L aderenza del trattamento e strategie
|
|
- Gyles Daniel
- 5 years ago
- Views:
Transcription
1 L aderenza del trattamento e strategie di prevenzione per la reinfezione HIV/HCV coinfetto alla terapia Teresa Bini UO Malattie Infettive ASST Santi Paolo e Carlo Università di Milano
2
3
4
5
6
7
8
9
10
11 PWID A preliminary modelling presented indicated that HCV treatment targeted at HIV infected PWDI in Andalusia would not achieve elimination among this population due to continued risk of HCV transmission from HIV-negative populations The burden of HCV is high among HIV-unifected PWID populations and HIV-infected PWID are likely to mix with HIV-unifected PWID populations Elimination among HIV-infected PWID is probably only achievable if combination HCV prevention effert are targeted both with HIV+ and HIV- PWID population
12 MSM One unifying characteristic is the relatively low rates of primary incidence among HIV+ MSM (1 to 2 per 100 person-years compared to PWID populations but high rates of reinfection ( 2 to 10 fold that of primary incidence) Among HIV+ MSM incidence of HCV over the past decade has remained relatively stable in the UK and Netherlands In the UK a modelling study indicated that scaled-up rates of DAA therapy ( from 46% to 80% treated within a year of diagnosis and from 7%/year to 20%/year thereafter) could reduce incidence among HIV+ MSM over 60% by 2030 but could not meet elimination targets Elimination target could be reached when all those diagnosed receive treatment within 1 year of diagnosis or if treatment scale-up is combined with a behaviour risk reduction
13 MSM HCV incidence among HIV+ MSM has increased over the past decade in Switzerland and Germany : - In Switzerland this has occurred with an increase in self-reported risk behaviour ( unprotected anal intercourse); elimination could not be achieved with HCV treatment alone and requires additional reduction in high-risk behaviour (behavioural interventions) - In Germany universal access for DAAs has been available since 2014 (>80% HIV+ MSM trated after their acute diagnosis); however the continued increase in HCV incidence among HIV+ MSM (0.33/100 person-years in 1996 to 1999 to 2.28/100 person-years in 2008to 2012) and high levels of reinfection (7 to 8 personyears)requires scale up of HCV treatment and reductions in high-risk behaviour
14
15 Possible additional barriers
16 Possible additional barriers
17
18 A recent Cochran sistematic review and meta-analysis found that OST is associated with 50% reduction in HCV incidence among PWID (RR 0.5,95%CI ) Weak evidence that exposure to any NPS is associated with a reduction in HCV incidence (RR 0.77,95%CI ) In combination OST and NSP can work synergically to reduce HCV incidence by 71% (RR 0.29, 95% )
19
20 Case-control studies have identified numerous potential factors associated with HCV acquisition such as: Fisting Rectal trauma with bleeding Condomless receptive an al intercourse Group sex IDU A control study in NY among MSM found that «sex while on methamphetamine» was dependently associated with incidence HCV infection (OR 29) Two studies in Amsterdam found associations between HCV among MSM and consumption of cocaine, ecstasy, gamma hydroxbutyrate (GHB), ketamine,amphetamine or methamphetamine before or during sexual contact
21
22
23 Project ECHO Personalized Cognitive Counseling (PCCC) to help participants identify and avoid risky sexual and drug using behaviors In a randomised sample of HIV-negative MSM who reported sex after substance use in the past 6 months the intervention reduceed the number of condomless AI events with nonprimary partenrs by 46% compared to the control group An intervention similar to Project ECHO could possibly be effective for HCV prevention due to associations found between sex-drug use and HCV infection
24
25 When assessing suitability for HCV therapy PWID, people who are incarcerated, people with HIV/HCV coinfection and MSM had been considered «high risk» based on concerns regarding efficacy, toxicity, adherence, and particularly, the potential for reinfection
26
27
28
