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Addressing Hepatitis C in the American Incarcerated Population: Strategies for Nationwide Elimination.

Publication ,  Journal Article
Ocal, S; Muir, AJ
Published in: Curr HIV/AIDS Rep
February 2020

PURPOSE OF REVIEW: The prevalence of Hepatitis C virus (HCV) in the US incarcerated population is disproportionately high, and when inmates with infection are released back into the general population, they play a substantial role in the spread of disease. This review provides support for targeting the jail/prison population to eliminate HCV in the general population. It will also summarize various screening/treatment models to curtail the burden of disease behind and beyond bars. RECENT FINDINGS: Transitioning from risk-based testing to opt-out testing in prisons/jails would be cost-effective through greater identification of cases and treatment to prevent complications from cirrhosis. Other innovative strategies, such as the nominal pricing mechanism or the "Netflix" DAA subscription model, have the potential to be cost-effective and to increase access to treatment. Addressing HCV in the incarcerated population is a strategy to bring the US closer to successfully eradicating the epidemic. Such findings should incentivize policymakers to implement care models that target this population.

Duke Scholars

Published In

Curr HIV/AIDS Rep

DOI

EISSN

1548-3576

Publication Date

February 2020

Volume

17

Issue

1

Start / End Page

18 / 25

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Prisoners
  • Prevalence
  • Mass Screening
  • Male
  • Liver Cirrhosis
  • Humans
  • Hepatitis C, Chronic
  • Hepacivirus
 

Citation

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Ocal, S., & Muir, A. J. (2020). Addressing Hepatitis C in the American Incarcerated Population: Strategies for Nationwide Elimination. Curr HIV/AIDS Rep, 17(1), 18–25. https://doi.org/10.1007/s11904-019-00476-z
Ocal, Selin, and Andrew J. Muir. “Addressing Hepatitis C in the American Incarcerated Population: Strategies for Nationwide Elimination.Curr HIV/AIDS Rep 17, no. 1 (February 2020): 18–25. https://doi.org/10.1007/s11904-019-00476-z.
Ocal, Selin, and Andrew J. Muir. “Addressing Hepatitis C in the American Incarcerated Population: Strategies for Nationwide Elimination.Curr HIV/AIDS Rep, vol. 17, no. 1, Feb. 2020, pp. 18–25. Pubmed, doi:10.1007/s11904-019-00476-z.
Journal cover image

Published In

Curr HIV/AIDS Rep

DOI

EISSN

1548-3576

Publication Date

February 2020

Volume

17

Issue

1

Start / End Page

18 / 25

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Prisoners
  • Prevalence
  • Mass Screening
  • Male
  • Liver Cirrhosis
  • Humans
  • Hepatitis C, Chronic
  • Hepacivirus