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The case for simplifying and using absolute targets for viral hepatitis elimination goals

Authors: Razavi, H.; Blach, S.; Razavi-Shearer, D.; Abaalkhail, F.; Abbas, Z.; Abdallah, A.; Abrao Ferreira, P.; +193 Authors

The case for simplifying and using absolute targets for viral hepatitis elimination goals

Abstract

AbstractThe 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.

Countries
Korea (Republic of), Korea (Republic of), Denmark, Chile, Netherlands, Greece, France, Turkey, Switzerland, France, Italy, France
Keywords

Carcinoma, Hepatocellular, Hepatitis, Viral, Human, Human* / prevention & control, Carcinoma, Liver Neoplasms, 610, Human* / epidemiology, 616.07, World Health Organization, Hepatitis, [SDV] Life Sciences [q-bio], Hepatocellular*, SDG 3 - Good Health and Well-being, Liver Neoplasms*, 03 Salud y bienestar, 616, Humans, 03 Good Health and Well-being, Viral, Goals

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
32
Top 10%
Top 10%
Top 10%
Green
bronze