Five Questions Concerning Managing Hepatitis C in the Justice System: Finding Practical Solutions for Hepatitis C Virus Elimination

Infectious Disease Clinics of North America
Anne C SpauldingWilliam von Oehsen

Abstract

An estimated 30% of Americans with hepatitis C virus (HCV) pass through a jail or prison annually. One in 7 incarcerated persons is viremic. Screening and treatment is cost-effective and beneficial to society as a whole. Yet at current (2018) levels of funding for HCV management, prisons are not aggressively seeking cases; few incarcerated persons with HCV actually receive treatment. This article explores barriers to screening for and treating hepatitis C in state prisons, and ways that states may overcome these barriers, such as nominal pricing. While high prices for direct-acting antivirals discourage treatment, potential strategies exist to lower prices.

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Citations

Oct 17, 2018·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Anne C SpauldingWilliam von Oehsen
Nov 7, 2018·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Megan G HofmeisterA Blythe Ryerson
Sep 7, 2019·JAMA Network Open·Anne C SpauldingKarla A Thornton
Jul 3, 2021·International Journal of Environmental Research and Public Health·Danielle WallaceJake R Nelson
Nov 3, 2021·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Alysse G WurcelKathryn M Nowotny

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