Publications by authors named "Michael Ninburg"

Background: Direct-acting antivirals (DAAs) offer an unprecedented opportunity to eliminate hepatitis C virus (HCV) infection, yet barriers among people who inject drugs (PWID) remain. Having pharmacists provide care through collaborative drug therapy agreements (CDTAs) offers a promising solution. We developed and piloted a Pharmacist, Physician, and Patient Navigator-Collaborative Care Model (PPP-CCM) which utilized pharmacists to directly deliver HCV care at community organizations serving PWID.

View Article and Find Full Text PDF

Introduction: People who inject drugs (PWID) have complex health needs and often experience poor health outcomes. For PWID, intersectional experiences of stigma and other social vulnerabilities may influence their experiences navigating medical care. We conducted a targeted subanalysis of qualitative interview data collected to inform development of a community-pharmacist care model for hepatitis C (HCV) among PWID to explore intersectional influences on health care-seeking experiences.

View Article and Find Full Text PDF
Article Synopsis
  • * NAFLD is part of a broader metabolic syndrome, yet it remains mostly unknown outside of specialized medical fields, with inadequate public health responses and a lack of inclusion in national health strategies.
  • * A global Delphi study involving experts generated consensus statements and recommendations on various aspects of NAFLD, aiming to improve awareness, treatment, and public health policies, providing a valuable resource for stakeholders involved in addressing the disease.
View Article and Find Full Text PDF
Article Synopsis
  • The introduction of direct-acting antivirals (DAAs) presents a chance to eliminate hepatitis C (HCV), requiring improved care systems for people who inject drugs (PWID).
  • Interviews with PWID in Seattle revealed three main themes: limited knowledge of HCV treatments, barriers and motivators for treatment (including fear and stigma), and a preference for integrated, low-barrier care models.
  • Participants were mostly open to community-pharmacy HCV treatment, though feelings about previous pharmacist interactions varied and raised concerns about care quality.
View Article and Find Full Text PDF

Hepatitis C virus (HCV) infection is common in the United States and leads to significant morbidity, mortality, and economic costs. Simplified screening recommendations and highly effective direct-acting antivirals for HCV present an opportunity to eliminate HCV. The objective of this study was to increase testing, linkage to care, treatment, and cure of HCV.

View Article and Find Full Text PDF

Hepatitis B virus (HBV) and hepatitis C virus (HCV) affect more than 320 million people worldwide, which is more than HIV, tuberculosis (TB) and malaria combined. Elimination of HBV and HCV will, therefore, produce substantial public health and economic benefits and, most importantly, the prevention of 1.2 million deaths per year.

View Article and Find Full Text PDF

The current global burden of hepatitis C (HCV) is estimated at 71 million people. The World Health Organization (WHO) has stated that HCV could be eliminated as a public health threat by 2030. A key recommendation to reach this elimination goal is to reduce new infections by 90% and liver-related mortality by 65%.

View Article and Find Full Text PDF

Background: Innovation contests are a novel approach to elicit good ideas and innovative practices in various areas of public health. There remains limited published literature on approaches to deliver hepatitis testing. The purpose of this innovation contest was to identify examples of different hepatitis B and C approaches to support countries in their scale-up of hepatitis testing and to supplement development of formal recommendations on service delivery in the 2017 World Health Organization hepatitis B and C testing guidelines.

View Article and Find Full Text PDF