Harm reduction and viral hepatitis C in European prisons: a cross-sectional survey of 25 countries

Harm Reduction Journal
Rob BielenJeffrey V Lazarus

Abstract

Current estimates suggest that 15% of all prisoners worldwide are chronically infected with the hepatitis C virus (HCV), and this number is even higher in regions with high rates of injecting drug use. Although harm reduction services such as opioid substitution therapy (OST) and needle and syringe programs (NSPs) are effective in preventing the further spread of HCV and HIV, the extent to which these are available in prisons varies significantly across countries. The Hep-CORE study surveyed liver patient groups from 25 European countries in 2016 and mid-2017 on national policies related to harm reduction, testing/screening, and treatment for HCV in prison settings. Results from the cross-sectional survey were compared to the data from available reports and the peer-reviewed literature to determine the overall degree to which European countries implement evidence-based HCV recommendations in prison settings. Patient groups in nine countries (36%) identified prisoners as a high-risk population target for HCV testing/screening. Twenty-one countries (84%) provide HCV treatment in prisons. However, the extent of coverage of these treatment programs varies widely. Two countries (8%) have NSPs officially available in prisons in all p...Continue Reading

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Citations

Jul 23, 2019·International Journal of Prisoner Health·Stephanie E Perrett, Thomas D Waite
Sep 19, 2019·International Journal of Prisoner Health·Farrukh AlamRussell Webster
Jul 7, 2019·Harm Reduction Journal·Desmond CrowleyJohn S Lambert
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Jan 16, 2019·Deutsches Ärzteblatt International·Annette Opitz-WelkeNorbert Konrad
Nov 2, 2020·Journal of Viral Hepatitis·Jennifer Gallacher, Stuart McPherson
Dec 4, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·José Luis Pérez HernándezC Alejandro Arce Salinas
Feb 18, 2021·The American Journal of Drug and Alcohol Abuse·Elizabeth Armstrong-MensahHarrison Whately
Jun 10, 2021·Archives of public health = Archives belges de santé publique·Des CrowleyJohn S Lambert

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Software Mentioned

Research Electronic Data Capture ( REDCap )
Hep
OST
ACCESS

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