29 The real-world efficacy of DAA therapy among people with HIV/HCV coinfection appears to be comparable to clinical trial efficacy High SVR12 (93%) was demonstrated among people with HIV/HCV coinfection and cirrhosis enrolled in the French National Agency for Research and viral Hepatitis (ANRS) CO13 HEPAVIH cohort
30
31
32
33
34
35
36
37
38
39
Hepatitis C reinfection after sustained virological response in HIV/HCV co-infected patients
Hepatitis C reinfection after sustained virological response in HIV/HCV co-infected patients Fábio Videira Santos, Joana Fragoso, Ana Cipriano, Miguel Araújo Abreu, Olga Vasconcelos, Ana Aboim Horta, Ana
More informationStrategies to Address HCV
Strategies to Address HCV HIV Programs & U.S. Viral Hepatitis Action Plan Corinna Dan, RN, M.P.H. Viral Hepatitis Policy Advisor Office of HIV/AIDS and Infectious Disease Policy September 10, 2015 1 The
More informationHIV Testing. ECHO Hep C. Judith Feinberg, MD June 22, 2017
HIV Testing ECHO Hep C Judith Feinberg, MD June 22, 2017 Overview A few basics HIV epidemiology in the US HIV testing Time course of HIV-1 infection symptoms HIV proviral DNA symptoms window period HIV
More informationPREVENTION OF HCV IN PEOPLE WHO INJECT DRUGS
PREVENTION OF HCV IN PEOPLE WHO INJECT DRUGS Holly Hagan, PhD Professor Co-Director, Center for Drug Use and HIV Research Principal Investigator, HCV Synthesis Project New York University HCV prevalence
More informationPrEP Home Checklist v1.0
PrEP Home Checklist v1.0 Every Visit o Risk Reduction Counseling o Appropriate referrals and follow-ups (SW, Pharmacy, et al.) o For those on PrEP: o Assessment of PrEP adherence, side effects, ongoing
More informationThirty years of harm reduction in the Netherlands HCV elimination ahead?
Thirty years of harm reduction in the Netherlands HCV elimination ahead? Esther Croes, MD PhD Confession 30 years 3 topics: drug use, harm reduction, HCV in 15 minutes IT DOESN T FIT!! 2 Disclosure Esther
More informationHCV elimination : lessons from Scotland
HCV elimination : lessons from Scotland Sharon Hutchinson Glasgow Caledonian University / Health Protection Scotland BHIVA Hepatology Highlights, Edinburgh, 17 th April 2018 Disclosures Honoraria from
More informationPrEP for HIV Prevention. Adult Clinical Guideline from the New York State Department of Health AIDS Institute
PrEP for HIV Prevention Adult Clinical Guideline from the New York State Department of Health AIDS Institute www.hivguidelines.org Purpose of the PrEP Guideline Raise awareness of PrEP among healthcare
More informationProfessor Mark Nelson. Chelsea and Westminster Hospital, London, UK
Professor Mark Nelson Chelsea and Westminster Hospital, London, UK Treatment should be prioritized Treatment Indicated All naive and experienced pts with liver disease Prioritized Pts with fibrosis (F3)
More informationAdditional North Carolina Projects
Additional North Carolina Projects William Zule, Dr.P.H. www.rti.org RTI International is a trade name of Research Triangle Institute Risk Groups Injecting drug users (IDUs) Non-injecting drug users (non-idus)
More informationClinical Education Initiative PRE-EXPOSURE PROPHYLAXIS. Speaker: Antonia Urbina, MD
Clinical Education Initiative Support@ceitraining.org PRE-EXPOSURE PROPHYLAXIS Speaker: Antonia Urbina, MD 9/6/2017 Pre-Exposure Prophylaxis [video transcript] 1 00:00:07,480 --> 00:00:09,139 I mean we're
More informationSexual Health, HIV, and STDs
Sexual Health, HIV, and STDs Richard J. Wolitski, PhD Deputy Director, Behavioral and Social Science Division of HIV/AIDS Prevention Centers for Disease Control & Prevention Fenway Institute, Boston, MA
More informationCROI 2017 Review: Hepatitis C Coinfection
Mountain West AIDS Education and Training Center CROI 2017 Review: Hepatitis C Coinfection Brian R. Wood, MD Assistant Professor of Medicine Medical Director, Mountain West AETC ECHO Telehealth February
More informationAASLD, Boston, USA, 10 th November 2014 [oral presentation]
Effects of Sustained Virological Response on the of liver transplant, hepatocellular carcinoma, death and re-infection: meta-analysis of 129 studies in 34,563 patients with Hepatitis C infection. Andrew
More informationCivil Society Driven Response in Ukraine: A program making a difference and bringing results
