An epidemiologic update on hepatitis C infection in persons living with or at risk of HIV infection

J Infect Dis. 2013 Mar;207 Suppl 1(Suppl 1):S1-6. doi: 10.1093/infdis/jis927.

Abstract

Due to shared routes of transmission, coinfection with both human immunodeficiency virus type 1 (HIV-1) and hepatitis C virus (HCV) is relatively common and results in accelerated liver disease, driving morbidity and mortality. Deaths related to HCV now exceed deaths related to HIV in the United States, and co-infected patients bear a significant proportion of that mortality. This burden may be addressed by novel antiviral therapies that promise increased rates of cure or by enhanced access to liver transplantation, but these are costly interventions. Ultimately, the future burden of coinfection is addressed by greater understanding of who is at risk for development of each infection, thus guiding preventive efforts. Key recent reports regarding the US burden of morbidity and mortality due to HCV and groups at risk for coinfection are reviewed, with a focus on recently described HCV occurring among young injection drug users and men who have sex with men. Given the lack of available vaccine against HCV, enhanced detection and surveillance is a vital component of our public health strategy to combat HCV.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Coinfection / epidemiology*
  • Coinfection / mortality
  • Female
  • HIV Infections / complications*
  • HIV Infections / epidemiology*
  • HIV Infections / mortality
  • HIV-1 / isolation & purification
  • Hepatitis C / complications*
  • Hepatitis C / epidemiology*
  • Hepatitis C / mortality
  • Humans
  • Liver Transplantation
  • Male
  • Risk Factors
  • Survival Analysis
  • United States / epidemiology

Substances

  • Antiviral Agents