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全球消除 HCV——为什么波兰仍如此之远?

Global Elimination of HCV-Why Is Poland Still So Far from the Goal?

机构信息

Department of Transplantation Medicine, Nephrology, and Internal Diseases, Medical University of Warsaw, 02-006 Warsaw, Poland.

Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland.

出版信息

Viruses. 2023 Oct 9;15(10):2067. doi: 10.3390/v15102067.

Abstract

INTRODUCTION

Eradication of HCV in the global population remains one of the greatest challenges faced by the WHO. An insufficient level of knowledge and the lack of a national screening test strategy are obstacles to HCV eradication.

AIM

This work aimed to summarize surveys assessing risk factors and awareness of the respondents regarding the prevention and course of HCV infection. The summary also includes the most important European and global attempts at eliminating HCV.

MATERIALS AND METHODS

A cross-sectional, population-based study was conducted in the Mazowieckie district in Poland using anonymous surveys and conducted on people who willingly reported for a test.

RESULTS

In the study cohort of n = 7397 adults, there were 5412 women (73.16%). The analysis of the quota sample ( = 1303) reflected the actual proportions in the population of the Mazowieckie Voivodeship.

CONCLUSIONS

Insufficient knowledge about HCV decreases the probability of higher detection of infections, fast diagnostics, and treatment. According to the WHO model, assuming a 90% detection rate and treatment of 80% of infected by 2030, and taking into account 120-150 thousand infected persons in Poland, the number of detections of HCV should be increased 4-5 times and all diagnosed persons should be offered antiviral treatment.

摘要

简介

在全球范围内消除 HCV 仍然是世卫组织面临的最大挑战之一。知识水平不足和缺乏国家筛查测试策略是 HCV 消除的障碍。

目的

这项工作旨在总结评估风险因素和受访者对 HCV 感染预防和病程的认识的调查。摘要还包括欧洲和全球消除 HCV 的最重要尝试。

材料和方法

在波兰马佐夫舍省进行了一项横断面、基于人群的研究,使用匿名调查并对自愿接受检测的人进行。

结果

在研究队列的 7397 名成年人中,有 5412 名女性(73.16%)。配额样本(n = 1303)的分析反映了马佐夫舍省人口的实际比例。

结论

对 HCV 的了解不足会降低更高检出感染、快速诊断和治疗的可能性。根据世卫组织的模型,假设到 2030 年,感染率提高 90%,80%的感染者接受治疗,考虑到波兰有 12 至 15 万感染者,应该将 HCV 的检出率提高 4-5 倍,并为所有确诊患者提供抗病毒治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f30d/10612042/200a9faf1671/viruses-15-02067-g001.jpg

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