Civil Society Driven Response in Ukraine: A program making a difference and bringing results CATIE Forum Making it work: From Planning to Practice October 16th, 2015 Andriy Klepikov International HIV/AIDS
More informationToronto Declaration 2014: Global Strategies to control and eliminate viral hepatitis globally. A call for coordinated action
Toronto Declaration 2014: Global Strategies to control and eliminate viral hepatitis globally A call for coordinated action Disclaimer Toronto declaration is not aiming to reinvent the wheel or interfere
More informationProject SUCCEED Scaling up Co Infection Care & Eliminating Ethnic Disparities 13 th Annual Iris House Women As the Face of AIDS Summit May 7th, 2018
Project SUCCEED Scaling up Co Infection Care & Eliminating Ethnic Disparities 13 th Annual Iris House Women As the Face of AIDS Summit May 7th, 2018 2 Project SUCCEED Team Natalie Octave, MPH, CHES Project
More informationAustralasian Professional Society on Alcohol and other Drugs, Annual Conference 2016 Sydney Australia
Efficacy and safety of ledipasvir/sofosbuvir with and without ribavirin in patients with chronic HCV genotype 1 infection receiving opioid substitution therapy: Analysis of Phase 3 ION trials J Grebely
More informationCatalyst for Change. Viral Hepatitis Control Program Country Model Ukraine. Zahedul Islam
Catalyst for Change Viral Hepatitis Control Program Country Model Ukraine Zahedul Islam Director: Treatment, Procurement & Supply Alliance for Public Health Ukraine Alliance for Public Health Alliance
More informationGovernment of Canada Federal AIDS Initiative Milestones
HIV in Canada: Trends and Issues for Advancing Prevention, Care, Treatment and Support Through Knowledge Exchange Michael R Smith, Senior Policy Advisor, Programs and Coordination Division, Centre for
More informationHIV and HCV coinfection - Barriers in Central and Eastern Europe
HIV and HCV coinfection - Barriers in Central and Eastern Europe Jerzy Jaroszewicz Vice President of Polish Association for the Study of Liver Department of Infectious Diseases and Hepatology, Medical
More informationStable incidence of hepatitis C virus infection among PWID in an Australian prison setting, : the HITS-p study
Stable incidence of hepatitis C virus infection among PWID in an Australian prison setting, 2005-2014: the HITS-p study Evan B. Cunningham 1, Brigid Betz-Stablein 2, Neil A. Bretana 2, Gregory J. Dore
More informationEMCDDA-update HIV/HCV among people who inject drugs: situation and response
EMCDDA-update HIV/HCV among people who inject drugs: situation and response Dagmar Hedrich EU Think Tank HIV/AIDS: 24-25 November 2015, Luxembourg Latest European overview Multi-indicator based analysis
More informationWho is affected in Switzerland? The epidemiologist s point of view
Who is affected in Switzerland? The epidemiologist s point of view Roger Kouyos Division of Infectious Diseases and Hospital Epidemiology, USZ Institute of Medical Virology, University of Zurich Overview
More informationPublic Health Response to HCV in Oregon: Need for Screening and Treatment. Ann Thomas, MD, MPH Acute and Communicable Disease Prevention
Public Health Response to HCV in Oregon: Need for Screening and Treatment Ann Thomas, MD, MPH Acute and Communicable Disease Prevention November 29, 2018 Outline I. Epidemiology of HCV in OR acute HCV,
More informationToronto Declaration: Strategies to control and eliminate viral hepatitis globally. A call for coordinated action
Toronto Declaration: Strategies to control and eliminate viral hepatitis globally A call for coordinated action Hepatitis B National Action Plan All countries should develop a national and/or regional
More informationHIV/HCV co-infected patients should be prioritised for HCV treatment. Sanjay Bhagani Royal Free Hospital/UCL London
HIV/HCV co-infected patients should be prioritised for HCV treatment Sanjay Bhagani Royal Free Hospital/UCL London Also requires other resources What should a prioritisation process Life-saving at this
More informationRECOMMENDATION FOR THE MANAGEMENT OF HEPATITIS C VIRUS INFECTION AMONG PEOPLE WHO INJECT DRUGS
