World Hepatitis Day 2019

Italiano

UMdL participates at World Hepatitis Day 2019FIND THE MISSING MILLIONS” on July 28th organized by World Hepatitis Alliance, NOhep, and sustained by the World Health Organization (WHO) and by the Centers for Disease Control and Prevention (CDC).
Also this year, the main theme of the Day is “Eliminate hepatitis” according to the target 3.3 at Goal 3 of the United Nations Sustainable Development Goals for 2030 (By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.).
The Campaign is focused on all the people that are living with hepatitis B or hepatitis C without knowing as showed in the main page of the World Hepatitis Day 2019.
Updating medicina del lavoro is one of the Campaign supporters and UMdL gives an help in translating Campaign material in Italian and in translating the script of the official film of the Worl Hepatitis Day 2019.

A recent global survey investigated and showed the current barriers to hepatitis diagnosis around the World: White Paper – Overcoming the barriers to diagnosis: The role of the affected community and civil society in finding the missing millions.
During the previous year the WHO have published the last Guidelines for the care and treatment of  people diagnosed with chronic hepatitis C virus infection.
Also the Italian Istituto Superiore di Sanità (National Institute of Health) participates at World Hepatitis Day with: Giornata mondiale contro l’epatite, l’impegno dell’Italia e dell’Iss. Other information are available on the PITER platform.
Italian criteria for the access at direct-acting antivirals (DAAs) are available on the official website of the Agenzia Italiana del Farmaco. Until now (07/15/2019), 187,534 people with HCV chronic infection received treatments with DAAs.
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Viral Hepatitis Data

Global and European updated data about hepatitis B and C are available from the official WHO webpages. (1,2,3,4,5)
Interventions of “micro-elimination” of the diseases on specific populations seem to be promising at local level (6) but groups of people at risk still suffer of logisitcs, organizational, and cultural lacks. (7)
Other European epidemiological data 2017 are avialable at Surveillance Atlas of Infectious Diseases by the European Centre for Disease Prevention and Control: from 30 countries the total number of Hepatitis B cases was 26,907 people (an incidence of 6.7 cases each 100,000 inhabitants) with 15,472 chronic cases (58%); from 29 countries the total number of Hepatitis C cases was 31,273 (an incidence of 7.3 cases each 100,000 inhabitants) with a 22% of all with a chronic infection (8,9).
The Institute for Health Metrics and Evaluation realized a new webisite about hepatitis global and national prevalence trends. (10,11)
In Italy 2017 data showed that hepatitis C cases (40% from genotype 1b) are 1,396,002.3 (1.1% of worldwide cases); 1,154,261.4 prevalence cases of HBV. A lot of infected people are still unaware about the status in our country.(12,13)

After 3 years, NOhep online activities have reached a lot of people (patients, health professionals, civil society, common people, …); there is also an ongoing development of the Campaign about Viral Hepatitis Elimination (take action for support Campaign).

The NOhep main motto is “Make the Elimination of Viral Hepatitis Our Next Greatest Achievement”.
Below the NOhep video “Make the elimination of viral hepatitis our next greatest achievemement“, Italian subs are provided by UMdL.
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Updating medicina del lavoro participated with a poster at World Hepatitis Summit 2017 in São Paulo (Brazil) (14) on hepatitis prevention and management among different groups of workers.

References

[1] Hepatitis – Data and Statistics. Europe World Health Organization. http://www.euro.who.int/en/health-topics/communicable-diseases/hepatitis/data-and-statistics accessed 27 July 2018.

[2] WHO- Fact Sheets – Hepatitis C World Health Organization. http://www.who.int/news-room/fact-sheets/detail/hepatitis-c

[3] WHO- Fact Sheets – Hepatitis B World Health Organization. http://www.who.int/news-room/fact-sheets/detail/hepatitis-b

[4] Hepatitis C. World Health Organization. http://www.who.int/news-room/fact-sheets/detail/hepatitis-c, accessed 24 July 2019

[5] Hepatitis – Data and Statistics. World Health Organization.http://www.euro.who.int/en/health-topics/communicable-diseases/hepatitis/data-and-statistics.

[6] Lazarus JV, Safreed-Harmon K, Thursz MR, et al. The micro-elimination approach to eliminating hepatitis C:  strategic and operational considerations. Seminars in Liver Disease, July 2018.

[7] ELPA news – Highest-risk groups left behind in pursuit of viral hepatitis C elimination in Europe. European Living Patient Association. http://www.elpa-info.org/news/jul-2018/highest-risk-groups-left-behind-pursuit-viral-hepatitis-c-elimination-europeaccessed 27 July 2018.

[8] European Centre for Disease Prevention and Control. Hepatitis B. In: ECDC. Annual epidemiological report
for 2017. Stockholm: ECDC; 2019.

[9] European Centre for Disease Prevention and Control. Hepatitis C. In: ECDC. Annual epidemiological report
for 2017. Stockholm: ECDC; 2019.

[10] IHME – Hepatitis facts.  Institute for Health Metrics and Evaluation. https://hepatitis.ihme.services/

[11] IHME – Hepatitis trends – Italy.  Institute for Health Metrics and Evaluation. https://hepatitis.ihme.services/trends?location_id=86&measure_id=5 accessed 27 July 2019.

[12] CDA Foundation and its Polaris Observatory. Hepatitis B and C diagnosis rates in 2017. Lafayette, CO:CDA Foundation,2017.  http://www.worldhepatitisalliance.org/missing-millions/

[13] Blach, Sarah et al. Global prevalence and genotype distribution of hepatitis C virus infection in 2015: a modelling study The Lancet Gastroenterology & Hepatology , Volume 2 , Issue 3 , 161 – 176. https://www.thelancet.com/journals/langas/article/PIIS2468-1253(16)30181-9/abstract

[14] Posters – World Hepatitis Summit 2017- Sao Paulo, Brazil. http://www.worldhepatitissummit.org/2017/resources/posters/docs/default-source/posters/16a_drluciofellone

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Lucio Fellone (lucio.fellone@gmail.com)

Link at past World Hepatitis Day

Last updated 07/28/2019

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