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Disease
Opinion
Aninda Rahman
Muhammad Radzi Abu Hassan
Aninda RahmanandMuhammad Radzi Abu Hassan

Opinion | Political will needed to end the unnecessary suffering of hepatitis C patients

  • Drugs with a near-100 per cent cure rate have been available for years. To ensure that these are widely available, political leadership and funding are needed

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A 3D illustration shows a liver infected with hepatitis viruses. Image: Handout
In 2013, a major medical breakthrough brought hope to sufferers of hepatitis C, a once tough-to-treat condition: the introduction of direct-acting antiviral drugs. For the first time, the infectious disease could be treated with a regime of pills, taken over a few months, with cure rates better than 95 per cent.

The advancement seemed poised to transform the lives of millions worldwide living with the hepatitis C virus, drastically reducing the death and chronic health problems it caused.

Unfortunately, while these groundbreaking drugs certainly improved the outlook for people living with the virus, public health institutions have yet to tap the drugs’ full potential. Years after hepatitis C became almost fully curable, nearly 300,000 people continue to die of it each year – and today some 58 million people still live with the virus, most of whom don’t even know they have it.
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To make good on the promise of direct-acting antivirals and secure a future without this avoidable suffering, we should commit to scaling up hepatitis C virus testing and treatment programmes around the world.

Eliminating the global burden of this virus demands funding not only for diagnostics and drugs, but a decentralised, simplified testing and point-of-care treatment model, bringing care closer to patients. Drug users, men who have sex with men, sex workers, unhoused people and others disproportionately marginalised who lack consistent access to healthcare should also benefit from dedicated care strategies, including education and psychosocial support.

Hong Kong unveils its hepatitis C action plan on October 8, 2020, at the government headquarters. Photo: Sam Tsang
Hong Kong unveils its hepatitis C action plan on October 8, 2020, at the government headquarters. Photo: Sam Tsang

Investing in hepatitis C virus screening and treatment works – and there’s plenty of evidence to prove it. An US$8.1 million project funded by the global health agency Unitaid enabled the screening of 154,000 people for the virus, detecting and treating nearly 20,000 patients and saving over 1,600 lives in Malaysia. The return on investment was estimated to be US$47.7 million.

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