Hiebert-Suwondo Lindsey, Manning Jana, Tohme Rania A, Buti Maria, Kondili Loreta A, Spearman C Wendy, Prabdial-Sing Nishi, Turnier Victoria, Lazarus Jeffrey V, Waked Imam, Ward John W
Coalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, USA.
Coalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, USA.
Lancet Gastroenterol Hepatol. 2025 Jul;10(7):671-684. doi: 10.1016/S2468-1253(25)00069-X. Epub 2025 May 20.
The Coaltion for Global Hepatitis Elimination's National Hepatitis Elimination Profiles assess the status of national data, policy, and programme development the elimination of viral hepatitis. Profiles from 33 countries and territories show progress, towards elimination of hepatitis B with 24 (73%) of them meeting the 2025 WHO interim target of 0·5% or less HBsAg prevalence in children younger than 5 years. 22 (67%) of countries and territories profiled have policies for universal hepatitis B birth-dose vaccination of newborns. Access to hepatitis B testing and treatment, including removing HBsAg screening and hepatitis B treatment patient co-payments and simplifying treatment algorithms, remains suboptimal, especially in low-income and middle-income countries and territories. Of the seven profiled countries and territories meeting the 60% WHO 2025 diagnosis coverage target, all but one (Rwanda) is a high-income country or territory. No country or territory has met the WHO 2025 treatment target of at least 50% of people living with hepatitis B receiving treatment. The profiles guide national planning and identify priorities for resource mobilisation to further accelerate hepatitis B elimination.
全球消除肝炎联盟的《国家肝炎消除概况》评估了各国在病毒性肝炎消除方面的数据、政策和项目发展状况。来自33个国家和地区的概况显示，在消除乙型肝炎方面取得了进展，其中24个国家（73%）实现了世界卫生组织2025年的中期目标，即5岁以下儿童的乙肝表面抗原（HBsAg）流行率降至0.5%或更低。在纳入概况的国家和地区中，22个（67%）制定了针对新生儿普遍接种首剂乙肝疫苗的政策。获得乙肝检测和治疗的情况，包括取消HBsAg筛查和乙肝治疗患者自付费用以及简化治疗方案，仍不尽人意，尤其是在低收入和中等收入国家及地区。在纳入概况的七个实现了世界卫生组织2025年60%诊断覆盖率目标的国家和地区中，除一个国家（卢旺达）外，其余均为高收入国家或地区。没有国家或地区实现世界卫生组织2025年的治疗目标，即至少50%的乙肝感染者接受治疗。这些概况为国家规划提供指导，并确定资源调动的优先事项，以进一步加速消除乙型肝炎。
