Title: | The case for simplifying and using absolute targets for viral hepatitis elimination goals |
Authors: | Razavi, Homie Blach, Sarah Razavi-Shearers, Devin Abaalkhail, Faisal Abbas, Zaigham Abdallah, Ayat Ferreira, Paulo Abrao Abu Raddad, Laith Jamal Adda, Danjuma Agarwal, Kosh Aghemo, Alessio Ahmed, Aijaz Al-Busafi, Said A. Al-hamoudi, Waleed Al-Kaabi, Saad Al-Romaihi, Hamad Aljarallah, Badr AlNaamani, Khalid Alqahtani, Saleh Alswat, Khalid Altraif, Ibrahim Asselah, Tarik Bacon, Bruce Bessone, Fernando Bizri, Abdul Rahman Block, Tim Bonino, Ferruccio BranclaoMello, Carlos Eduardo Browny, Kimberly Bruggmann, Philip Brunetto, Maurizia Rossana Buti, Maria Cabezas, Joaquin Calleja, Jose Luis Batanjer, Erika Castro Chan, Henry Lik-Yuen Chang, Henry Chen, Chien-Jen Christensen, Peer Brehm Chuang, Wan-Long Cisneros, Laura Cohen, Chari Colombo, Massimo Conway, Brian Cooper, Curtis Craxi, Antonio Crespo, Javier Croes, Esther Cryer, Donna de Barros, Fernando Passos Cupertino Derbala, Moutaz Dillon, John Doss, Wahid Dou, Xiaoguang Doyle, Joseph Duberg, Ann-Sofi Dugan, Ellen Dunn, Rick Dusheiko, Geoffrey El Khayat, Hisham EI-Sayed, Manal H. Eshraghian, Ahad Esmat, Gamal Mur, Rafael Esteban Ezzat, Sameera Falconer, Karolin Fassio, Eduardo Ferrinho, Paulo Flamm, Steven Flisiak, Robert Foster, Graham Fung, James Garcia-Samaniego, Javier Gish, Robert G. Goncales, Fernando Halota, Waldemar Hamoudi, Waseem Hassany, Mohamed Hatzakis, Angelos Hay, Susan Himatt, Sayed Hoepelman, I. M. Hsu, Yao-Chun Hui, Yee Tak Hunyady, Bela Jacobson, Ira Janjua, Naveed Janssen, Harry Jarcuska, Peter Kabagambe, Kenneth Kanto, Tatsuya Kao, Jia-Horng Kaymakoglu, Sabahattin Kershenobich, David Khamis, Faryal Kim, Dong Joon Kim, Young Kondili, Loreta A. KottiliI, Shyamasundaran Kramvis, Anna Kugelmas, Marcelo Kurosaki, Masayuki Lacombe, Karine Lagging, Martin Lao, WaiCheung Lavanchy, Daniel Lazarus, Jeffrey, V Lee, Alice Lee, Samual S. Levyl, Miriam Liakina, Valentina Lim, YoungSuk Liu, Shuang Maddrey, Willis Malekzade, Reza Marinho, Rui Tato Mathur, Poonam Maticic, Mojca Mendes Correa, Maria Cassia Mera, Jorge Merat, Shahin Mogawer, Sherif Mohamed, Rosmawati Muellhaupti, Beat Muljono, David Mostafa, Ibrahim Nahum, Mendez Sanchez Nawaz, Arif Negro, Francesco Ninburg, Michael Ning, Qing Ntiri-Reid, Boatemaa Nymadawa, Pagbajabyn Oevrehus, Anne Ormeci, Necati Orrego, Mauricio Osman, Alaa Oyunsuren, Tsendsuren Pant, Calvin Papaevangelou, Vassiliki Papatheodoridis, George Popping, Stephanie Prasad, Papu Prithiviputh, Rittoo Qureshi, Huma Ramji, Alnoor Razavi-Shearer, Kathryn Reddy, Rajender Remak, William Richter, Clemens Ridruejo, Ezequiel ROBAEYS, Geert Robert, Stuart Roberts, Lewis Roudot-Thoraval, Francoise Saab, Sammy Said, Sanaa Salamat, Amjad Sanai, Faisal Sanchez-Avila, Juan Francisco Schiff, Eugene Schinazi, Raymond Sebastiani, Giada Seguin-Devaux, Carole Shanmugam, R. P. Sharara, Ala Shilton, Sonjelle Shouval, Daniel Sievert, William Simonova, Marieta Sohrabpour, Amir Ali Sonderup, Mark Soza, Alejandro Spearman, C. Wendy Steinfurth, Nancy Sulkowski, Mark Tan, Soek-Siam Tanaka, Junko Tashi, Dhondup Thein, Hla-Hla Thompson, Peyton Tolmane, Ieva Toy, Mehlika Valantinas, Jonas Van de Vijver, David Velez-Moller, Patricia Vince, Adriana Waked, Imam Wang, Su Wedemeyer, Heiner Wong, Vincent Xie, Qing Yamada, Seiji Yang, Hwai-, I Yesmembetov, Kakharman Yilmaz, Yusuf Younossi, Zobair Yu, Ming-Lung Yuen, Man-Fung Yurdaydin, Cihan Yusuf, Aasim Zekry, Amany Zeuzem, Stefan |
Corporate Authors: | Polaris Observatory Collaborators |
Issue Date: | 2021 |
Publisher: | WILEY |
Source: | JOURNAL OF VIRAL HEPATITIS, 28(1), p. 12-19 |
Abstract: | The 69th World Health Assembly endorsed the Global Health Sector Strategy for Viral Hepatitis, embracing a goal to eliminate hepatitis infection as a public health threat by 2030. This was followed by the World Health Organization's (WHO) global targets for the care and management of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections. These announcements and targets were important in raising awareness and calling for action; however, tracking countries' progress towards these elimination goals has provided insights to the limitations of these targets. The existing targets compare a country's progress relative to its 2015 values, penalizing countries who started their programmes prior to 2015, countries with a young population, or countries with a low prevalence. We recommend that (1) WHO simplify the hepatitis elimination targets, (2) change to absolute targets and (3) allow countries to achieve these disease targets with their own service coverage initiatives that will have the maximum impact. The recommended targets are as follows: reduce HCV new chronic cases to <= 5 per 100 000, reduce HBV prevalence among 1-year-olds to <= 0.1%, reduce HBV and HCV mortality to <= 5 per 100 000, and demonstrate HBV and HCV year-to-year decrease in new HCV- and HBV-related HCC cases. The objective of our recommendations is not to lower expectations or diminish the hepatitis elimination standards, but to provide clearer targets that recognize the past and current elimination efforts by countries, help measure progress towards true elimination, and motivate other countries to follow suit. |
Notes: | Razavi, H (corresponding author), Ctr Dis Anal Fdn, 1120 W South Boulder Rd,Suite 102, Lafayette, CO 80026 USA. hrazavi@cdafound.org |
Other: | Razavi, H (corresponding author), Ctr Dis Anal Fdn, 1120 W South Boulder Rd,Suite 102, Lafayette, CO 80026 USA.
hrazavi@cdafound.org |
Document URI: | http://hdl.handle.net/1942/32942 |
ISSN: | 1352-0504 |
e-ISSN: | 1365-2893 |
DOI: | 10.1111/jvh.13412 |
ISI #: | WOS:000584509000001 |
Category: | A1 |
Type: | Journal Contribution |
Validations: | ecoom 2021 |
Appears in Collections: | Research publications
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