RECOMMENDATION FOR THE MANAGEMENT OF HEPATITIS C VIRUS INFECTION AMONG PEOPLE WHO INJECT DRUGS The International Network on Hepatitis in Substance users (INHSU) Olav Dalgard Oslo Grebely J et al Int J
More informationCURING HEPATITIS C IN GENERAL PRACTICE: THE FIRST 60 DAYS
CURING HEPATITIS C IN GENERAL PRACTICE: THE FIRST 60 DAYS Baker D 1,2, McMurchie M 1, Rodgers C 1, Farr V 1, Williams M 1 1 East Sydney Doctors, 2 Australasian Society for HIV Medicine 1 Disclosures Advisory
More informationHIV Conference Reportback. Carla Gorton HIV, Viral Hepatitis, Sexual Health Coordinator Cairns Sexual Health Service
HIV Conference Reportback Carla Gorton HIV, Viral Hepatitis, Sexual Health Coordinator Cairns Sexual Health Service Social Research & Epidemiology PrEP Dr Jared Baeten Washington Divergent HIV rates
More informationNEW YORK STATE DEPARTMENT OF HEALTH AIDS INSTITUTE
NEW YORK STATE DEPARTMENT OF HEALTH AIDS INSTITUTE EHIVQUAL ADULT HIV AMBULATORY CARE QUALITY OF CARE INDICATOR DEFINITIONS A GUIDE FOR PROVIDERS OF AMBULATORY CARE SERVICES * * For use with ehivqual,
More informationHepatitis C Elimination Program Georgia
Hepatitis C Elimination Program Georgia Maia Butsashvili, MD, MS, PhD Health Research Union (HRU)/Clinic NEOLAB National HCV Committee International School of Public Health High prevalence of HCV in Georgia
More informationHepatitis C : Screening and Prevention Strategies
Hepatitis C : Screening and Prevention Strategies JAMEELA J. YUSUFF, MD MPH FACP MEDICAL DIRECTOR STAR HEALTH CENTER AT SUNY DOWNSTATE MEDICAL CENTER JANUARY 24, 2018 Overview Review of Screening Guidelines
More informationCase-Based Scenarios in Hepatitis C
Case-Based Scenarios in Hepatitis C Alicia Stivala, NP HIV/HCV Co-infection Clinic, Mount Sinai Medical Center New York, NY Final Achieving an SVR is Associated With Improved Outcomes Sustained viral response
More informationHIV Endgame II: Stopping the Syndemics that Drive HIV
Sean B. Rourke, Ph.D., FCAHS Scientific and Executive Director, OHTN Professor of Psychiatry, University of Toronto Director, CIHR Centre for REACH 2.0 in HIV/AIDS Director, CIHR Collaborative Centre for
More informationHCV care after cure. This program is supported by educational grants from
HCV care after cure This program is supported by educational grants from Raffaele Bruno,MD Department of Infectious Diseases, Hepatology Outpatients Unit University of Pavia Fondazione IRCCS Policlinico
More informationThe National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015
The National Infrastructure for Hepatitis C: Is There Anyone Home? December 21, 2015 December 21, 2015 2 December 21, 2015 3 Can we eliminate hepatitis C? Treatments December 21, 2015 4 We Have the Roadmap
More informationModeling Combination HCV Prevention among HIV-infected Men Who Have Sex With Men and People Who Inject Drugs
Natasha K. Martin, et al.: Modeling Combination HCV Prevention Contents available at PubMed www.aidsreviews.com AIDS Rev. 17;19:97-104 Modeling Combination HCV Prevention among HIV-infected Men Who Have
More informationSection 7: Providing HCV testing and treatment to people who inject drugs
Section 7: Providing HCV testing and treatment to people who inject drugs Dr. Niklas Luhmann (Médecins du Monde) Training Hepatitis C and HR for PWUD, 9 th -13 th May 2016, Hanoi, Vietnam Learning objective
More informationHCV Resistance Clinical Aspects. Sanjay Bhagani Royal Free Hospital/UCL London
HCV Resistance Clinical Aspects Sanjay Bhagani Royal Free Hospital/UCL London DAAs in 2018, and beyond % patients % patients Changing characteristics of patients treated with DAA over time Prospective,
More informationAntiretroviral Therapy in HIV and Hepatitis Coinfection: What Do We Need to Consider?
Antiretroviral Therapy in HIV and Hepatitis Coinfection: What Do We Need to Consider? Saturday 22nd March 2014, Mumbai, India Jürgen K. Rockstroh Department of Internal Medicine I University Hospital Bonn,
More informationEpidemiology of Pathogenesis of HCV A Focus on HIV
Epidemiology of Pathogenesis of HCV A Focus on HIV Presented by MayaTech in conjunction with Dr. Camilla Graham, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA Our Speaker Dr.
