The annual hepatitis C report for 2015 has been published, showing an increase in end stage liver disease.
Public Health England (PHE) continues to highlight and inform public health policy and interventions in relation to Hepatitis C. Gathering and analysing information on cases allows us to monitor progress and identify specific groups where targeted interventions may be appropriate.
The latest figures show hospital admissions from hepatitis C related, end-stage liver disease and liver cancer continue to rise. Although there was a small drop in deaths in 2013 compared to 2012, caution is needed as the overall trends in hospital admissions and deaths have been upwards for more than a decade.
PHE estimates that 160,000 people in England are living with hepatitis C, many of whom will be unaware of their infections. However, more individuals are being tested and diagnosed; particular improvements have been seen in primary care where surveillance indicates that testing has risen by 21% in England in the last 5 years.
People who inject drugs remain at greatest risk of infection. It is encouraging that in 2014, 83% of people who inject drugs and participated in surveys report having had a hepatitis C test, an increase from 67% in 2004.
The report highlights the importance of maintaining provision of needle and syringe programmes and opioid substitution therapies in drug services as part of the wider efforts to prevent the spread of hepatitis C infection.
Dr Helen Harris, hepatitis C expert at PHE, who led the publication of the report, said:
With more patients being tested and improved treatments, there is at last real hope that we will begin to see an impact on the number of deaths from hepatitis C related end-stage liver disease and liver cancer.
Antiviral treatments are available in the UK that can successfully clear hepatitis C virus in the majority of patients, and new drugs coming online offer improved rates of viral clearance, fewer side effects, and are easier to administer.
Hepatitis C is a problem in England, but it’s a problem with a solution.
The recent policy announcement making new treatments available to patients with hepatitis C related cirrhosis, will help to reduce the future burden of hepatitis C disease. Also, a scale-up of new treatments in those with less severe disease could achieve a reduction in the numbers of people who would otherwise go on to develop serious liver disease.
Charles Gore, Chief Executive of The Hepatitis C Trust said:
We are living in a potentially transformative time for hepatitis C. New treatments offer us the chance to save and transform the lives of thousands of people in this country. No longer can we tolerate the ever-rising number of people dying from hepatitis C related cirrhosis and liver cancer. We can instead create a future where hepatitis C is eliminated as a serious public health concern.
- For more information about hepatitis C, please visit PHE’s dedicated pages.
- For information and support, please visit the Hepatitis C Trust website .
- For information about liver disease, please visit the British Liver Trust website.
- Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.
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