Screening for chronic hepatitis C: American College of Preventive Medicine practice policy statement.

Am J Prev Med

University of California-San Diego and San Diego State University, General Preventive Medicine Residency, University of California-San Diego, San Diego, CA, USA.

Published: April 2005

AI Article Synopsis

  • Hepatitis C is a common but often undiagnosed bloodborne illness, causing chronic liver disease in about 25% of those infected.
  • High-risk groups can see prevalence rates soar to 80%, while the general U.S. rate is 1.7%.
  • Screening high-risk populations is beneficial, but there’s not enough evidence to support universal adult screening, and issues like high treatment costs hinder prevention efforts.

Article Abstract

Hepatitis C is an under-diagnosed and prevalent bloodborne illness, resulting in chronic cirrhosis in up to 25% of those infected. While the overall prevalence in the United States is 1.7%, high-risk populations may have up to 80% prevalence. The mechanism of transmission is well understood, but effective preventive measures are hampered by economic, social, and political factors. Antiviral treatment is expensive, and efficacy ranges from 40% to 85%. The value of screening high-risk populations has been demonstrated, and should be expanded; however, there is insufficient evidence to recommend universal screening for adults.

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Source
http://dx.doi.org/10.1016/j.amepre.2004.12.009DOI Listing

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