More informationAvailable In person Courses
Course Catalogue for HIV Education and Training NY www.hivtrainingny.org The NYSDOH AIDS Institute s HIV, STI and Viral Hepatitis Training Programs offer trainings on HIV/AIDS, sexually transmitted infection
More informationThe single tablet regimen of ledipasvir/sofosbuvir is efficacious and well-tolerated among people receiving opioid substitution therapy
The single tablet regimen of ledipasvir/sofosbuvir is efficacious and well-tolerated among people receiving opioid substitution therapy Reau N 1, Grebely J 2, Mauss S 3, Brown A 4, Puoti M 5, Wyles D 6,
More informationImpact of Screening and Treatment for Hepatitis C Virus (HCV) Infection in Switzerland
1 Impact of Screening and Treatment for Hepatitis C Virus (HCV) Infection in Switzerland A Comprehensive Mathematical Model of the Swiss HCV Epidemic Final report Janne Estill*, Maryam Sadeghimehr*, Olivia
More informationTerapia epatite C, Risposta Virologica Sostenuta e Popolazioni Speciali nel 2018
Terapia epatite C, Risposta Virologica Sostenuta e Popolazioni Speciali nel 2018 Facoltà di Medicina e Chirurgia Università Vita e Salute OSR-Milano Prof. C. Uberti-Foppa - Milano 25 ottobre 2018 The DAA
More informationDrug situation in Greece
16/6/217 INDICATIONS FOR DECLINE IN HCV AND HIV INCIDENCE AMONG PEOPLE WHO INJECT DRUGS IN ATHENS, GREECE Anastasios Fotiou Greek Reitox focal point at the Athens University Mental Health Research Institute
More informationIntegrating Hepatitis C into Drug Treatment Settings
Integrating Hepatitis C into Drug Treatment Settings Substance Use Disorders Statewide Conference August 24, 2017 Pomona, CA Christine Rodriguez, MPH California Department of Public Health 1. Hepatitis
More informationPoland nationalupdate
Poland nationalupdate 16th October 2014 Annual expert meeting on Drug-related deaths (DRD) and Drug-related infectious diseases (DRID) Estimation of HIV and HCV prevalence among injecting drug users in
More informationHIV and Hepatitis C Infection among Persons who Inject Drugs: Global Overview and Policy Implications
HIV and Hepatitis C Infection among Persons who Inject Drugs: Global Overview and Policy Implications Don Des Jarlais, Ph.D. Professor of Psychiatry, Icahn School of Medicine at Mount Sinai UNODC 2014
More informationHCV reinfection in HCV/HIV coinfected patients treated for VHC in AIDS Center Prague
HCV reinfection in HCV/HIV coinfected patients treated for VHC in AIDS Center Prague Viktor ASTER, MD, PhD Department of Infectious and Tropical Diseases, Hospital Bulovka, First Faculty of Medicine, Charles
More informationTB e HIV nelle coorti
TB e HIV nelle coorti Antonella d Arminio Monforte Clinica di Malattie Infettive Dipartimento di Scienze della Salute Università degli Studi di Milano Presidio Ospedalero San Paolo, ASST Santi Paolo e
More informationSexually Transmitted Infections in Vulnerable Groups. Kevin Rebe
Sexually Transmitted Infections in Vulnerable Groups Kevin Rebe Definition: Key Populations Key populations are: Defined groups who, due to specific higher-risk behaviours, are at increased Men risk who
More informationAcute hepatitis C The European Experience
Acute hepatitis C The European Experience Dr Emma Page MBBS MRCP MD(Res) Chelsea and Westminster Hospital, London AHC the European Experience 1. Epidemic 2. CNS sequelae 3. Incidence 4. Re-infection Reports
More informationBlood-borne viruses in marginalised populations
Blood-borne viruses in marginalised populations 2 May 2014 SYDNEY MEDICAL SCHOOL Bethany White, PhD Discipline of Addiction Medicine Overview Blood-borne viruses: HIV Hepatitis B virus (HBV) Hepatitis
More informationERADICATION, ELIMINATION, OR DISEASE CONTROL OF HEPATITIS C. Alfredo Alberti
ERADICATION, ELIMINATION, OR DISEASE CONTROL OF HEPATITIS C 2017 Alfredo Alberti Department of Molecular Medicine University of Padova ITALY MY DISCLOSURES Research Grants : Roche, Gilead, Janssen, MSD,
More informationCROI 2015: HIV Prevention Updates
NORTHWEST AIDS EDUCATION AND TRAINING CENTER CROI 2015: HIV Prevention Updates Ruanne V Barnabas, MBChB Dphil Global Health and Medicine University of Washington a bevy of new studies quelled most remaining
