Treatment as prevention and cure towards global eradication of hepatitis C virus

Trends Microbiol. 2013 Dec;21(12):625-33. doi: 10.1016/j.tim.2013.09.008. Epub 2013 Nov 14.

Abstract

The availability of curative, direct-acting antiviral drugs against hepatitis C virus (HCV) sparks an ethical call for HCV eradication and provides essential tools to spearhead the effort. Challenges include increasing awareness of the chronic hepatitis C epidemic, garnering sufficient public, private, and governmental financial will to invest in the necessary resources, developing pangenotypic drug regimens for global application, and mitigating ethical concerns. To achieve these goals, stakeholders including clinicians, public health professionals, legislators, advocates, and industry can employ a variety of strategies such as increasing HCV screening, implementing treatment as prevention, and improving linkage to care, as well as developing innovative pricing and payment solutions, stimulating innovation through local drug development in high-prevalence regions, continuing vaccine development, and creating efficiencies in the marketing and distribution of educational materials and drug treatments.

Keywords: HCV; antiviral agent; cost effectiveness; direct-acting antiviral; ethics; interferon-free.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Antiviral Agents / pharmacology*
  • Disease Eradication*
  • Hepacivirus / drug effects*
  • Hepacivirus / physiology
  • Hepatitis C / drug therapy
  • Hepatitis C / prevention & control*
  • Hepatitis C / virology
  • Humans

Substances

  • Antiviral Agents