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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/18133

Title: Hepatitis C in European prisons: a call for an evidence-informed response
Authors: ARAIN, Amber
Stöver, Heino
Issue Date: 2014
Abstract: Globally, over 10 million people are held in prisons and other places of detention at any given time. People who inject drugs (PWID) comprise 10-48% of male and 30-60% of female prisoners. The spread of hepatitis C in prisons is clearly driven by injection drug use, with many infected prisoners unaware of their infection status. Risk behaviour for acquisition of hepatitis C via common use of injecting equipment is widespread in many prison settings. In custodial settings, effective and efficient prevention models applied in the community are very rarely implemented. Only approximately 60 out of more than 10,000 prisons worldwide provide needle exchange. Thus, HCV prevention is almost exclusively limited to verbal advice, leaflets and other measures directed to cognitive behavioural change. Although the outcome of HCV antiviral treatment is comparable to non-substance users and substance users out of prison, the uptake for antiviral treatment is extremely low. Based on a literature review to assess the spread of hepatitis C among prisoners and to learn more about the impact for the prison system, recommendations regarding hepatitis C prevention, screening and treatment in prisons have been formulated in this article.
Notes: [Arain, Amber; Robaeys, Geert] Hasselt Univ, Fac Med & Life Sci, Limburg Clin Res Programme, Hasselt, Belgium. [Robaeys, Geert] Ziekenhuis Oost Limburg, Dept Gastroenterol & Hepatol, Genk, Belgium. [Robaeys, Geert] Leuven Univ, Univ Hosp Leuven, Dept Hepatol, Leuven, Belgium. [Stoever, Heino] Univ Appl Sci, Fac Hlth & Social Work, Frankfurt, Germany.
URI: http://hdl.handle.net/1942/18133
DOI: 10.1186/1471-2334-14-S6-S17
ISI #: 000345662100017
ISSN: 1471-2334
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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