More informationSandi Mitchell Nurse Educator Clinical Prevention Services BCCDC
Sandi Mitchell Nurse Educator Clinical Prevention Services BCCDC sandi.mitchell@bccdc.ca Hepatitis A, B and C Testing Transmission Treatment What Is Hepatitis? Hepatitis means inflammation of the liver
More informationAs a result of this training, participants will be able to:
Addressing Prevention with HIV Positive Clients 1 Day Training This one-day training will prepare participants to help people living with HIV to avoid sexual and substance use behaviors that can result
More informationLa storia clinica del paziente con infezione cronica da HCV: focus epidemiologico. Monica Schiavini
La storia clinica del paziente con infezione cronica da HCV: focus epidemiologico Monica Schiavini 105/185 million people anti-hcv positive worldwide Global anti HCV prevalence in adults: 2% 3/4 million
More informationHepatitis C COLVILLE FOCUSED DIAGNOSIS, MANAGEMENT, TREATMENT
Hepatitis C COLVILLE FOCUSED DIAGNOSIS, MANAGEMENT, TREATMENT Background and affiliations BS (MIT); 3 years in international health (Mexico City and Honduras with Peace Corps); MS (Colorado State University);
More informationViral Hepatitis. WHO Regional Office for Europe July 2013
Viral Hepatitis WHO Regional Office for Europe July 2013 What is Hepatitis? Hepatitis is a viral infection that causes inflammation of the liver There are five main types of viral hepatitis: A, B, C, D,
More informationHepatitis C in the United States : Preparing for the Test and Cure Era
Hepatitis C in the United States : Preparing for the Test and Cure Era Division of Viral Hepatitis National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Centers for Disease Control and Prevention
More informationCascade of medical care to HIV-infected patients in Europe. Cristina Mussini
Cascade of medical care to HIV-infected patients in Europe Cristina Mussini UNAIDS: New HIV treatment target 90% of people tested 90% of people diagnosed with HIV on treatment 90% of people on treatment
More informationMSM&TGpopulations. Management in. Sex. Sex. Outline. STIs/HIV. Sex. Sexual fluidity and HIV. Risk behavior. Recreational drugs
Outline MSM = (at least) 9 patients /day Management in MSM&TGpopulations OPASSPUTCHAROEN M.D. CHULALONGKORNUNIVERSITY BANGKOK, TH /HIV Recreational drugs ual fluidity and HIV Risk behavior AIDS Patient
More information26/09/2014. Types of Viral Hepatitis. Prevention of Viral Hepatitis as a Health Disparity for American Indians: Successes and Challenges
Rate per, Types of Viral Hepatitis A E B D C Prevention of Viral Hepatitis as a Health Disparity for American Indians: Successes and Challenges Source of virus Feces Feces Blood/bloodderived body fluids
More informationHarm Reduction in Nigeria
Harm Reduction in Nigeria Needs, gaps, and responses to ensure access to effective HIV prevention, treatment and care for people who inject drugs February 2018 This document is made possible by the generous
More informationHIV/Hepatitis C in France: data from real life cohorts LIONEL PIROTH CHU DIJON UNIVERSITY OF BURGUNDY DECEMBER LONDON
HIV/Hepatitis C in France: data from real life cohorts LIONEL PIROTH CHU DIJON UNIVERSITY OF BURGUNDY DECEMBER 2015 - LONDON The need Decreasing prevalence of chronic hepatitis C in French people living
More informationHepatitis C in HIV Coinfection. Annie Luetkemeyer, MD Division of HIV, ID and Global Medicine ZSFG, UCSF
Hepatitis C in HIV Coinfection Annie Luetkemeyer, MD Division of HIV, ID and Global Medicine ZSFG, UCSF Disclosures I have received research grant support to UCSF related to HCV from the following: Abbvie
More informationHEPATITIS C UPDATES. Sanaa S. Said 10 th April, 2014
HEPATITIS C UPDATES Sanaa S. Said 10 th April, 2014 CONTENTS Introduction Epidemiology Transmission and Natural history Kenyan guidelines What is new? References INTRODUCTION Hepacivirus genus, Flaviviridae
More informationNew York State Department of Health AIDS Institute Peer Worker Course Catalogue July 2017
New York State Department of Health AIDS Institute Peer Worker Course Catalogue July 2017 1 P age New York State Department of Health AIDS Institute Peer Worker Course Catalogue Table of Contents Introduction...
