. Significant advances have recently been made toward the development of a finite HBV treatment that achieves permanent loss of HBsAg and HBV DNA (so-called "HBV cure"), which could provide the means to eliminate HBV as a public health threat. However, the HBV cure is just one step toward achieving WHO HBV elimination targets by 2030, and much work must be done now to prepare for the successful implementation of the HBV cure. In this review, we describe the required steps to rapidly scale-up future HBV cure equitably. We present key actions required for successful HBV cure implementation, integrated within the World Health Organization (WHO) Global Health Sector Strategy (GHSS) 2022-2030 framework. Finally, we highlight what can be done now to progress toward the 2030 HBV elimination targets using available tools to ensure that we are preparing, but not waiting, for the cure.

摘要

乙型肝炎(HBV)是全球发病率和死亡率的主要原因,也是全球肝癌的主要病因。最近在开发有限的乙型肝炎治疗方法方面取得了重大进展,这种治疗方法可实现乙型肝炎表面抗原(HBsAg)和乙型肝炎病毒(HBV)DNA 的永久性丧失(所谓的“乙型肝炎治愈”),这将为消除乙型肝炎作为公共卫生威胁提供手段。然而,乙型肝炎治愈只是实现 2030 年世界卫生组织(世卫组织)乙型肝炎消除目标的一步,现在必须做很多工作,为成功实施乙型肝炎治愈做好准备。在这篇综述中,我们描述了迅速公平扩大未来乙型肝炎治愈规模所需的步骤。我们提出了成功实施乙型肝炎治愈所需的关键行动,这些行动整合在世卫组织 2022-2030 年全球卫生部门战略框架内。最后,我们强调了现在可以利用现有工具做些什么来推进 2030 年乙型肝炎消除目标,以确保我们在为治愈做准备,但不是在等待治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/804c/10442143/de9f02eeae94/hep-78-976-g001.jpg

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