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丙型肝炎病毒连接项目:利用县监测登记系统将丙型肝炎病毒感染居民与治疗相联系——洛杉矶县,2023年4月至2024年3月

Project HCV Connect: Using a County Surveillance Registry to Link Hepatitis C Virus-Infected Residents to Cure-Los Angeles County, April 2023 to March 2024.

作者信息

Stafylis Chrysovalantis, Hernandez-Tamayo Cassidy, Bhardwaj Lokesh, Shah Riya, Becerra Tatiana, Bruce Dara, Saini Roopkamal, Saremi Natalie, Thomas Immanuel, Manansala-Tan Krzel, Vij Arjun P, Li Alison, Sudeep Nathan, Gizamba Jacob, Hosseini Bijan, Navarro Sabrina, Ufret-Rivera Sofia, Jewell Mirna Ponce, Gounder Prabhu, Klausner Jeffrey D

机构信息

Author Affiliations: Keck School of Medicine,Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California (Dr Stafylis, Ms Hernandez-Tamayo, Mr Bhardwaj, Ms Shah, Ms Becerra, Ms Bruce, Ms Saini, Ms Saremi, Mr Thomas, Ms Manansala-Tan, Mr Vij, Ms Li, Mr Sudeep, Mr Gizamba, Mr Hosseini, Ms Navarro, Ms Ufret-Rivera, Dr Gounder, and Dr Klausner); and Los Angeles County Department of Public Health, Acute Communicable Disease Control, Viral Hepatitis Unit, Los Angeles, California (Ms Jewell).

出版信息

J Public Health Manag Pract. 2025;31(4):610-613. doi: 10.1097/PHH.0000000000002139. Epub 2025 Mar 11.

DOI:10.1097/PHH.0000000000002139
PMID:40073089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12316121/
Abstract

Los Angeles County has a high prevalence of chronic hepatitis C virus (HCV) infection, but resources and infrastructure to notify and increase treatment uptake among county residents are absent. Through an innovative academic-public partnership, we developed a linkage-to-cure program utilizing the Department of Public Health's HCV surveillance registry. Case workers contacted reported cases via phone, to offer education, and treatment referral. Three months after the initial communication, individuals that reported that they were untreated were recontacted to evaluate treatment status. Between April 2023 and March 2024, a total of 639 individuals with HCV were interviewed; 84% of them were aware of their infection status, and 70% were untreated. Among those interviewed three months after initial communication (n = 260), 22% started or completed treatment and 30% were under evaluation for treatment. Leveraging existing resources and new partnerships Public Health Departments could mobilize individuals to seek medical care and lead the effort towards elimination of HCV.

摘要

洛杉矶县慢性丙型肝炎病毒(HCV)感染的患病率很高,但缺乏通知和提高该县居民治疗率的资源和基础设施。通过创新的学术-公共伙伴关系,我们利用公共卫生部的HCV监测登记系统开发了一个治愈关联项目。个案工作者通过电话联系报告的病例,提供教育和治疗转诊。在首次沟通三个月后,再次联系报告未接受治疗的个体,以评估治疗状态。在2023年4月至2024年3月期间,共采访了639名HCV感染者;其中84%知道自己的感染状况,70%未接受治疗。在首次沟通三个月后接受采访的人群中(n = 260),22%开始或完成了治疗,30%正在接受治疗评估。利用现有资源和新的伙伴关系,公共卫生部门可以动员个人寻求医疗护理,并引领消除HCV的努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d3/12316121/bc58898d114b/jpump-31-0610-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d3/12316121/bc58898d114b/jpump-31-0610-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d3/12316121/bc58898d114b/jpump-31-0610-g001.jpg

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本文引用的文献

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Hepatitis C Treatment Initiation Among US Medicaid Enrollees.美国医疗补助计划参保者中的丙型肝炎治疗启动。
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Lack of Hepatitis C Virus Elimination by 2030 in Los Angeles County at Current Treatment Rate.以当前治疗率计算,洛杉矶县到2030年无法消除丙型肝炎病毒。
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