More informationUpdate on HCV Treatment
Update on HCV Treatment Ajay Bharti, MD Associate Professor of Medicine Division of Infectious Diseases University of California San Diego 2018 April 28, 2018 Clinically relevant questions in HCV-HIV coinfected
More informationARISTOTLE HCV-HIV: A fast-track intervention to seek-test-link-treat PWID in Athens, Greece
IVHEM, 6-7 December 2018 ARISTOTLE HCV-HIV: A fast-track intervention to seek-test-link-treat PWID in Athens, Greece Vana Sypsa Department of Hygiene, Epidemiology and Medical Statistics Medical School,
More informationHIV/Sexual Health Clinical Education Session
HIV/Sexual Health Clinical Education Session http://courses.ashm.org.au/hiv/hiv-sexual-health-clinical-education-session/ About These Slide These slides may not be published, posted online, or used in
More informationIL PAZIENTE COINFETTO TRATTATO CON I NUOVI DAA: l esperienza della coorte SCOLTA.
IL PAZIENTE COINFETTO TRATTATO CON I NUOVI DAA: l esperienza della coorte SCOLTA. Francois Millet, Le spigolatrici (857) Barbara Menzaghi BACKGROUND There are few data on the real-world experience of oral
More informationManagement of Acute HCV Infection
Management of Acute HCV Infection This section provides guidance on the diagnosis and medical management of acute HCV infection, which is defined as presenting within 6 months of the exposure. During this
More informationHIV and Hepatitis Prevention Programmes in Eastern Europe Case Example: Georgia
HIV and Hepatitis Prevention Programmes in Eastern Europe Case Example: Georgia Nikoloz Chkhartishvili, MD, MS, PhD Deputy Executive Director for Research Infectious Diseases, AIDS and Clinical Immunology
More informationPreparedness for candidate HCV vaccine trials in people who inject. C Vaccine Initiative*
Preparedness for candidate HCV vaccine trials in people who inject drugs: Challenges and opportunities Li M h b h lf f th UNSW H titi Lisa Maher, on behalf of the UNSW Hepatitis C Vaccine Initiative* Background
More informationHepatitis and HIV Co-Infection: Situation in Ukraine.
2nd Central and Eastern European Meeting on Viral Hepatitis and Co-Infection with HIV Hepatitis and HIV Co-Infection: Situation in Ukraine. Pavlo Skala Associate Director: Policy & Partnership Ukraine
More informationExtragenital Gonorrhea and Chlamydia among MSM
Extragenital Gonorrhea and Chlamydia among MSM Laura Quilter, MD Infectious Disease and STD PTC Fellow University of Washington Division of Allergy and Infectious Diseases 3/28/2016 uwptc@uw.edu uwptc.org
More informationHEPATITIS C ELIMINATION IN GREECE
HEPATITIS C ELIMINATION IN GREECE ANGELOS HATZAKIS Professor of Epidemiology & Preventive Medicine Athens University Medical School Co-Chair, Hepatitis B & C Public Policy Association London, UK June 5,
More informationTransmission. Transmission Counseling
Learning Objectives Upon completion, participants should be able to: Outline critical components of comprehensive care for patients with chronic HCV infection Counsel patients about reasonable expectations
More informationAddressing STIs among MSM: A Clinical and Public Health Update
Addressing STIs among MSM: A Clinical and Public Health Update Kevin L. Ard, MD, MPH National LGBT Health Education Center, Fenway Institute Infectious Disease Division, Massachusetts General Hospital
More informationELIMINATION OF VIRAL HEPATITIS IN ROMANIA LESSONS LEARNT AND THE WAY FORWARD
ELIMINATION OF VIRAL HEPATITIS IN ROMANIA LESSONS LEARNT AND THE WAY FORWARD 17 May 2018 Bucharest, Romania Organisers Associations Collaborating on Hepatitis to Immunize and Eliminate the Viruses in Europe
More informationHIV and Methamphetamine Use: Public Health Issues and Interventions for an Intertwined epidemic
HIV and Methamphetamine Use: Public Health Issues and Interventions for an Intertwined epidemic Glenn Milo Santos, PhD, MPH Senior Research Scientist Substance Use Research Unit Center for Public Health
More informationSection 3: Testing and Diagnosis of Hepatitis C
Section 3: Testing and Diagnosis of Hepatitis C Dr. Jules Alla Kouadio (Médecins du Monde) Training Hepatitis C and HR for PWUD, 20 th -24 th Sept. 2016, Nairobi, Kenya Learning objective of the session
More informationBeyond Injecting Drug Use: HCV Transmission among Men who have Sex with Men
Beyond Injecting Drug Use: HCV Transmission among Men who have Sex with Men HIV Congress 2014 Mumbai Associate Professor Joe Sasadeusz Royal Melbourne and Alfred Hospitals Issues Epidemiology Clinical
More informationBruce Kreter, PharmD Senior Director, Global HCV Medical Affairs Gilead Sciences, Inc.
CDC Foundation & Viral Hepatitis Action Coalition: Summit for the Elimination of Hepatitis B and Hepatitis C as Public Health Threats in the United States Bruce Kreter, PharmD Senior Director, Global HCV
More informationPre-exposure Prophylaxis for HIV Prevention
Mountain West AIDS Education and Training Center Pre-exposure Prophylaxis for HIV Prevention Concerns about PrEP: Sexual Behavior and STIs Joanne Stekler, MD MPH May 19, 2016 This presentation is intended
More informationUpdate on Hepatitis B and C in CEE
4th CEE Meeting on Viral Hepatitis and HIV Update on Hepatitis B and C in CEE Miłosz Parczewski Dept. of Infectious Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, Poland
More informationHigh prevalence and incidence of HIV and HCV among new injecting drug users with a large proportion of migrants Is prevention failing?
High prevalence and incidence of HIV and HCV among new injecting drug users with a large proportion of migrants Is prevention failing? Cinta Folch on behalf of REDAN Study Group Viral Hepatitis Prevention
More informationUpdate on HCV and other infections related to injection drug use. Ann Thomas, MD, MPH Acute and Communicable Disease Prevention
Update on HCV and other infections related to injection drug use Ann Thomas, MD, MPH Acute and Communicable Disease Prevention Dec 14, 2018 Overview Update on NHANES prevalence data Trends in HCV, HIV
More informationCases: Issues in Hepatitis C in Active or Recently Active Substance Abuse and Renal Failure
Cases: Issues in Hepatitis C in Active or Recently Active Substance Abuse and Renal Failure Arthur Y. Kim, MD Associate Professor of Medicine Harvard Medical School Director, Viral Hepatitis Clinic Massachusetts
More informationPatient Care Planning Group April 3, 2014
Patient Care Planning Group April 3, 2014 Philip O. Toal, Ed.D,; LMHC, CET Administrator, Non-Residential Services The Center For Drug Free Living, a founding partner of Aspire Health Partners Participants
More informationHEPATITIS C, ACUTE CRUDE DATA. Number of Cases 5 Annual Incidence a LA County 0.05 California b 0.10 United States b 0.68 Age at Diagnosis Mean 38
2016 Annual Morbidity Report HEPATITIS C, ACUTE a Rates calculated based on less than 19 cases or events are considered unreliable b Calculated from: CDC. Notice to Readers: Final 2016 Reports of Nationally
More informationNew York State HCV Provider Webinar Series
New York State HCV Provider Webinar Series Treatment of HCV/HIV Co-Infection Dost Sarpel, MD Division of Infectious Disease Viral Hepatology Milford Regional Medical Center Objectives Review the epidemiology
More informationFelice Nava, MD, PhD Felice A. Nava, MD PhD
Felice Nava, MD, PhD Felice A. Nava, MD PhD Direttore U.O. Sanità Penitenziaria Azienda ULSS 6 Euganea Padova Direttore Comitato Scientifico Nazionale FeDerSerD HCV 0? Dall Eradicazione del virus alla
More informationImproving NSP and Harm Reduction Services. Jason Farrell, European HCV and Drug Use Initiative
Improving NSP and Harm Reduction Services Jason Farrell, European HCV and Drug Use Initiative Presentation Overview With the growing need to treat HCV, NSP programs have been identified in numerous stakeholder
More informationThe Feasibility of HIV Prevention Cohort Studies among Men who have Sex with Men (MSM) in sub-saharan Africa
The Feasibility of HIV Prevention Cohort Studies among Men who have Sex with Men (MSM) in sub-saharan Africa HPTN 075 Protocol Chair: Theo Sandfort New York State Psychiatric Institute and Columbia University
More informationPre-exposure Prophylaxis. Robert M Grant October 2014
Pre-exposure Prophylaxis Robert M Grant October 2014 The HIV Pandemic 2.3 Million New HIV Infections in 2012 39% in Young People (ages 15-24) The HIV Pandemic 1.6 Million Started Therapy in 2012 1.4 New
More information